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  • Title: Function-preserving segmentectomy of the cirrhotic liver.
    Author: Takayama T, Nakatsuka T, Shimada K, Yamamoto J, Kosuge T, Yamasaki S, Hirai Y, Makuuchi M.
    Journal: Hepatogastroenterology; 1995; 42(4):415-7. PubMed ID: 8586380.
    Abstract:
    BACKGROUND/AIMS: A cirrhotic case of hepatocellular carcinoma (HCC) complicating portal vein tumor thrombi which underwent posterior segmentectomy with anterior portal venoplasty is reported. MATERIALS AND METHODS: The HCC originated in the right posterior segment and grew intraluminally up to the right portal vein, and the laboratory data indicated a presence of severe cirrhosis. The operative procedure undertaken consisted of internal shunting of the portal blood stream by mesentero-umbilical bypass, resection of the posterior segment and the anterior portal venous root, and reconstruction of the anterior portal branch by patch grafting. RESULTS: This operation produced no distinct complications, and it was defined pathologically as being curative. CONCLUSION: The case here introduces rationale of this modified hepatic segmentectomy in view of functional preservation of the residual cirrhotic liver.
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