Hepatic Ⅶ-Ⅷ bisegmentectomy with concurrent resection of right hepatic vein for liver tumors
10.3760/cma.j.issn.1007-631X.2014.03.006
- VernacularTitle:肝脏Ⅶ-Ⅷ段联合肝右静脉主干切除手术的安全性探讨
- Author:
Yi SUN
;
Kun WANG
;
Quan BAO
;
Hongwei WANG
;
Kemin JIN
;
Xiaoluan YAN
;
Baocai XING
- Publication Type:Journal Article
- Keywords:
Liver neoplasms;
Hepatectomy;
Hepatic vein;
Bisegmentectomy Ⅶ-Ⅷ
- From:
Chinese Journal of General Surgery
2014;29(3):181-184
- CountryChina
- Language:Chinese
-
Abstract:
Objective Bisegmentectomy Ⅶ-Ⅷ can be an alternative option for the tumor localized in segments Ⅶ and Ⅷ and infiltrating the main trunk of RHV instead of a right hemihepatectomy.This study was to evaluate the safety and practicability of the removal of segments Ⅶ and Ⅷ of the liver with the resection of the main trunk of RHV without vascular reconstruction.Method 13 consecutive patients underwent bisegmentectomy Ⅶ-Ⅷ with the resection of the RHV between Nov.2006 and Dec.2012 at Beijing Cancer Hospital 1st Department.of HPB Surgery.Results Bisegmentectomy Ⅶ-Ⅷ with the resection of the RHV was performed in all 13 patients successfully without the distal vein reconstruction.The duration of the operations was 90-215 min.Mean blood loss was estimated to be 200 ml (100-700 ml).Indications for a bisegmentectomy Ⅶ-Ⅷ included hepatocellular carcinoma in 6 cases,intrahepatic cholangiocarcinoma in one,liver metastasis in 4 and hepatic hemangioma in 2 as confirmed pathologically.All patients recovered without severe complications.The atrophy of segment Ⅵ due to the venous drainage obstacle was observed in 3 patients without the dysfunction of liver postoperatively.Conclusions It is safe and practicable to perform Ⅶ and Ⅷ bisegmentectomy with resection of the right hepatic vein without vascular reconstruction for liver tumors.
