Extended Hemi-Hepatectomy with Portal Vein Reconstruction in a Patient with Situs Ambiguous

We report a case of far-advanced hepatocellular carcinoma (HCC) with situs ambiguous, complex visceral and vascular anomalies, who was successfully managed by extended hemi-hepatectomy. A 67-year-old man was referred to our hospital with a large liver mass. Abdominal ultrasonography, computed tomogr...

Full description

Bibliographic Details
Main Authors:	Sugimachi, Keishi, Ikeda, Yasuharu, Taketomi, Akinobu, Tomikawa, Morimasa, Kawasaki, Katsumi, Korenaga, Daisuke, Maehara, Yoshihiko, Takenaka, Kenji
Format:	Online
Language:	English
Published:	S. Karger AG 2008
Online Access:	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3075171/

id	pubmed-3075171
recordtype	oai_dc
spelling	pubmed-30751712011-04-13 Extended Hemi-Hepatectomy with Portal Vein Reconstruction in a Patient with Situs Ambiguous Sugimachi, Keishi Ikeda, Yasuharu Taketomi, Akinobu Tomikawa, Morimasa Kawasaki, Katsumi Korenaga, Daisuke Maehara, Yoshihiko Takenaka, Kenji Published: March 2008 We report a case of far-advanced hepatocellular carcinoma (HCC) with situs ambiguous, complex visceral and vascular anomalies, who was successfully managed by extended hemi-hepatectomy. A 67-year-old man was referred to our hospital with a large liver mass. Abdominal ultrasonography, computed tomography and angiography revealed HCC with a diameter of 10 cm, with tumor thrombus in the main and first branch of the portal vein. Multiple complex anomalies in the abdomen were determined preoperatively. He had right-sided spleens-stomach-duodenum, liver at midline, inferior vena cava interruption with azygous continuation, and hepatic arterial anomaly. Extended left lobectomy of the liver with reconstruction of the portal vein was performed. Postoperatively, the patient recovered without major complications, and he was discharged on postoperative day 21. We report the first successful extended hepatectomy with portal vein reconstruction for HCC in a patient with rare situs anomalies. S. Karger AG 2008-03-13 /pmc/articles/PMC3075171/ /pubmed/21490843 http://dx.doi.org/10.1159/000118830 Text en Copyright © 2008 by S. Karger AG, Basel http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-Noncommercial-No-Derivative-Works License (http://creativecommons.org/licenses/by-nc-nd/3.0/). Users may download, print and share this work on the Internet for noncommercial purposes only, provided the original work is properly cited, and a link to the original work on http://www.karger.com and the terms of this license are included in any shared versions.
repository_type	Open Access Journal
institution_category	Foreign Institution
institution	US National Center for Biotechnology Information
building	NCBI PubMed
collection	Online Access
language	English
format	Online
author	Sugimachi, Keishi Ikeda, Yasuharu Taketomi, Akinobu Tomikawa, Morimasa Kawasaki, Katsumi Korenaga, Daisuke Maehara, Yoshihiko Takenaka, Kenji
spellingShingle	Sugimachi, Keishi Ikeda, Yasuharu Taketomi, Akinobu Tomikawa, Morimasa Kawasaki, Katsumi Korenaga, Daisuke Maehara, Yoshihiko Takenaka, Kenji Extended Hemi-Hepatectomy with Portal Vein Reconstruction in a Patient with Situs Ambiguous
author_facet	Sugimachi, Keishi Ikeda, Yasuharu Taketomi, Akinobu Tomikawa, Morimasa Kawasaki, Katsumi Korenaga, Daisuke Maehara, Yoshihiko Takenaka, Kenji
author_sort	Sugimachi, Keishi
title	Extended Hemi-Hepatectomy with Portal Vein Reconstruction in a Patient with Situs Ambiguous
title_short	Extended Hemi-Hepatectomy with Portal Vein Reconstruction in a Patient with Situs Ambiguous
title_full	Extended Hemi-Hepatectomy with Portal Vein Reconstruction in a Patient with Situs Ambiguous
title_fullStr	Extended Hemi-Hepatectomy with Portal Vein Reconstruction in a Patient with Situs Ambiguous
title_full_unstemmed	Extended Hemi-Hepatectomy with Portal Vein Reconstruction in a Patient with Situs Ambiguous
title_sort	extended hemi-hepatectomy with portal vein reconstruction in a patient with situs ambiguous
description	We report a case of far-advanced hepatocellular carcinoma (HCC) with situs ambiguous, complex visceral and vascular anomalies, who was successfully managed by extended hemi-hepatectomy. A 67-year-old man was referred to our hospital with a large liver mass. Abdominal ultrasonography, computed tomography and angiography revealed HCC with a diameter of 10 cm, with tumor thrombus in the main and first branch of the portal vein. Multiple complex anomalies in the abdomen were determined preoperatively. He had right-sided spleens-stomach-duodenum, liver at midline, inferior vena cava interruption with azygous continuation, and hepatic arterial anomaly. Extended left lobectomy of the liver with reconstruction of the portal vein was performed. Postoperatively, the patient recovered without major complications, and he was discharged on postoperative day 21. We report the first successful extended hepatectomy with portal vein reconstruction for HCC in a patient with rare situs anomalies.
publisher	S. Karger AG
publishDate	2008
url	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3075171/
_version_	1611449128602042368

Extended Hemi-Hepatectomy with Portal Vein Reconstruction in a Patient with Situs Ambiguous

Similar Items