Function-preserving segmentectomy of the cirrhotic liver

Hepatogastroenterology. 1995 Jul-Aug;42(4):415-7.

Abstract

Background/aims: A cirrhotic case of hepatocellular carcinoma (HCC) complicating portal vein tumor thrombi which underwent posterior segmentectomy with anterior portal venoplasty is reported.

Materials and methods: The HCC originated in the right posterior segment and grew intraluminally up to the right portal vein, and the laboratory data indicated a presence of severe cirrhosis. The operative procedure undertaken consisted of internal shunting of the portal blood stream by mesentero-umbilical bypass, resection of the posterior segment and the anterior portal venous root, and reconstruction of the anterior portal branch by patch grafting.

Results: This operation produced no distinct complications, and it was defined pathologically as being curative.

Conclusion: The case here introduces rationale of this modified hepatic segmentectomy in view of functional preservation of the residual cirrhotic liver.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Carcinoma, Hepatocellular / complications*
  • Carcinoma, Hepatocellular / surgery*
  • Hepatectomy / methods*
  • Humans
  • Liver Cirrhosis / complications*
  • Liver Cirrhosis / surgery*
  • Liver Neoplasms / complications*
  • Liver Neoplasms / surgery*
  • Male
  • Middle Aged
  • Treatment Outcome