Sectional Localization of a Small Hepatocellular Carcinoma in the Right Hepatic Lobe by Computed Tomography: Comparison between the Conventional and Portal Vein Tracing Methods

A 45-year-old man with incidentally discovered, unresectable HCC were treated with TACE to the left hepatic lobe and TARE to the right hepatic lobe. Upon retrospective review, he was found to have a congenital extrahepatic portosystemic shunt with the absence of the portal vein (Abernethy malformation). This case report discusses variant splanchnic and portal anatomy in the setting of rare, congenital portosystemic shunts and evaluates types of liver-directed therapies for HCC in this setting.

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Laparoscopic anatomical segment 3 segmentectomy for hepatocellular carcinoma accompanied by hypoplasia of the right hepatic lobe

Journal of Surgical Case Reports ◽

10.1093/jscr/rjz213 ◽

2019 ◽

Vol 2019 (7) ◽

Author(s):

Hisoka Yamane ◽

Sachiko Yoshida ◽

Toshihiko Yoshida ◽

Masayasu Nishi ◽

Takashi Yamagishi ◽

...

Keyword(s):

Computed Tomography ◽

Hepatocellular Carcinoma ◽

Thyroid Cancer ◽

Postoperative Complications ◽

Surgical Complications ◽

Dynamic Computed Tomography ◽

Hepatic Lobe ◽

The Right

Abstract We report a case of laparoscopic anatomical segment 3 segmentectomy for hepatocellular carcinoma (HCC) accompanied by hypoplasia of the right hepatic lobe. An 80-year-old man was admitted with a suspicion of HCC diagnosed by computed tomography during follow-up for thyroid cancer. Dynamic computed tomography showed 40-mm HCC in segment 3 and hypoplasia of the right hepatic lobe with the Chilaiditi sign. We performed laparoscopic anatomical segment 3 segmentectomy. There were no postoperative complications, and the patient was discharged 6 days postoperatively. This procedure can be performed safely and is technically feasible, but special attention should be paid to anatomical alterations to avoid fatal surgical complications.

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Hepatocellular Carcinoma With Tumor Thrombus Occupying the Right Atrium and Portal Vein

Medicine ◽

10.1097/md.0000000000001049 ◽

2015 ◽

Vol 94 (34) ◽

pp. e1049 ◽

Cited By ~ 11

Author(s):

Xin Luo ◽

Binhao Zhang ◽

Shuilin Dong ◽

Bixiang Zhang ◽

Xiaoping Chen

Keyword(s):

Hepatocellular Carcinoma ◽

Portal Vein ◽

Right Atrium ◽

Tumor Thrombus ◽

The Right

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Small hepatocellular carcinoma: detection with sonography, computed tomography (CT), angiography and Lipiodol-CT

British Journal of Radiology ◽

10.1259/0007-1285-62-742-897 ◽

1989 ◽

Vol 62 (742) ◽

pp. 897-903 ◽

Cited By ~ 54

Author(s):

Byung Ihn Choi ◽

Jae Hyun Park ◽

Bo Hyun Kim ◽

Seung Hyup Kim ◽

Man Chung Han ◽

...

Keyword(s):

Computed Tomography ◽

Hepatocellular Carcinoma ◽

Ct Angiography ◽

Small Hepatocellular Carcinoma

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Positron emission tomography/computed tomography with18F-fluorodeoxyglucose identifies tumor growth or thrombosis in the portal vein with hepatocellular carcinoma

World Journal of Gastroenterology ◽

10.3748/wjg.v13.i33.4529 ◽

2007 ◽

Vol 13 (33) ◽

pp. 4529 ◽

Cited By ~ 9

Author(s):

Long Sun

Keyword(s):

Computed Tomography ◽

Hepatocellular Carcinoma ◽

Positron Emission Tomography ◽

Portal Vein ◽

Tumor Growth ◽

Emission Tomography ◽

Positron Emission

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Preoperative Trans-catheter Arterial Chemoembolization and Laparoscopic Associating Liver Partition and Portal Vein Ligation for Staged Hepatectomy in Unresectable Hepatocellular Carcinoma – A Case Report

BioMedica ◽

10.51441/biomedica/5-284 ◽

2021 ◽

Vol 37 (2) ◽

pp. 86-92

Author(s):

Yilin Hu ◽

Yanbing Shen ◽

Dan Wang ◽

Tingjia Cao

Keyword(s):

Hepatocellular Carcinoma ◽

Case Report ◽

Portal Vein ◽

Liver Volume ◽

Postoperative Outcome ◽

Portal Vein Ligation ◽

The Right ◽

Staged Hepatectomy ◽

Arterial Chemoembolization

<p>Transcatheter arterial chemoembolization (TACE) is considered as a major method to treat hepatocellular carcinoma (HCC). Associated liver partition and portal vein ligation for staged hepatectomy (ALPPS) has been used to treat patients with advanced HCC. This case report documents the safety, efficacy, and feasibility of TACE and laparoscopic ALPPS to treat the unresectable HCC of the right liver with right intra-hepatic metastasis in a male patient. Percutaneous and trans-femoral artery TACE was performed preoperatively, and the ALPPS stage-I at the 4th week and stage-II after 14 days was carried out. Postoperative outcome was assessed after 180 days of follow-up. It is concluded that preoperative TACE and laparoscopic ALPPS offer a fine treatment alternative to the patients with insufficient residual liver volume and relatively-advanced and extensive HCC.</p>

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Variability of the level of portal vein formation registered by computed tomography

Science and Innovations in Medicine ◽

10.35693/2500-1388-2021-6-1-4-8 ◽

2021 ◽

Vol 6 (1) ◽

pp. 4-8

Author(s):

Aleksandr V. Kolsanov ◽

Maksim N. Myakotnykh ◽

Anatolii V. Tolstov ◽

Aleksei A. Mironov

Keyword(s):

Computed Tomography ◽

Portal Vein ◽

Three Dimensional ◽

Spinal Column ◽

Lumbar Vertebra ◽

Thoracic Vertebra ◽

Vein Formation ◽

Dimensional Models ◽

Three Dimensional Models ◽

The Right

Objectives to study the variability of the level of portal vein formation in relation to the spinal column according to computed tomography data. Material and methods. The study evaluated the results of 100 multispiral (multislice) computed tomography (MSCT) scans of the abdominal organs done in the period of 2018-2019 and collected in the archive of the Clinics of the Samara State Medical University. For mathematical modeling and the creation of three-dimensional models of the vascular bed, we used the plug-ins in the software "Luch" and "Avtoplan" that made it possible to obtain the three-dimensional models based on MSCT data. The level of portal vein formation relative to the spinal column was studied. Results. The level of portal portal vein formation relative to the spinal column varied from the lower edge of the twelfth thoracic vertebra (ThXII) to the upper edge of the second lumbar vertebra (LII). Most often, the portal vein was formed at the level of the middle of the first thoracic vertebra body (LI). This level of portal vein formation was detected in 23% of cases. In 64% of cases, the portal vein was formed at the level of the right edge of the vertebra.

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