Two surgical techniques are better than one: RAVAS and RAPID are answers for the same issue

The role of ischaemia-reperfusion injury and liver regeneration in hepatic tumour recurrence

“…Advanced techniques of hypertrophy induction have been developed to enable hepatectomy in patients who would otherwise have an insufficient post-hepatectomy liver remnant volume, including portal vein embolization (PVE), hepatic vein embolization, two-staged hepatectomy (TSH), and associated liver partition and portal vein ligation for staged-hepatectomy (ALPPS). Recently, methods of auxiliary liver transplantation that exploit liver regeneration have been introduced, such as the RAPID 33 and RAVAS 34 technique. In these techniques, an auxiliary graft is implanted while maintaining the native liver completely or partially in place.…”

Venous outflow in partial heterotopic liver transplantation with spleen replacement: Evidence of no chronic venous hypertension

“…We replied to the criticism by showing the optimal Doppler ultrasound examination after one year and the normal liver histology of the graft. 4 Furthermore, we involved an expert physiologist (M.C. ), who addressed the theoretical hydrostatic pressure within the graft efferent vessel (Figure 1B).…”

Colon Rectal Liver Metastases: The Role of the Liver Transplantation in the Era of the Transplant Oncology and Precision Medicine

“…Their procedure consists of a heterotopic LT of segments 2–3 in the splenic fossa after splenectomy with delayed hepatectomy after regeneration of the transplanted graft. The supposed advantage of this procedure compared to the RAPID technique is no native liver manipulation and possible application in the case of previous liver resections ( 43 , 44 ).…”