Ex vivo liver surgery for extraadrenal pheochromocytoma.
A case of a 15-year-old girl with a malignant extraadrenal pheochromocytoma situated between the inferior vena cava and the portal triad is described. Using ex vivo technique, the tumour was successfully resected on the bench, as a previous attempt to remove the tumour in situ had been abandoned. The surgical aspects and implications of ex vivo surgery are discussed, highlighting the increased operative risk, perioperative mortality, and poor long-term results in patients with malignant tumours.
Fusai
G
G
Institute of Liver Studies and Liver Transplant Surgical Service, King's College Hospital, Denmark Hill, SE5 9RS London, UK.
Steinberg
R
R
Prachalias
A
A
Heaton
N D
ND
Spitz
L
L
Rela
M
M
D000293:Adolescent; D000310:Adrenal Gland Neoplasms / Q000473:pathology / Q000601:surgery*; D005260:Female; D006498:Hepatectomy / Q000379:methods*; D006801:Humans; D008279:Magnetic Resonance Imaging; D009361:Neoplasm Invasiveness; D010673:Pheochromocytoma / Q000473:pathology / Q000601:surgery*; D012186:Retroperitoneal Neoplasms / Q000473:pathology / Q000601:surgery; D014682:Vena Cava, Inferior / Q000601:surgery