World journal of clinical cases · 2024
Novel procedure for hepatic venous outflow block after liver resection: A case report.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
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Higashi Hisanobu, Abe Yuta, Abe Kodai, Nakano Yutaka, Tanaka Masayuki, Hori Shutaro, Hasegawa Yasushi, Yagi Hiroshi, Kitago Minoru, Kitagawa Yuko
Аннотация
BACKGROUND: Postoperative complications like remnant hepatic vein (HV) outflow block and liver torsion can occur after right hepatectomy. Hepatic falciform ligament fixation is typically used to prevent liver torsion. We report a novel procedure to manage outflow block.
CASE SUMMARY: An 80-year-old man developed HV outflow block after remnant right hepatectomy, despite liver fixation and intraoperative HV flow check. He had a history of cholangiocellular carcinoma and had undergone posterior segmentectomy and choledojejunostomy. The falciform ligament fixation was inadequate to maintain liver position. Emergency surgery was performed, using an omental flap and mobilized right side colon with ileocecal region to prevent liver dislocation due to intraabdominal adhesion. His postoperative course was uneventful.
CONCLUSION: This is the first report providing a novel surgical procedure when the falciform ligament is insufficient for remnant liver fixation.
CASE SUMMARY: An 80-year-old man developed HV outflow block after remnant right hepatectomy, despite liver fixation and intraoperative HV flow check. He had a history of cholangiocellular carcinoma and had undergone posterior segmentectomy and choledojejunostomy. The falciform ligament fixation was inadequate to maintain liver position. Emergency surgery was performed, using an omental flap and mobilized right side colon with ileocecal region to prevent liver dislocation due to intraabdominal adhesion. His postoperative course was uneventful.
CONCLUSION: This is the first report providing a novel surgical procedure when the falciform ligament is insufficient for remnant liver fixation.