Contralateral glissonian pedicle occlusion in a case of portal vein tumor thrombosis

Daizo Fukushima, Kazushige Sato, Satoshi Sekiguchi, Naoki Kawagishi, Yorihiro Akamatsu, Norihiko Ogawa, Ikuo Takada, Shigehito Miyagi, Yoshinobu Kobayashi, Keisei Fujimori, Susumu Satomi

Research output: Contribution to journalArticlepeer-review

Abstract

To dissect portal vein branches directly and encircle them separately is a common procedure that is performed to control back flow bleeding during operations for hepatocellular carcinoma with portal vein tumor thrombosis. However, this technique has an increased risk of injuring contralateral portal branches and disseminating thrombosis fragments to the remnant liver. We present an alternative technique using right-sided glissonian pedicle occlusion for hepatocellular carcinoma with left portal vein tumor thrombosis due to complex anatomical vasculatures of the hepatic pedicle. This technique would be very useful for liver resection of hepatocellular carcinoma with the major type of portal vein tumor thrombosis.

Original languageEnglish
Pages (from-to)249-251
Number of pages3
JournalHepato-Gastroenterology
Volume59
Issue number113
DOIs
Publication statusPublished - 2012 Jan

Keywords

  • Back flow bleeding
  • Glissonian pedicle
  • Hepatocellular carcinoma
  • Portal vein tumor thrombosis

ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology

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