case_images: PMC4901504_01
case_images: Pre- and postoperative CT-scan of the liver. a Preoperative CT-scan depicting the tumor lesion within the right liver lobe (marked pink) and the resulting future liver remnant (FLR; marked purple). b CT-volumetry 7 days after the first step of ALPPS already resulted in a significant increase of the FLR. The extended right liver lobe (wrapped in a silicone matting) meanwhile showed signs of necrosis following ligation of the right portal vein. c CT-volumetry 11 days after the first step of ALPPS showed further growth of the FLR (marked red). POD = postoperative day
case_images: 13037_2016_104_Fig1_HTML.jpg
case_images: PMC4901504_01_13037_2016_104_Fig1_HTML.jpg
case_images: Fig1
case_images: A CT-based volumetry on postoperative day (POD) 7 showed an increase of FLR volume to 519 cm3 representing approx. 30.8 % of the total liver volume with a FLR/BW ratio of 0.45 (Fig. 1).
case_images: Postoperative course of AST, Bilirubin and Quick value. Diagram depicting the courses of AST, Bilirubin and Quick value following the first and second step of the ALPPS-procedure, respectively. POD = postoperative day
case_images: 13037_2016_104_Fig2_HTML.jpg
case_images: PMC4901504_01_13037_2016_104_Fig2_HTML.jpg
case_images: Fig2
case_images: The courses of these laboratory values are depicted in Fig. 2. ALPPS the patient showed a stable liver function throughout the entire postoperative course. AST and ALT levels were only slightly elevated (Fig. 2).
case_images: Postoperative course of FLR, LiMAx value and Quick value. Diagram depicting the courses of FLR, LiMAx value and Quick value following the first step of the ALPPS-procedure, respectively. POD = postoperative day
case_images: 13037_2016_104_Fig3_HTML.jpg
case_images: PMC4901504_01_13037_2016_104_Fig3_HTML.jpg
case_images: Fig3
case_images: The latter now was found to be 371 mug/h/kg indicating sufficient growth and function of the FLR (Fig. 3).