title: Integration of 3D volumetry, portal vein transection and in situ split procedure: a new surgical strategy for inoperable liver metastasis.
abstract: BACKGROUND
  The purpose of this study was to report on the feasibility of integrating 3D preoperative volumetry, portal vein transection and in situ split procedure. A 54-year-old female with now resectable colorectal liver metastasis (CRLM) (segments III, IVb, V-VIII) underwent a two-staged procedure.
  
  
  METHODS
  Segment III resection, right portal vein transection and an in situ split procedure (first stage) after 3D volumetry based on CT data and a right trisegmentectomy (second stage) were performed. RO resection of metastases was achieved, and the postoperative course was uneventful.
  
  
  CONCLUSIONS
  The proposed strategy seems to be a promising method to achieve higher resectability rates in CRLM patients.
authors: General and Visceral Surgery, Asklepios Hospital Barmbek, Asklepios Medical School, Hamburg, Germany.
authors: Karl J
authors: KJ
authors: Oldhafer
authors: Marcello
authors: M
authors: Donati
authors: Tina
authors: T
authors: Maghsoudi
authors: Darko
authors: D
authors: Ojdanić
authors: Gregor A
authors: GA
authors: Stavrou
mesh_terms: D015179:Colorectal Neoplasms / Q000473:pathology; D005260:Female; D006498:Hepatectomy / Q000379:methods*; D006801:Humans; D021621:Imaging, Three-Dimensional; D008113:Liver Neoplasms / Q000000981:diagnostic imaging / Q000556:secondary / Q000601:surgery*; D008875:Middle Aged; D011169:Portal Vein / Q000601:surgery*; D014057:Tomography, X-Ray Computed