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


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Title: Tumor thrombectomy via a surgically reopened umbilical vein combined with right hemihepatectomy in a patient with hepatocellular carcinoma.
Authors: Soyama, Akihiko / Eguchi, Susumu / Takatsuki, Mitsuhisa / Hidaka, Masaaki / Muraoka, Izumi / Tomonaga, Tetsuo / Kanematsu, Takashi
Issue Date: 2011
Publisher: Karger AG
Citation: Digestive Surgery, 28(3), pp.222-225; 2011
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.
Keywords: Hepatocellular carcinoma / Occlusion catheter / Portal venous tumor thrombosis / Right hemihepatectomy / Thrombectomy / Umbilical vein
URI: http://hdl.handle.net/10069/25457
ISSN: 02534886
DOI: 10.1159/000324596
PubMed ID: 21540610
Rights: Copyright © 2011 S. Karger AG, Basel
Type: Journal Article
Text Version: author
Appears in Collections:Articles in academic journal

Citable URI : http://hdl.handle.net/10069/25457

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