Two-stage liver resection for intrahepatic cholangiocarcinoma
A. V. Chzhao,
B. N. Gurmikov,
V. A. Vishnevsky,
A. A. Olifir,
Ya. Ya. Gavrilov,
L. A. Marinova,
U. D. Usmonov https://doi.org/10.16931/1995-5464.20201106-112
Abstract
The small remnant liver volume remains an urgent problem in liver resection surgery. The use of the method of twostage liver resection – the Associated Liver Partition and Portal vein ligation for Staged hepatectomy in most cases allows to solve this problem. However, this method is associated with a number of complications and limitations. The presented clinical observation shows the effectiveness of an alternative version of this technology – radiofrequency ablation of the liver parenchyma in the plane of the proposed resection with ligation of the right branch of the portal vein to increase the volume of the estimated liver remnant in intrahepatic cholangiocellular cancer.
About the Authors
A. V. Chzhao
Vishnevsky National Medical Research Center of Surgery
Russian Federation
Russian Federation
Doct. of Sci. (Med.), Professor, Deputy Director
27, Bol'shaya Serpukhovskaia str., Moscow, 117997, Russian Federation
B. N. Gurmikov
Vishnevsky National Medical Research Center of Surgery
Russian Federation
Russian Federation
Beslan N. Gurmikov – Cand. of Sci. (Med.), Associate Professor, Surgeon of the Oncology Department
27, Bol'shaya Serpukhovskaia str., Moscow, 117997, Russian Federation
Phone: 9-963-171-57-34
V. A. Vishnevsky
Vishnevsky National Medical Research Center of Surgery
Russian Federation
Russian Federation
Doct. of Sci. (Med.), Professor
27, Bol'shaya Serpukhovskaia str., Moscow, 117997, Russian Federation
A. A. Olifir
Vishnevsky National Medical Research Center of Surgery
Russian Federation
Russian Federation
Postgraduate Student of the Oncology Department
27, Bol'shaya Serpukhovskaia str., Moscow, 117997, Russian Federation
Ya. Ya. Gavrilov
Vishnevsky National Medical Research Center of Surgery
Russian Federation
Russian Federation
Physician of the Ultrasound Diagnostics Department
27, Bol'shaya Serpukhovskaia str., Moscow, 117997, Russian Federation
L. A. Marinova
Vishnevsky National Medical Research Center of Surgery
Russian Federation
Russian Federation
Cand. of Sci. (Med.), Head of the Interventional Endoscopy Group
27, Bol'shaya Serpukhovskaia str., Moscow, 117997, Russian Federation
U. D. Usmonov
Vishnevsky National Medical Research Center of Surgery
Russian Federation
27, Bol'shaya Serpukhovskaia str., Moscow, 117997, Russian Federation
Russian Federation
Cand. of Sci. (Med.), Associate Professor of the Department of Surgery of the Andijan State Medical University, Doctoral Candidate
27, Bol'shaya Serpukhovskaia str., Moscow, 117997, Russian Federation
References
1. Guro H., Kim J.W., Choi Y., Cho J.Y., Yoon Y.S., Han H.S. Multidisciplinary management of intrahepatic cholangio carcinoma: current approaches. Surg. Oncol. 2017; 26 (2): 146–152. https://doi.org/10.1016/j.suronc.2017.03.001.
2. Rahnemai-Azar A.A., Weisbrod A.B., Dillhoff M., Schmidt C., Pawlik T.M. Intrahepatic cholangiocarcinoma: current management and emerging therapies. Eхpert. Rev. Gasrtoenterol. Hepatol. 2017; 11 (5): 439–449. https://doi.org/10.1080/17474124.2017.1309290.
3. Tyson G.L., El-Serag H.B. Risk factors for cholangiocarcinoma. Hepatology. 2011; 54 (1): 173–184. https://doi.org/10.1002/hep.24351.
4. Buettner S., La van Vugt J., Ijzermans J.N., Koerkamp B.G. Intrahepatic cholangiocarcinoma: current perspectives. Onco- Targets Therapy. 2017; 10: 1131–1142. https://doi.org/10.2147/OTT.S93629.
