Right Portal Vein Ligation Combined With In Situ Splitting Induces Rapid Left Lateral Liver Lobe Hypertrophy Enabling 2-Staged Extended Right Hepatic Resection in Small-for-Size Settings

Short summary

A novel two-step surgical technique combining right portal vein ligation (PVL) and in situ splitting (ISS) rapidly increased left lateral liver lobe volume by a median of 74% in 9 days, enabling extended right hepatic resection in 25 patients with initially insufficient liver reserve.

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