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Three cases without a good response required creation of a permanent stoma. Seven out of 10 patients did not require a permanent colostomy after SNM. SNM should be considered before performing a permanent colostomy. Seven out of 10 patients did not require a permanent colostomy after SNM. SNM should be considered before performing a permanent colostomy. Ex vivo hepatectomy is the incorporation of liver transplant techniques in the non-transplant setting, providing opportunity for locally advanced tumors found conventionally unresectable.