The value of a combined radiological-surgical approach in allowing curative resection of a locally advanced type IIIa Klatskin tumor.
Journal
Journal of surgical case reports
ISSN: 2042-8812
Titre abrégé: J Surg Case Rep
Pays: England
ID NLM: 101560169
Informations de publication
Date de publication:
Mar 2021
Mar 2021
Historique:
received:
22
12
2020
accepted:
26
01
2021
entrez:
5
4
2021
pubmed:
6
4
2021
medline:
6
4
2021
Statut:
epublish
Résumé
We report the case of a 53-year-old patient subjected to percutaneous embolization of right and middle hepatic veins to induce liver segments 2-3 hypertrophy before extended right hepatic resection for a locally advanced type IIIa perihilar cholangiocarcinoma. Hepatic vein embolization (HVE) was performed 3 weeks after surgical recanalization of left portal vein (severely narrowed at its origin due to tumor infiltration) interposing an internal jugular vein graft between main and distal left portal vein. Nine days after HVE, future liver remnant volume increased from 395 to 501 cc, i.e. 25.1% of standardized total liver volume, allowing to perform a radical right hepatic trisectionectomy plus caudatectomy. He was discharged home on postoperative day 15th after an uneventful postoperative course, with no sign of posthepatectomy liver failure.
Identifiants
pubmed: 33815746
doi: 10.1093/jscr/rjab033
pii: rjab033
pmc: PMC8007164
doi:
Types de publication
Case Reports
Langues
eng
Pagination
rjab033Informations de copyright
Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2021.
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