Our center has great experience with purely laparoscopic living-donor hemihepatectomy
Placement of transjugular intrahepatic portosystemic shunt via the left hepatic vein under sonographic guidance in a patient with right hemihepatectomy
Operation Details: All patients received surgical treatment under general anesthesia, including pancreaticoduodenectomy in 17 cases, hilarcholangiocarcinoma radical resection in 14 cases (combined with right hemihepatectomy
in 5 cases; with the left hemihepatectomy
in 4 cases; with hepatic segment resection in 5 cases), gallbladder carcinoma radical resection in 5 cases, cholangiojejunostomy in 5 cases, no patient died during the operation.
With better understanding of lobar anatomy of liver, segmental liver resection and hemihepatectomy
were introduced as newer therapeutic procedures.
Long-term outcome of extended hemihepatectomy
for hilar bile duct cancer with no mortality and high survival rate.
In large anatomical resections such as a right or left hemihepatectomy
, inflow to the remnant liver usually remains undisturbed while the portal vein and hepatic artery supplying the segment to be removed are divided extra or intrahepatically to prevent inflow.
was performed one week later; the patient recovered with no recurrent episodes of cholangitis.
The primary tumor was resected in September 2002 by anterior resection and protective colostomy [pT3pN1(2/12) G2], whereas the liver metastasis was resected in December 2002 by right hemihepatectomy
A liver biopsy was performed and a right-sided hemihepatectomy
was performed as a result.
and larger liver resections were defined as a major liver resection.
In order to archive a better prognosis, left hemihepatectomy
is usually used as the first-line treatment for the hepatocellular carcinoma (HCC) patients with left portal vein tumor thrombus.