Novel procedure for hepatic venous outflow block after liver resection: A case report.
Budd-Chiari syndrome
Case report
Emergency surgery
Hepatectomy
Hepatic vein outflow block
Postoperative complications
Journal
World journal of clinical cases
ISSN: 2307-8960
Titre abrégé: World J Clin Cases
Pays: United States
ID NLM: 101618806
Informations de publication
Date de publication:
16 Oct 2024
16 Oct 2024
Historique:
received:
09
05
2024
revised:
29
06
2024
accepted:
15
07
2024
medline:
17
10
2024
pubmed:
17
10
2024
entrez:
17
10
2024
Statut:
ppublish
Résumé
Postoperative complications like remnant hepatic vein (HV) outflow block and liver torsion can occur after right hepatectomy. Hepatic falciform ligament fixation is typically used to prevent liver torsion. We report a novel procedure to manage outflow block. An 80-year-old man developed HV outflow block after remnant right hepatectomy, despite liver fixation and intraoperative HV flow check. He had a history of cholangiocellular carcinoma and had undergone posterior segmentectomy and choledojejunostomy. The falciform ligament fixation was inadequate to maintain liver position. Emergency surgery was performed, using an omental flap and mobilized right side colon with ileocecal region to prevent liver dislocation due to intraabdominal adhesion. His postoperative course was uneventful. This is the first report providing a novel surgical procedure when the falciform ligament is insufficient for remnant liver fixation.
Sections du résumé
BACKGROUND
BACKGROUND
Postoperative complications like remnant hepatic vein (HV) outflow block and liver torsion can occur after right hepatectomy. Hepatic falciform ligament fixation is typically used to prevent liver torsion. We report a novel procedure to manage outflow block.
CASE SUMMARY
METHODS
An 80-year-old man developed HV outflow block after remnant right hepatectomy, despite liver fixation and intraoperative HV flow check. He had a history of cholangiocellular carcinoma and had undergone posterior segmentectomy and choledojejunostomy. The falciform ligament fixation was inadequate to maintain liver position. Emergency surgery was performed, using an omental flap and mobilized right side colon with ileocecal region to prevent liver dislocation due to intraabdominal adhesion. His postoperative course was uneventful.
CONCLUSION
CONCLUSIONS
This is the first report providing a novel surgical procedure when the falciform ligament is insufficient for remnant liver fixation.
Identifiants
pubmed: 39417048
doi: 10.12998/wjcc.v12.i29.6320
pmc: PMC11372529
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Pagination
6320-6326Informations de copyright
©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
Déclaration de conflit d'intérêts
Conflict-of-interest statement: All authors have no conflict-of-interest.