J Korean Surg Soc.
2008 Feb;74(2):157-161.
Two-Stage Hepatectomy for Bilateral Hepatocellular Carcinoma with Bile Duct Tumor Thrombi
- Affiliations
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- 1Department of Surgery, College of Medicine, Yeungnam University, Daegu, Korea. dslee@med.yu.ac.kr
Abstract
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Curative hepatectomy is the most important prognostic factor for hepatic cancer, but also has a high rate of morbidity and mortality. Liver failure due to insufficient liver volume is the main cause of postoperative mortality. Preoperative portal vein embolization can induce hypertrophy of the remnant liver, and a two-stage hepatectomy, with or without portal vein embolization, could be used to treat patients with unresectable liver tumors. We report the case of a successful two-staged hepatectomy for bilateral hepatocellular carcinoma with tumor thrombi.