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Selective hypertrophy of the lobus caudatus as a novel approach enabling extended right hepatectomy in the presence of a non-perfused left lateral liver lobe.
[cholangiocarcinoma]
Portal
vein
embolization
(
PVE
)
is
a
well-established
technique
to
enhance
functional
hepatic
reserves
of
segments
II
and
III
before
curative
extended
right
hepatectomy
for
tumors
of
the
right
liver
lobe
.
However
,
an
adequate
hepatopetal
flow
of
the
left
lateral
portal
vein
branches
is
required
for
a
sufficient
PVE-associated
hypertrophy
.
Here
,
we
report
a
65
-
year
old
patient
suffering
from
a
locally
advanced
intrahepatic
cholangiocarcinoma
in
the
right
liver
lobe
and
segment
IV
.
A
curative
extended
right
hepatectomy
after
preoperative
PVE
of
liver
segments
IV-VIII
was
initially
impossible
because
of
partial
thrombosis
of
the
left
lateral
portal
vein
branches
resulting
in
an
ischemic-
type
atrophy
of
segments
II
and
III
.
However
,
due
to
a
massive
hypertrophy
of
the
caudate
lobe
following
PVE
of
liver
segments
IV-VIII
,
subsequent
extended
right
hepatectomy
with
intraoperative
thrombectomy
of
segments
II
and
III
was
made
possible
.
To
our
knowledge
this
is
the
first
case
in
which
an
extended
right
hepatectomy
for
a
liver
malignancy
,
in
the
presence
of
atrophic
left
lateral
section
,
was
made
possible
by
a
massive
PVE-associated
hypertrophy
of
the
caudate
lobe
.
Diseases
Validation
Diseases presenting
"first case"
symptom
achondroplasia
adrenal incidentaloma
allergic bronchopulmonary aspergillosis
alpha-thalassemia
aniridia
aromatase deficiency
canavan disease
carcinoma of the gallbladder
child syndrome
cholangiocarcinoma
classical phenylketonuria
coats disease
cohen syndrome
congenital toxoplasmosis
cushing syndrome
cutaneous mastocytosis
dedifferentiated liposarcoma
dentin dysplasia
dracunculiasis
dystrophic epidermolysis bullosa
epidermolysis bullosa simplex
esophageal adenocarcinoma
esophageal carcinoma
fabry disease
familial mediterranean fever
focal myositis
gm1 gangliosidosis
harlequin ichthyosis
hodgkin lymphoma, classical
homocystinuria without methylmalonic aciduria
junctional epidermolysis bullosa
kabuki syndrome
krabbe disease
lamellar ichthyosis
legionellosis
liposarcoma
locked-in syndrome
malignant atrophic papulosis
monosomy 21
neonatal adrenoleukodystrophy
oculocutaneous albinism
omenn syndrome
papillon-lefèvre syndrome
pendred syndrome
pleomorphic liposarcoma
primary effusion lymphoma
primary hyperoxaluria type 1
proteus syndrome
pyomyositis
systemic capillary leak syndrome
thoracic outlet syndrome
von hippel-lindau disease
waldenström macroglobulinemia
well-differentiated liposarcoma
werner syndrome
wolf-hirschhorn syndrome
x-linked adrenoleukodystrophy
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