Salvage Ex Situ Hepatectomy With Liver Autotransplantation for Recurrent Intraductal Papillary Neoplasm of the Bile Ducts (IPNB): A Case Report.
Gabriel Bayona-Alvarado, Daniel Reis Waisberg, Rafael Soares Pinheiro et al.
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Case in brief
A 64-year-old woman with a history of left hepatectomy for intraductal papillary neoplasm of the bile ducts developed recurrent disease in the caudate lobe, closely associated with major vascular structures. She underwent salvage ex situ hepatectomy with liver autotransplantation, which involved meticulous dissection and vascular reconstruction. The procedure was successful, with negative margins on histopathology, and the patient was discharged on postoperative day 15.
Diagnostic / clinical pearl
Ex situ hepatectomy with liver autotransplantation can be a viable option for patients with recurrent hepatic tumors in complex anatomical locations, allowing for radical resections.
Why it matters
This case highlights the potential of advanced surgical techniques in managing challenging hepatic tumors, expanding treatment options for patients with limited alternatives.