High dorsal resection for recurrent hepatocellular carcinoma originating in the caudate lobe.

Tohru Utsunomiya, Masahiro Okamoto, Eiji Tsujita, Mitsuhiko Ohta, Tetsuzo Tagawa, Ayumi Matsuyama, Jin Okazaki, Manabu Yamamoto, Shinichi Tsutsui, Teruyoshi Ishida

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Standards that enable surgeons to balance radical operative procedures with functional preservation for recurrent hepatocellular carcinoma (HCC) in the caudate lobe have not yet been established. A 54-year-old man with recurrent HCC originating in the caudate lobe was readmitted to our hospital. The combined resection of the adjacent hepatic parenchyma may have carried a risk of postoperative liver failure. The anterior transhepatic approach may have caused massive bleeding due to the presence of scarring from the previous hepatectomy. Therefore, we performed an isolated total caudate lobectomy, i.e., a "high dorsal resection" as a second hepatectomy. The postoperative course of the patient was uneventful, and there has been no local recurrence 1 year after the repeat hepatectomy. Indeed a "high dorsal resection" is rarely required, but it is still ingenious, and this surgical modality can balance the curability with the hepatic functional reserve even for recurrent caudate HCC in patients with liver cirrhosis.

Original languageEnglish
Pages (from-to)829-832
Number of pages4
JournalSurgery today
Volume39
Issue number9
DOIs
Publication statusPublished - Jan 1 2009
Externally publishedYes

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Hepatectomy
Hepatocellular Carcinoma
Liver
Operative Surgical Procedures
Liver Failure
Liver Cirrhosis
Cicatrix
Hemorrhage
Recurrence

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Utsunomiya, T., Okamoto, M., Tsujita, E., Ohta, M., Tagawa, T., Matsuyama, A., ... Ishida, T. (2009). High dorsal resection for recurrent hepatocellular carcinoma originating in the caudate lobe. Surgery today, 39(9), 829-832. https://doi.org/10.1007/s00595-009-3969-x

High dorsal resection for recurrent hepatocellular carcinoma originating in the caudate lobe. / Utsunomiya, Tohru; Okamoto, Masahiro; Tsujita, Eiji; Ohta, Mitsuhiko; Tagawa, Tetsuzo; Matsuyama, Ayumi; Okazaki, Jin; Yamamoto, Manabu; Tsutsui, Shinichi; Ishida, Teruyoshi.

In: Surgery today, Vol. 39, No. 9, 01.01.2009, p. 829-832.

Research output: Contribution to journalArticle

Utsunomiya, T, Okamoto, M, Tsujita, E, Ohta, M, Tagawa, T, Matsuyama, A, Okazaki, J, Yamamoto, M, Tsutsui, S & Ishida, T 2009, 'High dorsal resection for recurrent hepatocellular carcinoma originating in the caudate lobe.', Surgery today, vol. 39, no. 9, pp. 829-832. https://doi.org/10.1007/s00595-009-3969-x
Utsunomiya, Tohru ; Okamoto, Masahiro ; Tsujita, Eiji ; Ohta, Mitsuhiko ; Tagawa, Tetsuzo ; Matsuyama, Ayumi ; Okazaki, Jin ; Yamamoto, Manabu ; Tsutsui, Shinichi ; Ishida, Teruyoshi. / High dorsal resection for recurrent hepatocellular carcinoma originating in the caudate lobe. In: Surgery today. 2009 ; Vol. 39, No. 9. pp. 829-832.
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AU - Matsuyama, Ayumi

AU - Okazaki, Jin

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AB - Standards that enable surgeons to balance radical operative procedures with functional preservation for recurrent hepatocellular carcinoma (HCC) in the caudate lobe have not yet been established. A 54-year-old man with recurrent HCC originating in the caudate lobe was readmitted to our hospital. The combined resection of the adjacent hepatic parenchyma may have carried a risk of postoperative liver failure. The anterior transhepatic approach may have caused massive bleeding due to the presence of scarring from the previous hepatectomy. Therefore, we performed an isolated total caudate lobectomy, i.e., a "high dorsal resection" as a second hepatectomy. The postoperative course of the patient was uneventful, and there has been no local recurrence 1 year after the repeat hepatectomy. Indeed a "high dorsal resection" is rarely required, but it is still ingenious, and this surgical modality can balance the curability with the hepatic functional reserve even for recurrent caudate HCC in patients with liver cirrhosis.

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