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Left Anterior Sectorectomy: An Alternative to Left Hepatectomy for Tumors Invading the Distal Part of the Left Portal Vein
Background: Liver tumors invading the distal part of the umbilical portion of the left portal vein usually require left hepatectomy. The recent introduction of the concept of left anterior sector, an independent anatomo-functional unit including the anterior portion of the left liver and supplied by...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8871109/ https://www.ncbi.nlm.nih.gov/pubmed/35204634 http://dx.doi.org/10.3390/diagnostics12020545 |
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author | Garancini, Mattia Scotti, Mauro Alessandro Gianotti, Luca Ciulli, Cristina Carissimi, Francesca Uggeri, Fabio Degrate, Luca Braga, Marco Romano, Fabrizio |
author_facet | Garancini, Mattia Scotti, Mauro Alessandro Gianotti, Luca Ciulli, Cristina Carissimi, Francesca Uggeri, Fabio Degrate, Luca Braga, Marco Romano, Fabrizio |
author_sort | Garancini, Mattia |
collection | PubMed |
description | Background: Liver tumors invading the distal part of the umbilical portion of the left portal vein usually require left hepatectomy. The recent introduction of the concept of left anterior sector, an independent anatomo-functional unit including the anterior portion of the left liver and supplied by the distal part of the umbilical portion of the left portal vein, could represent the rational for an alternative surgical approach. The aim of this study was to introduce the novel surgical procedure of ultrasound-guided left anterior sectorectomy. Methods: Among 92 consecutive patients who underwent hepatectomy, 3 patients with tumor invading the distal part of the umbilical portion of the left portal (two with colorectal liver metastases and one with neuroendocrine tumor liver metastases) underwent left anterior sectorectomy alone or in association with liver multiple metastasectomies. Results: Mean operation time was 393 min; post-operative morbidity and mortality were not observed. After a mean FU of 23 months (range 19–28), no local recurrence occurred. Conclusions: In presence of tumors invading the distal part of the umbilical portion of the left portal, left anterior sectorectomy could be considered as an anatomic radical surgical option that is safe but more conservative than a left hepatectomy. |
format | Online Article Text |
id | pubmed-8871109 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-88711092022-02-25 Left Anterior Sectorectomy: An Alternative to Left Hepatectomy for Tumors Invading the Distal Part of the Left Portal Vein Garancini, Mattia Scotti, Mauro Alessandro Gianotti, Luca Ciulli, Cristina Carissimi, Francesca Uggeri, Fabio Degrate, Luca Braga, Marco Romano, Fabrizio Diagnostics (Basel) Article Background: Liver tumors invading the distal part of the umbilical portion of the left portal vein usually require left hepatectomy. The recent introduction of the concept of left anterior sector, an independent anatomo-functional unit including the anterior portion of the left liver and supplied by the distal part of the umbilical portion of the left portal vein, could represent the rational for an alternative surgical approach. The aim of this study was to introduce the novel surgical procedure of ultrasound-guided left anterior sectorectomy. Methods: Among 92 consecutive patients who underwent hepatectomy, 3 patients with tumor invading the distal part of the umbilical portion of the left portal (two with colorectal liver metastases and one with neuroendocrine tumor liver metastases) underwent left anterior sectorectomy alone or in association with liver multiple metastasectomies. Results: Mean operation time was 393 min; post-operative morbidity and mortality were not observed. After a mean FU of 23 months (range 19–28), no local recurrence occurred. Conclusions: In presence of tumors invading the distal part of the umbilical portion of the left portal, left anterior sectorectomy could be considered as an anatomic radical surgical option that is safe but more conservative than a left hepatectomy. MDPI 2022-02-21 /pmc/articles/PMC8871109/ /pubmed/35204634 http://dx.doi.org/10.3390/diagnostics12020545 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Garancini, Mattia Scotti, Mauro Alessandro Gianotti, Luca Ciulli, Cristina Carissimi, Francesca Uggeri, Fabio Degrate, Luca Braga, Marco Romano, Fabrizio Left Anterior Sectorectomy: An Alternative to Left Hepatectomy for Tumors Invading the Distal Part of the Left Portal Vein |
title | Left Anterior Sectorectomy: An Alternative to Left Hepatectomy for Tumors Invading the Distal Part of the Left Portal Vein |
title_full | Left Anterior Sectorectomy: An Alternative to Left Hepatectomy for Tumors Invading the Distal Part of the Left Portal Vein |
title_fullStr | Left Anterior Sectorectomy: An Alternative to Left Hepatectomy for Tumors Invading the Distal Part of the Left Portal Vein |
title_full_unstemmed | Left Anterior Sectorectomy: An Alternative to Left Hepatectomy for Tumors Invading the Distal Part of the Left Portal Vein |
title_short | Left Anterior Sectorectomy: An Alternative to Left Hepatectomy for Tumors Invading the Distal Part of the Left Portal Vein |
title_sort | left anterior sectorectomy: an alternative to left hepatectomy for tumors invading the distal part of the left portal vein |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8871109/ https://www.ncbi.nlm.nih.gov/pubmed/35204634 http://dx.doi.org/10.3390/diagnostics12020545 |
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