Heterotopic auxiliary segment 2 –3 liver transplantation with delayed total hepatectomy: New strategies for nonresectable colorectal liver metastases

Liver allotransplantation has been demonstrated to be effective for the treatment of unresectable colorectal liver metastases in selected patients,1 and auxiliary segment 2 –3 liver allotransplantation with left lobe resection and delayed total hepatectomy has been proposed as a strategy to transplant oncologic patients with minimal impact on the waiting lists.2 A heterotopic liver allotransplantation in the splenic fossa has been demonstrated to be feasible and safe ,3 so heterotopic auxiliary liver allotransplantation of segments 2-3 to the splenic fossa with delayed hepatectomy will allow liver allotransplantation for colorectal liver metastases (CRLM) patients without the need for partial native liver manipulation and resection.

Source: Surgery - July 3, 2018 Category: Surgery Authors: Matteo Ravaioli, Guido Fallani, Matteo Cescon, Enrico Prosperi, Vanessa De Pace, Antonio Siniscalchi, Gabriela Sangiorgi, Manuela Ferracin, Andrea Ardizzoni, Maria Cristina Morelli, Ingrid Garajov á Source Type: research