K. Hamazaki et al., EXTRACORPOREAL-CIRCULATION AND HYPOTHERMIC PERFUSION FOR CAVAL TUMOR THROMBUS COMPLICATING HEPATOCELLULAR-CARCINOMA - A CASE-REPORT, Hepato-gastroenterology, 42(3), 1995, pp. 282-285
A tumor thrombus complicating hepatocellular carcinoma developed in a
61-year-old male patient. Embolization of the right branch of portal v
ein was performed 2 weeks before operation. Curative resection of the
tumor was performed on by extended hepatectomy plus in situ hypothermi
c perfusion of the liver and extracorporeal circulation. Postoperative
course was uneventful until bile leakage occurred on the 11th postope
rative day. A bile duct stenosis was diagnosed by cholangiogram, and h
epaticojejunostomy was carried out, The patient recovered well without
further complications. The pitfalls and technical problems encountere
d in this case are herein discussed.