[Extracorporeal surgery and liver autotransplantation].
BACKGROUND
Though the great majority of hepatic and perihepatic neoplasms may very well be treated by conventional surgical techniques, a few patients will have lesions seemingly inaccessible by traditional in situ surgical procedures.


METHODS
We present two patients with retrohepatic sarcoma and liver haemangioma respectively, treated by hepatectomy, ex situ resection and hepatic autotransplantation.


RESULTS
The first patient, a 64-year-old man, had a completely uneventful postoperative course and had no indication of recurrent sarcoma two years later. The second patient, a 29-year-old female with a giant hepatic haemangioma developed postoperative hepatic artery thrombosis. Following thrombectomy her further course was satisfactory and the patient was discharged with normal liver function three weeks postoperatively.


CONCLUSIONS
Ex situ liver surgery (bench surgery) with liver autotransplantation should be considered when traditional in situ surgery on the liver or adjacent structures is not applicable.
Brekke
Inge B
IB
Transplantasjonskirurgisk seksjon, Rikshospitalet, Oslo. inge.brekke@rikshospitalet.no
Line
Pål-Dag
PD
Mathisen
Øystein
Ø
Osnes
Svein
S
D000328:Adult; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods; D005260:Female; D006391:Hemangioma / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D006498:Hepatectomy / Q000379:methods*; D006801:Humans; D008113:Liver Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D016031:Liver Transplantation / Q000379:methods; D008297:Male; D011859:Radiography; D012509:Sarcoma / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D014182:Transplantation, Autologous / Q000379:methods*