Left trisectionectomy combined with resection of the right hepatic vein and inferior vena cava after right hepatic vein embolization for advanced intrahepatic cholangiocarcinoma

被引：5

作者：

Suzuki, Toshihiro ^{[1
]}

Ebata, Tomoki ^{[1
]}

Yokoyama, Yukihiro ^{[1
]}

Mizuno, Takashi ^{[1
]}

Igami, Tsuyoshi ^{[1
]}

Yamaguchi, Junpei ^{[1
]}

Onoe, Shunsuke ^{[1
]}

Watanabe, Nobuyuki ^{[1
]}

Nagino, Masato ^{[1
]}

机构：

[1] Nagoya Univ, Grad Sch Med, Dept Surg, Div Surg Oncol,Showa Ku, 65 Tsurumai Cho, Nagoya, Aichi 4668550, Japan

来源：

SURGICAL CASE REPORTS | 2019年 / 5卷 / 1期

关键词：

Right hepatic vein embolization; Left hepatic trisectionectomy; Intrahepatic cholangiocarcinoma; HEPATECTOMY; TRISEGMENTECTOMY; PRESERVATION;

D O I：

10.1186/s40792-019-0655-0

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

BackgroundWhen the inferior right hepatic vein (IRHV) is present, left hepatic trisectionectomy with resection of the right hepatic vein (RHV) is theoretically possible without reconstruction of the RHV. We here report a successful case of this extended hepatectomy after RHV embolization for advanced intrahepatic cholangiocarcinoma.Case presentationA 71-year-old man was admitted to our clinic with abdominal pain. Computed tomography showed a cholangiocarcinoma located at the caudate lobe that involved the inferior vena cava (IVC) and the roots of the three major hepatic veins. Portal vein embolization of the left and right anterior portal veins was performed. As the IRHV was present but thin, RHV was also embolized. Left hepatic trisectionectomy with resection of the involved IVC and RHV, preserving the IRHV, was done. The IVC was reconstructed with artificial graft. The patient was discharged on postoperative day 36.ConclusionRHV embolization is useful in extended left trisectionectomy with resection of the RHV when the IRHV is present but thin.

引用

页数：4

共 9 条

[1] SUBTOTAL HEPATECTOMY - A NEW PROCEDURE BASED ON THE INFERIOR RIGHT HEPATIC VEIN [J].