Left trisectionectomy combined with resection of the right hepatic vein and inferior vena cava after right hepatic vein embolization for advanced intrahepatic cholangiocarcinoma.
Intrahepatic cholangiocarcinoma
Left hepatic trisectionectomy
Right hepatic vein embolization
Journal
Surgical case reports
ISSN: 2198-7793
Titre abrégé: Surg Case Rep
Pays: Germany
ID NLM: 101662125
Informations de publication
Date de publication:
18 Jun 2019
18 Jun 2019
Historique:
received:
10
04
2019
accepted:
05
06
2019
entrez:
20
6
2019
pubmed:
20
6
2019
medline:
20
6
2019
Statut:
epublish
Résumé
When 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. A 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. RHV embolization is useful in extended left trisectionectomy with resection of the RHV when the IRHV is present but thin.
Sections du résumé
BACKGROUND
BACKGROUND
When 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 PRESENTATION
METHODS
A 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.
CONCLUSION
CONCLUSIONS
RHV embolization is useful in extended left trisectionectomy with resection of the RHV when the IRHV is present but thin.
Identifiants
pubmed: 31214903
doi: 10.1186/s40792-019-0655-0
pii: 10.1186/s40792-019-0655-0
pmc: PMC6582073
doi:
Types de publication
Journal Article
Langues
eng
Pagination
98Références
Br J Surg. 2002 Jan;89(1):63-9
pubmed: 11851665
Surgery. 2003 May;133(5):580-2
pubmed: 12773986
Br J Surg. 1991 Oct;78(10):1221-2
pubmed: 1958990
World J Surg. 2015 Dec;39(12):2990-8
pubmed: 26304608
Surg Case Rep. 2016 Dec;2(1):63
pubmed: 27342988
Surg Gynecol Obstet. 1987 Jan;164(1):68-72
pubmed: 3026059
HPB (Oxford). 2019 Mar 26;:null
pubmed: 30926329
Surg Gynecol Obstet. 1981 Jan;152(1):43-50
pubmed: 7455890
Surgery. 1995 Jun;117(6):715-7
pubmed: 7778036