NDLI: Resection of a locally advanced hilar tumor and the hepatic artery after stepwise hepatic arterial embolization: A case report

Content Provider	PubMed Central
Author	Miura, Takuya Hakamada, Kenichi Ohata, Takashi Narumi, Shunji Toyoki, Yoshikazu Nara, Masaki Ishido, Keinosuke Ohashi, Motonari Akasaka, Harue Jin, Hiroyuki Kubo, Norihito Ono, Shuichi Kijima, Hiroshi Sasaki, Mutsuo
Copyright Year	2008
Abstract	We herein report a case of a hilar tumor with extensive invasion to the proper hepatic artery, which was successfully treated with a radical resection in a 57-year-old female patient after a stepwise hepatic arterial embolization. She underwent right colectomy and partial hepatectomy for advanced colon cancer two years ago and radiofrequency ablation therapy for a liver metastasis one year ago, respectively. A recurrent tumor was noted around the proper hepatic artery with invasion to the left hepatic duct and right hepatic artery 7 mo previously. We planned a radical resection for the patient 5 mo after the absence of tumor progression was confirmed while he was undergoing chemotherapy. To avoid surgery-related liver failure, we tried to promote the formation of collateral hepatic arteries after stepwise arterial embolization of the posterior and anterior hepatic arteries two weeks apart. Finally, the proper hepatic artery was occluded after formation of collateral flow from the inferior phrenic and superior mesenteric arteries was confirmed. One month later, a left hepatectomy with hepatic arterial resection was successfully performed without any major complications.
Related Links	http://dx.doi.org/10.3748/wjg.14.3587
Starting Page	3587
File Format	PDF
ISSN	10079327
Journal	World Journal of Gastroenterology : WJG
Issue Number	22
Volume Number	14
Language	English
Publisher	The WJG Press and Baishideng
Publisher Date	2008-06-14
Access Restriction	Open
Rights Holder	The WJG Press and Baishideng
Subject Keyword	Research in Higher Education
Content Type	Text
Resource Type	Article
Subject	Gastroenterology

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