Left hepatic trisectionectomy for hepatolithiasis with occluded left and right anterior branches of the portal vein: report of a case
作者： Isamu Hosokawa , Hiroaki Shimizu , Hiroyuki Yoshidome , Masayuki Ohtsuka , Atsushi Kato
DOI: 10.1007/S00595-013-0598-1
关键词:
摘要: A 64-year-old male was admitted to a local hospital with epigastric pain. Diagnostic imaging revealed hepatolithiasis in the atrophic left lobe. However, endoscopic intervention impossible because of presence many large stones. He referred our for surgical treatment. Enhanced multidetector-row computed tomography that right posterior portal vein (PV) branched from trunk as first-order branch, and bile duct segment 3 ran caudally umbilical portion PV. Furthermore, PV, which located between dilated ducts 2 3, also anterior occluded thrombus. Based on these findings, he underwent hepatic trisectionectomy. Although indications trisectionectomy are limited, it is therefore extremely important determine most appropriate procedure based anatomy findings hilus individual cases.
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