Application and significance of modified ex vivo liver resection and autotransplantation in complex liver resection
10.3760/cma.j.cn115610-20250606-00263
- VernacularTitle:离体肝切除联合自体肝移植改良技术在复杂肝切除术中的应用与意义
- Author:
Yu ZHANG
1
;
Chong YANG
1
;
Qian HE
1
;
Donghui CHENG
1
;
Jipeng JIANG
1
;
Gang WU
1
;
Bangyou ZUO
1
Author Information
1. 电子科技大学附属医院 四川省人民医院肝胆胰外科，成都 610072
- Publication Type:Journal Article
- Keywords:
Liver neoplasms;
Ex vivo liver resection and autotransplantation;
Complex liver resection;
In-situ hypothermic perfusion;
In situ first;
Without veno-venus
- From:
Chinese Journal of Digestive Surgery
2025;24(7):868-873
- CountryChina
- Language:Chinese
-
Abstract:
Complex liver resection (CLR) is a collective term for surgical procedures addre-ssing complex invasion of intrahepatic vasculobiliary structures that cannot be radically resected through conventional methods. The ex vivo liver resection and autotransplantation (ELRA) and its modified techniques have significantly enhanced the technical feasibility of CLR implementation. In recent years, advancements in modified ELRA techniques and derivative procedures, including conversion resection, in-situ hypothermic perfusion, and auxiliary liver transplantation, have further diversified CLR methodologies, offering more personalized treatment options for CLR candidates. Given the complexity of such cases and substantial variations in surgical approach selection, improving procedural safety and scalability remains a critical challenge in CLR practice. The authors review the current application of modified techniques based on ELRA in CLR, evaluate the clinical significance based on institutional experiences, and propose future directions and individual selection for advancing the safe implementation of CLR.
