Resection and Partial Liver Segment 2/3 Transplantation with Delayed Total Hepatectomy(RAPID)Procedure for Malignant Liver Tumor
10.3870/j.issn.1672-0741.21.08.009
- VernacularTitle:左外叶肝切除肝移植联合二期全肝切除术(RAPID)治疗肝脏恶性肿瘤
- Author:
Ping SUN
1
;
Guang FU
;
Qichang ZHENG
Author Information
1. 华中科技大学同济医学院附属协和医院肝胆外科,武汉 430022
- Keywords:
liver resection;
liver transplantation;
RAPID;
colorectal cancer;
liver metastasis;
liver tumor
- From:
Acta Medicinae Universitatis Scientiae et Technologiae Huazhong
2023;52(6):893-897
- CountryChina
- Language:Chinese
-
Abstract:
Objective Liver transplantation for colorectal cancer patient with liver metastasis has acquired satisfying result,increasing overall survival in selected patients.The scarcity of grafts is a major obstacle in the field of transplant oncology.The use of small segmental auxiliary grafts from deceased or living donors might be a way to expand the donor pool with minimal negative impact for patient on the waiting list for deceased donor transplantation and minimal risk for living donor.RAPID(re-section and partial liver segment 2/3 transplantation with delayed total hepatectomy)procedure combines the advantages of both ALPPS(associating liver partition and portal ligation for staged hepatectomy)and auxiliary liver transplantation and further ex-panded the field of transplant oncology,bringing hope to long term survival for more patients.This review provides an insight into the physiological background for this technique and summarizes technical and surgical considerations,experiences from the past,patient outcomes,existing disputes and the future prospects.Overall,the procedure is complex and risky,with a small number of cases worldwide.Although many patients have achieved good outcomes,it is still insufficient to assess long-term on-cology outcomes.This method is still in the exploratory stage and limited to prospective clinical studies.
