A Resected Case of Hepatocellular Carcinoma with Intrabiliary Gyowth, by Central Bisegmentectomy of the Liver

Ken-ichiro Tateyama, Yutaka Ozeki, Naoki Imai and Yasuhiro Sumi

Department of Surgery, Tosei National Hospital

A 66-year-old man was admitted to our hospital because of jaundice after TAE therapy. US and CT showed a tumor, 4 cm in size, in the medial segment of the liver and another continuous tumor growing in the dilated common hepatic bile duct. The intrahepatic bile duct of the lateral segment was severely dilated. Percutaneous transhepatic cholangiopraphy revealed an obstruction of the hepatic confluences. A diagnosis of hepatocellular carcinoma with intrabiliary growth was made, and a central bisegmentectomy of the liver was performed. The distal bile duct was separated from the pancreas to prevent tumor exposure. From 4 years and 4 months after the hepatectomy, the patient is well and shows no signs of recurrence. The prognosis of hepatocellular carcinoma with intrabiliary growth is poor. However, some cases may be treated with a hepatectomy after the reduction of jaundice.

Key words
hepatocellular carcinoma with intrabiliary growth, obstructive jaundice, hepatectomy

Reprint requests
Ken-ichiro Tateyama Department of Surgery, Municipal Kisogawa Hospital
165 Kurodakitanoguro, Kisogawa-cho, Haguri-gun, Aichi, 493-0001 JAPAN

Accepted
March 27, 2002

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