Akbulut S, Cicek E, Kolu M, Sahin TT, Yilmaz S. Associating liver partition and portal vein ligation for staged hepatectomy for extensive alveolar echinococcosis: First case report in the literature. World J Gastrointest Surg 2018; 10(1): 1-5 [PMID: 29391928 DOI: 10.4240/wjgs.v10.i1.1]
Corresponding Author of This Article
Sami Akbulut, MD, Associate Professor, Department of Surgery and Liver Transplant Institute, Inonu University Faculty of Medicine, Elazig Yolu 10 Km, Malatya 44280, Turkey. akbulutsami@gmail.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Surg. Jan 27, 2018; 10(1): 1-5 Published online Jan 27, 2018. doi: 10.4240/wjgs.v10.i1.1
Associating liver partition and portal vein ligation for staged hepatectomy for extensive alveolar echinococcosis: First case report in the literature
Sami Akbulut, Egemen Cicek, Mehmet Kolu, Tevfik Tolga Sahin, Sezai Yilmaz
Sami Akbulut, Egemen Cicek, Tevfik Tolga Sahin, Sezai Yilmaz, Department of Surgery and Liver Transplant Institute, Inonu University Faculty of Medicine, Malatya 44280, Turkey
Mehmet Kolu, Department of Radiology, Inonu University Faculty of Medicine, Malatya 44280, Turkey
Author contributions: Akbulut S, Sahin TT and Yilmaz S designed the report; Cicek E collected the patient’s clinical data; Kolu M performed the radiological image design; Akbulut S and Yilmaz S analyzed the data and wrote the paper.
Informed consent statement: The patient involved in this study gave his informed written consent prior to study enrollment, authorizing the use and disclosure of his protected health information.
Conflict-of-interest statement: The author declares no potential conflict of interest.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Sami Akbulut, MD, Associate Professor, Department of Surgery and Liver Transplant Institute, Inonu University Faculty of Medicine, Elazig Yolu 10 Km, Malatya 44280, Turkey. akbulutsami@gmail.com
Telephone: +90-422-3410660 Fax: +90-422-3410036
Received: October 31, 2017 Peer-review started: November 1, 2017 First decision: December 1, 2017 Revised: December 4, 2017 Accepted: December 13, 2017 Article in press: December 13, 2017 Published online: January 27, 2018 Processing time: 86 Days and 2.3 Hours
ARTICLE HIGHLIGHTS
Case characteristics
A 28-years-old male patient was referred to our Liver Transplant Center because of recurrent advanced alveolar echinococcosis.
Clinical diagnosis
The patient was diagnose with extensive hepatic alveolar echinococcosis.
Differential diagnosis
The different diagnosis was many malignant liver tumors.
Laboratory diagnosis
An elevated blood AST and ALT levels suggested parenchymal damage.
Imaging diagnosis
Both multidetector computerized tomography and dynamic liver magnetic resonance imaging demonstrated extensive hepatic alveolar echinococcosis.
Pathological diagnosis
Alveolar echinococcosis.
Treatment
Associating Liver Partition and Portal Vein Ligation for Staged Hepatectomy.
Related reports
According to our knowledge, the present patient is the first extensive hepatic AE case that ALPPS procedure has been applied in the literature.
Term explanation
ALPPS: Associating Liver Partition and Portal Vein Ligation for Staged Hepatectomy.
Experiences and lessons
In selected patient groups with benign liver disease with extensive hepatic involvement ALPPS can be safely used in centers which have expertise in major hepatic surgery.