5. Voskanyan S.E., Artemiev A.I., Naydenov E.V., Kolyshev I.Y., Zabezhinsky D.A., Shabalin M.V., Bashkov A.N., Grigorieva O.O., Shcherbin V.V., Zhurbin A.S. ALPPS in overcoming small remnant liver volume in alveolar echinococcosis. Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2018; 23 (4): 21–32. https://doi.org/10.16931/1995-5464.2018421-32. (In Russian)
6. Melekhina O.V., Efanov M.G., Alikhanov R.B., Tsvirkun V.V., Kuleznyova Y.V., Starostina N.S., Kim P.P., Kazakov I.V., Van'kovich A.N. Surgical methods for liver failure prevention after advanced hepatectomies. Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2016; 21 (3): 47–55. https://doi.org/10.16931/1995-5464.2016347-55. (In Russian)
7. Schnitzbauer A.A., Lang S.A., Goessmann H., Nadalin S., Baumgart J., Farkas S.A., Fichtner-Feigl S., Lorf T., Goralcyk A., Hörbelt R., Kroemer A., Loss M., Rümmele P., Scherer M.N., Padberg W., Königsrainer A., Lang H., Obed A., Schlitt H.J. Right portal vein ligation combined with in situ splitting induces rapid left lateral liver lobe hypertrophy enabling 2-staged extended right hepatic resection in small-for-size settings. Ann. Surg. 2012; 255 (3): 405–414. https://doi.org/10.1097/SLA.0b013e31824856f5.
8. de Santibañes E., Clavien P.A. Playing Play-Doh to prevent postoperative liver failure: the “ALPPS” approach. Ann. Surg. 2012; 255 (3): 415–417. https://doi.org/10.1097/SLA.0b013e318248577d].
9. Skipenko O.G., Chardarov N.K., Bagmet N.N., Bedzhanyan A.L., Polishchuk L.O., Shatverian G.A. ALPPS is a new two-stage surgical treatment option for patients with colon cancer metastases. Pirogov Russian Journal of Surgery = Khirurgiya. Zhurnal imeni N.I. Pirogova. 2014; 9: 23–29. (In Russian)
10. Heinrich S., Jochum W., Graf R., Clavien P.A. Portal vein ligation and partial hepatectomy differentially influence growth of intrahepatic metastasis and liver regeneration in mice. J. Hepatol. 2006; 45 (1): 35–42. https://doi.org/10.1016/j.jhep.2006.02.020.
11. Lim C., Farges O. Portal vein occlusion before major hepatectomy in patients with colorectal liver metastases: rationale, indications, technical aspects, complications and outcome. J. Visc. Surg. 2012; 149 (2): 86–96. https://doi.org/10.1016/j.jviscsurg.2012.03.003.
12. Schadde E., Schnitzbauer A.A., Tschuor C., Raptis D.A., Bechstein W.O., Clavien P.A. Systematic review and metaanalysis of feasibility, safety, and efficacy of a novel procedure: associating liver partition and portal vein ligation for staged hepatectomy. Ann. Surg. Oncol. 2015; 22 (9): 3109–3120. https://doi.org/10.1245/s10434-014-4213-5.
13. Gall T.M., Sodergren M.H., Frampton A.E., Fan R., Spalding D.R., Habib N.A., Pai M., Jackson J.E., Tait P., Jiao L.R. Radio-frequency-assisted liver partition with portal vein ligation (RALPP) for liver regeneration. Ann. Surg. 2015; 261 (2): 45–46. https://doi.org/10.1097/SLA.0000000000000607.
Review
For citations:
Chzhao A.V., Gurmikov B.N., Vishnevsky V.A., Olifir A.A., Gavrilov Ya.Ya., Marinova L.A., Usmonov U.D. Two-stage liver resection for intrahepatic cholangiocarcinoma. Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2020;25(1):106-112. (In Russ.) https://doi.org/10.16931/1995-5464.20201106-112
Views:
637
Email this article 