Tumor thrombectomy via a surgically reopened umbilical vein combined with right hemihepatectomy in a patient with hepatocellular carcinoma.

Abstract:

:This report presents a case of a patient with a huge hepatocellular carcinoma in the right lobe of the liver with an extensive portal venous tumor thrombus extending into the main portal trunk and left portal branch. The patient underwent extended right hemihepatectomy with tumor thrombectomy with direct extraction from an opening of the ventral wall of the right portal vein and using a balloon catheter to push the tumor thrombus via the surgically reopened umbilical vein. This technique seems useful in cases of tumor thrombus that extend deep into the umbilical portion of the left portal vein. In addition, this technique may have minimized the intraoperative migration of the tumor thrombus into the future remnant liver by occluding portal flow with the balloon catheter during the thrombectomy.

journal_name

Dig Surg

journal_title

Digestive surgery

authors

Soyama A,Eguchi S,Takatsuki M,Hidaka M,Muraoka I,Tomonaga T,Kanematsu T

doi

10.1159/000324596

subject

Has Abstract

pub_date

2011-01-01 00:00:00

pages

222-5

issue

3

eissn

0253-4886

issn

1421-9883

pii

000324596

journal_volume

28

pub_type

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