Safe Resection of Renal Cell Carcinoma with Liver Invasion Using Liver Hanging Technique Supported by Preoperative Portal Vein Embolization
Joint Authors
Fujii, Masato
Kamimura, Toshio
Tsukino, Hiromasa
Furukoji, Eiji
Sakae, Tatefumi
Yano, Koichi
Imamura, Naoya
Mukai, Shoichiro
Nanashima, Atsushi
Kamoto, Toshiyuki
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-06-28
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
In cases of RCC with liver involvement, partial hepatectomy is known to provide a better chance of survival for patients.
For this reason, complete resection with clear surgical margin is thought to be necessary to achieve favorable outcome.
Anterior liver hanging maneuver was extremely useful during hemihepatectomy in this rare type of RCC.
A 63-year-old male was diagnosed with a large right renal cell carcinoma.
The tumor measured 10 cm in diameter with tumor thrombus toward the inferior vena cava (IVC).
In addition, we observed direct infiltration to the liver.
We attempted a preoperative portal vein embolization (PVE) to preserve residual liver volume and function after right lobectomy.
After PVE the resected volume decreased from 921 cm3 (71%) to 599 cm3 (53.4%).
During the procedure, a nasogastric tube was placed in the retrohepatic space for liver hanging maneuver according to the original Belghiti’s maneuver after dissection of the renal artery and vein.
After hepatic parenchymal transection exposing vena cava, the right hepatic veins were safely transected using vascular stapler; right nephrectomy and hemihepatectomy were performed.
The patient recovered without postoperative hepatic or urinary complications and has remained free of local recurrence and any de novo metastasis for 18 months.
American Psychological Association (APA)
Fujii, Masato& Kamimura, Toshio& Tsukino, Hiromasa& Furukoji, Eiji& Sakae, Tatefumi& Yano, Koichi…[et al.]. 2018. Safe Resection of Renal Cell Carcinoma with Liver Invasion Using Liver Hanging Technique Supported by Preoperative Portal Vein Embolization. Case Reports in Urology،Vol. 2018, no. 2018, pp.1-7.
https://search.emarefa.net/detail/BIM-1151444
Modern Language Association (MLA)
Fujii, Masato…[et al.]. Safe Resection of Renal Cell Carcinoma with Liver Invasion Using Liver Hanging Technique Supported by Preoperative Portal Vein Embolization. Case Reports in Urology No. 2018 (2018), pp.1-7.
https://search.emarefa.net/detail/BIM-1151444
American Medical Association (AMA)
Fujii, Masato& Kamimura, Toshio& Tsukino, Hiromasa& Furukoji, Eiji& Sakae, Tatefumi& Yano, Koichi…[et al.]. Safe Resection of Renal Cell Carcinoma with Liver Invasion Using Liver Hanging Technique Supported by Preoperative Portal Vein Embolization. Case Reports in Urology. 2018. Vol. 2018, no. 2018, pp.1-7.
https://search.emarefa.net/detail/BIM-1151444
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1151444