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Fig. 1 | BMC Cancer

Fig. 1

From: Resection and partial liver transplantation from deceased donors with delayed total hepatectomy (RAPID procedure) for hepatocellular carcinoma: a national, multicenter, non-randomized, prospective trial

Fig. 1

Two stages of RAPID protocol. First Stage: In case of left-sided HCC, left hepatectomy (H1234) will be performed and the native left liver will be replaced with the RAPID small graft (G23), while the native right liver will be left intact. In case of right-sided HCC, the HCC must have been pre-operatively controlled by TACE or thermoablation technic. If persistent tumour activity in the right liver despite preoperative treatment, limited resection/radioablation of active HCC will be performed concomitantly with the left hepatectomy. This is followed by a left hepatectomy including resection of the Spiegel lobe (H1234) and the terminal branches of the middle hepatic vein to allow subsequent anastomosis of the common venous trunks. The native right liver will not be mobilized. Second Stage: A right hepatectomy (H5678) will be carried out using the same abdominal incision

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BMC Cancer

ISSN: 1471-2407

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