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Updated: Jan 25, 2026

Liver Cold Storage and Transplantation in the Cold-Adaptive Daurian Ground Squirrels
Published on: July 3, 2025
Monosegmental ALPPS: a long-term survival alternative to liver transplant in PRETEXT IV hepatoblastoma
Eloy Francisco Ruiz Figueroa1, Ramiro Manuel Fernández-Placencia1, Francisco Enrique Berrospi Espinoza1
1Department of Abdominal Surgery, Instituto Nacional de Enfermedades Neoplásicas, Lima, Perú.
Abstract:
A 3-year-old female was treated with neoadjuvant chemotherapy (NACT) for a PRETEXT IV hepatoblastoma. POST-TEXT IV findings merited a liver transplant (LT), but multiple limitations precluded it. The initial future liver remnant (FLR) was small (21.3%). Monosegment 6 ALPPS was a rational approach given that the inferior right hepatic vein (IRHV) provided adequate outflow. Therefore, the procedure was performed after parental informed consent. On PO15 of the first stage, FLR had reached 32.6% and then the second-stage was carried out. The patient was discharged on POD 31, and she is about to reach the 5-year disease-free survival milestone.
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