Initial experience of parenchyma-sparing liver resection with systematic selective hepatic vein reconstruction for colorectal metastases
Yevhenii Trehub, Åsmund Avdem Fretland, Artem Zelinskyi, Dzmitrii Kharkov, Oleksii Babashev, Dmytro Cheverdiuk, Artem Shchebetun, Kyrylo Khyzhniak, Maksym Pavlovskii, Andrii Strokan, Sergii Zemskov · 2024
Read Initial experience of parenchyma-sparing liver resection with systematic selective hepatic vein reconstruction for colorectal metastases by Yevhenii Trehub, Åsmund Avdem Fretland, Artem Zelinskyi, Dzmitrii Kharkov, Oleksii Babashev, Dmytro Cheverdiuk, Artem Shchebetun, Kyrylo Khyzhniak, Maksym Pavlovskii, Andrii Strokan, Sergii Zemskov (2024) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-11647387.txt.
Description
When bowel cancer spreads to the liver, cutting the spots out helps, but the classic operation takes a large share of the liver with them. Yevhenii Trehub and co-authors test a gentler plan in a 2024 report: save liver tissue and rebuild the veins that drain it, even where a tumor touches those veins. Nine patients in Ukraine were treated this way by one team.
The rebuilds took many forms, from simple stitching to patches and graft segments. No patient died, though a third had major problems after surgery. Most rebuilt veins stayed open in the short term, fewer in the long term. The team saved a fair volume of liver in each case, close to half a liter on average. They close with a step-by-step guide for picking patients, while calling for larger trials.
Catalog record
| CREATOR | Yevhenii Trehub, Åsmund Avdem Fretland, Artem Zelinskyi, Dzmitrii Kharkov, Oleksii Babashev, Dmytro Cheverdiuk, Artem Shchebetun, Kyrylo Khyzhniak, Maksym Pavlovskii, Andrii Strokan, Sergii Zemskov |
|---|---|
| YEAR | 2024 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 42 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |