A Case of Hepatocellular Carcinoma with a Tumor Thrombus in the Main Portal Trunk Surviving 2 Years and 10 Months after Extended Right Hepatic Lobectomy

Koki Tanaka, Nobuyuki Chosa, Shunpei Nishi, Tsutomu Yamauchi, Akihiro Nishimura, Ryohei Ishibe, Koji Takenaka, Akira Taira

Second Department of Surgery, School of Medicine, Kagoshima University

A 64-year-old Japanese woman suffered from far advanced hepatocellular carcinoma with a tumor thrombus in the main portal trunk. The thrombus spread from the posterior branch of the portal vein and partially obstructed the portal trunk. Her liver functions were fairly well preserved. Extended right hepatic lobectomy accompanied by a wedge shape resection of the portal vein was performed. Her postoperative course was uneventful. Good postoperative regeneration of the liver was obtained. Postoperative interventional angiography for recurrence of the residual liver was performed six times. Though she has a metastatic tumor of the lung, she is still alive 2 years and 10 months after hepatectomy.

Key words
portal vein tumor thrombus, extended right hepatic lobectomy

Reprint requests
Koki Tanaka Second Department of Surgery, School of Medicine, Kagoshima University
8-35-1 Sakuragaoka, Kagoshima, 890 JAPAN

Accepted
November 20, 1991

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