Left Hepatectomy for Hepatocellular Carcinoma left liver with underlying cirrhosis and portal hypertension
Journal Title: Archives of Clinical Gastroenterology - Year 2018, Vol 4, Issue 1
Abstract
Introduction: Hepatocellular carcinoma (HCC) is a major public health problem worldwide and is the second most common cause of cancer related deaths worldwide. If liver functional reserves and future liver remnant are adequate than liver resection is preferred choice in Child Pugh class A and selected cases of early Child Pugh class B, while Child Pugh B and C are candidates for liver transplantation. Case Presentation: The present case describes technical details of left lobectomy with underlying cirrhosis and mild portal hypertension. Discussion: Case described in this report provide guidance that liver resection is the optimal treatment strategy for localized hepatocellular carcinoma in background of child Pugh A cirrhosis. Conclusion: Liver resection is the treatment of choice for localized liver cancer in suitable patients if the future liver remnant is adequate and liver functions are within acceptable range. Clinical assessment, liver function evaluation, radiological interpretation, sound surgical skills and good perioperative care are the key for a successful outcome after surgical treatment for liver resection.
Authors and Affiliations
Yadav Kaushal
Keywords
Related Articles
- EP ID EP326288
- DOI 10.17352/2455-2283.000050
- Views 89
- Downloads 0
Laparoscopic treatment of Biliary Peritonitis due to Double Organ injury after Swallowing of Chicken Bone
A 52 years old woman presented to emergency service after eating chicken meat few days before that. She had upper abdominal pain, vomiting, weakness and fever of 38C°. A control abdominal CT scan showed linear 50 mm fore...
Beta-(1,3/1,6)-D-glucan Helps to Decrease Opportunistic Infections in Crohn’s Disease Patients Treated with Biological Therapy
Background: Secondary intercurrent infections in patients with inflammatory bowel disease (IBD) represent a very important problem in daily clinical practice because of their significant contribution to quality of life a...
Conflicts between Clinical and Public Health Viewpoints: Colorectal Screening
In Hungary, the mortality rates from colorectal cancer are dramatically high, therefore the reduction by population screening as a public health measure is considered as one of the priorities of the National Public Healt...
Isolated Distal Pancreatic Transection Secondary to an Abdominal Blunt Trauma - A Case Report
Isolated pancreatic trauma (IPT) secondary to an abdominal blunt trauma, is an uncommon condition- IPT diagnosis usually is insidious, requiring the integration of multiple parameters, regarding anamnesis, physical exami...
Percutaneous choledocho-duodenal shunt for malignant biliary obstruction
We developed a new method: percutaneous choledocho-duodenal shunt (PCDS) for complete biliary obstruction patient. At first, percutaneous transhepatic cholangio drainage (PTCD) is performed as usual manner with local ane...