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Laparoscopic hybrid mini-alpps using transmesenteric intra-operative portal embolization for locally advanced intrahepatic cholangiocarcinoma
Mini-alpps hibrido laparoscópico usando embolización portal intraoperatoria transmesentérica para colangiocarcinoma intrahepático localmente avanzado
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=> 1000 "Ancho" => 3175 "Tamanyo" => 242905 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">The video shows the treatment of a 43-year-old patient with a 10 cm solid hypovascular lesion involving the entire right hepatic lobe and segment IV with involvement of the right and middle suprahepatic vein in intimate contact with the retrohepatic vena cava. Preoperative future liver remnant (FLR) volumetry was 360 cm<span class="elsevierStyleSup">3</span> (22%). A hybrid mini-ALPPS with intraoperative right portal embolisation via the inferior mesenteric vein was performed. At 14 days, volumetry demonstrated FLR of 854 cm<span class="elsevierStyleSup">3</span> (237% increase). On day 21, right trisectorectomy with partial resection of the vena cava was performed. The postoperative period was uneventful, and the patient was discharged on the 5th day after surgery. Histopathology showed 9 cm moderately differentiated intrahepatic cholangiocarcinoma with infiltration of the vena cava and no lymph node metastasis in 0 of 9 resected cases (pT4N0M0, stage IIIB of the 8th TNM) (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2023-05-16" "fechaAceptado" => "2023-10-22" "apendice" => array:1 [ 0 => array:1 [ "seccion" => array:1 [ 0 => array:4 [ "apendice" => "<p id="par0015" class="elsevierStylePara elsevierViewall">The following is Supplementary data to this article:<elsevierMultimedia ident="upi0005"></elsevierMultimedia></p>" "etiqueta" => "Appendix A" "titulo" => "Supplementary data" "identificador" => "sec0010" ] ] ] ] "multimedia" => array:2 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1000 "Ancho" => 3175 "Tamanyo" => 242905 ] ] ] 1 => array:5 [ "identificador" => "upi0005" "tipo" => "MULTIMEDIAECOMPONENTE" "mostrarFloat" => false "mostrarDisplay" => true "Ecomponente" => array:3 [ "fichero" => "mmc1.mp4" "ficheroTamanyo" => 44993749 "Video" => array:2 [ "flv" => array:5 [ "fichero" => "mmc1.flv" "poster" => "mmc1.jpg" "tiempo" => 0 "alto" => 0 "ancho" => 0 ] "mp4" => array:5 [ "fichero" => "mmc1.m4v" "poster" => "mmc1.jpg" "tiempo" => 0 "alto" => 0 "ancho" => 0 ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735077/0000010200000001/v1_202401211656/S2173507723002314/v1_202401211656/en/main.assets" "Apartado" => array:4 [ "identificador" => "74681" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Video of the month" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735077/0000010200000001/v1_202401211656/S2173507723002314/v1_202401211656/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173507723002314?idApp=UINPBA00004N" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 February | 3 | 0 | 3 |
