title: Ex vivohepatectomy and partial liver autotransplantation for hepatoid adenocarcinoma: A case report.
abstract: We previously reported the case of a 56-year-old male who underwent surgical treatment for gastric hepatoid adenocarcinoma and splenic metastasis. The present study reports the case of the same patient who underwent successfulex vivohepatectomy and partial liver autotransplantation. Computed tomography scans demonstrated that the tumor was located in the left and caudate lobes of the liver, with hepatic vein and inferior vena cava involvement, and right portal vein compression. To clarify the association between the vessels and the tumor, a three-dimensional imaging technique was used to reconstruct the liver architecture. During the surgery, the whole liver was removed with the retrohepatic vena cava, which was replaced with a prosthetic graft without a veno-venous bypass; a portacaval shunt for the anhepatic phase was performed simultaneously. The surgery lasted 9 h, and the anhepatic phase lasted 4 h. Blood loss during the surgery was recorded at 1,500 ml. The time taken for recovery was 21 days post-surgery, and at 20 months, the patient was disease-free. To the best of our knowledge, this is the first case ofex vivoliver resection performed for hepatic metastasis of hepatoid adenocarcinoma to be reported.
authors.affiliation: Department of Hepatobiliary Surgery, Zhongshan Hospital of Xiamen University, Fujian Provincial Key Laboratory of Chronic Liver Disease and Hepatocellular Carcinoma, Xiamen, Fujian, P.R. China.
authors.forename: Fu-Qiang
authors.initials: FQ
authors.lastname: Wang
authors.affiliation: Department of Hepatobiliary Surgery, Southwest Hospital, The Third Military Medical University, Chongqing, P.R. China.
authors.forename: Qian
authors.initials: Q
authors.lastname: Lu
authors.affiliation: Department of Hepatobiliary Surgery, Southwest Hospital, The Third Military Medical University, Chongqing, P.R. China.
authors.forename: Jun
authors.initials: J
authors.lastname: Yan
authors.affiliation: Department of Hepatobiliary Surgery, Zhongshan Hospital of Xiamen University, Fujian Provincial Key Laboratory of Chronic Liver Disease and Hepatocellular Carcinoma, Xiamen, Fujian, P.R. China.
authors.forename: You-Yuan
authors.initials: YY
authors.lastname: Peng
authors.affiliation: Department of Hepatobiliary Surgery, Zhongshan Hospital of Xiamen University, Fujian Provincial Key Laboratory of Chronic Liver Disease and Hepatocellular Carcinoma, Xiamen, Fujian, P.R. China.
authors.forename: Cheng-Rong
authors.initials: CR
authors.lastname: Xie
authors.affiliation: Department of Hepatobiliary Surgery, Zhongshan Hospital of Xiamen University, Fujian Provincial Key Laboratory of Chronic Liver Disease and Hepatocellular Carcinoma, Xiamen, Fujian, P.R. China.
authors.forename: Yong-Jie
authors.initials: YJ
authors.lastname: Su
authors.affiliation: Department of Hepatobiliary Surgery, Zhongshan Hospital of Xiamen University, Fujian Provincial Key Laboratory of Chronic Liver Disease and Hepatocellular Carcinoma, Xiamen, Fujian, P.R. China.
authors.forename: Jian-Yin
authors.initials: JY
authors.lastname: Zhou
authors.affiliation: School of Information Science and Technology, Xiamen University, Xiamen, Fujian, P.R. China.
authors.forename: Bo-Liang
authors.initials: BL
authors.lastname: Wang
authors.affiliation: Department of Hepatobiliary Surgery, Zhongshan Hospital of Xiamen University, Fujian Provincial Key Laboratory of Chronic Liver Disease and Hepatocellular Carcinoma, Xiamen, Fujian, P.R. China.
authors.forename: Wen-Xiu
authors.initials: WX
authors.lastname: Zhao
authors.affiliation: Department of Hepatobiliary Surgery, Zhongshan Hospital of Xiamen University, Fujian Provincial Key Laboratory of Chronic Liver Disease and Hepatocellular Carcinoma, Xiamen, Fujian, P.R. China.
authors.forename: Xiao-Min
authors.initials: XM
authors.lastname: Wang
authors.affiliation: Department of Hepatobiliary Surgery, Southwest Hospital, The Third Military Medical University, Chongqing, P.R. China.
authors.forename: Ping
authors.initials: P
authors.lastname: Bie
authors.affiliation: Department of Hepatobiliary Surgery, Zhongshan Hospital of Xiamen University, Fujian Provincial Key Laboratory of Chronic Liver Disease and Hepatocellular Carcinoma, Xiamen, Fujian, P.R. China.
authors.forename: Zhen-Yu
authors.initials: ZY
authors.lastname: Yin
keywords: ex vivo hepatectomy; hepatocellular carcinoma; hepatoid adenocarcinoma