Laparoscopic Left Hepatectomy with Middle Hepatic Vein Resection for Hepatocellular Carcinoma with Extrahepatic Portal Vein Obstruction

Akira Umemura; Hiroyuki Nitta; Takeshi Takahara; Yasushi Hasegawa; Hirokatsu Katagiri; Shoji Kanno; Megumi Kobayashi; Taro Ando; Ayaka Sato; Noriyuki Uesugi; Tamotsu Sugai; Akira Sasaki

doi:10.12659/AJCR.928801

01 March 2021 : Case report Japan

Laparoscopic Left Hepatectomy with Middle Hepatic Vein Resection for Hepatocellular Carcinoma with Extrahepatic Portal Vein Obstruction

Unusual setting of medical care, Educational Purpose (only if useful for a systematic review or synthesis), Rare coexistence of disease or pathology

Akira Umemura^1ABDEF*, Hiroyuki Nitta^1CD, Takeshi Takahara^1EF, Yasushi Hasegawa^1BC, Hirokatsu Katagiri^1CD, Shoji Kanno^1DE, Megumi Kobayashi^1EF, Taro Ando^1AB, Ayaka Sato^2CD, Noriyuki Uesugi^2CD, Tamotsu Sugai^2CD, Akira Sasaki^1CD

DOI: 10.12659/AJCR.928801

Am J Case Rep 2021; 22:e928801

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Figure 5. Surgical procedure is shown. (A) The root of the left and middle hepatic vein was visualized. (B) The ductus venosus was visualized and transected. (C) The left hepatic artery was identified and clipped (white arrow). (D) Small vessels from cavernous transformation were individually clipped and divided. (E) Demarcation line was clarified by ICG imaging. (F) The middle hepatic vein was exposed and divided at the tumor invasion. (G) The roots of the left and middle hepatic veins were transected by a linear stapler. (H) The left hepatic duct was visualized by ICG imaging (white arrow).

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Laparoscopic Left Hepatectomy with Middle Hepatic Vein Resection for Hepatocellular Carcinoma with Extrahepatic Portal Vein Obstruction

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