Resection of huge hepatic tumor in the right lobe with reservation of segments Ⅴ and Ⅵ
10.3760/cma.j.issn.1673-9752.2012.06.015
- VernacularTitle:保留肝Ⅴ、Ⅵ段的肝右叶巨大肝癌切除术
- Author:
Bangde XIANG
;
Lequn LI
;
Liang MA
- Publication Type:Journal Article
- Keywords:
Liver neoplasms;
Liver resection;
Surgical technique
- From:
Chinese Journal of Digestive Surgery
2012;(6):549-551
- CountryChina
- Language:Chinese
-
Abstract:
Resection of huge hepatic tumor located at segments Ⅶ and Ⅷ with reservation of segments Ⅴ and Ⅵ is difficult,because the right hepatic vein is easy to be injured during the operation.A male patient with huge hepatic tumor in the right lobe was admitted to the Cancer Hospital of Guangxi Medical University on July 26,2012.The tumor (diameter:14 cm) was located at segments Ⅶ and Ⅷ.The tumor and the whole structure of the liver were three dimensionally reconstructed by using digital medical technology and liver surgery planning system.The right hepatic vein was closely adjacent to the tumor.During the operation,the right Glisson pedicles were occluded intermittently,the liver parenchyma was dissected with cavitron ultrasonic surgical aspirator,and the right hepatic vein was occlued with non-invasive vascular clamp.The tumor was resected completely,with successful preservation of the trunk of right hepatic vein.No blood transfusion was needed,and the blood supply to segments Ⅴ and Ⅵ was not influenced.The patient recovered rapidly and was discharged on postoperative day 14.
