Cargando…
Laparoscopic Extended Left Lateral Sectionectomy for Hepatocellular Carcinoma in a Patient with Right-Sided Ligamentum Teres: A Case Report and Literature Review
Right-sided ligamentum teres (RSLT) is a rare anatomic variant in which the fetal umbilical vein connects to the right portal vein. Patients with RSLT frequently have hepatic vasculature and bile duct anomalies, which increase the risk of complications with hepatectomy. Most patients with RSLT under...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10417133/ https://www.ncbi.nlm.nih.gov/pubmed/37568891 http://dx.doi.org/10.3390/diagnostics13152529 |
_version_ | 1785087950310080512 |
---|---|
author | Adachi, Yuki Takahashi, Hiroyuki Yamamoto, Tomohiro Hagiwara, Masahiro Imai, Koji Yokoo, Hideki |
author_facet | Adachi, Yuki Takahashi, Hiroyuki Yamamoto, Tomohiro Hagiwara, Masahiro Imai, Koji Yokoo, Hideki |
author_sort | Adachi, Yuki |
collection | PubMed |
description | Right-sided ligamentum teres (RSLT) is a rare anatomic variant in which the fetal umbilical vein connects to the right portal vein. Patients with RSLT frequently have hepatic vasculature and bile duct anomalies, which increase the risk of complications with hepatectomy. Most patients with RSLT undergo open hepatectomy. Herein, we describe a patient with RSLT and hepatocellular carcinoma who underwent laparoscopic hepatectomy. The patient was a 69-year-old man with hepatocellular carcinoma located in the left liver based on computed tomography (CT) and magnetic resonance imaging. Imaging also demonstrated RSLT. Three-dimensional CT analysis revealed independent right lateral type anomalies of the portal vein and bile duct. A laparoscopic extended left lateral sectionectomy was performed after careful surgical planning. Ultrasonography was used frequently during surgery to avoid damaging the right hepatic vasculature. The left lateral and partial left median sections were removed as planned. The patient’s postoperative recovery was uneventful. Avoiding injury to the right hepatic vasculature is essential when performing left lobectomy, including left lateral sectionectomy, in patients with RSLT. Laparoscopic hepatectomy can be performed safely in patients with RSLT, provided that careful surgical planning is conducted using preoperative three-dimensional CT analysis and intraoperative ultrasonography. |
format | Online Article Text |
id | pubmed-10417133 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-104171332023-08-12 Laparoscopic Extended Left Lateral Sectionectomy for Hepatocellular Carcinoma in a Patient with Right-Sided Ligamentum Teres: A Case Report and Literature Review Adachi, Yuki Takahashi, Hiroyuki Yamamoto, Tomohiro Hagiwara, Masahiro Imai, Koji Yokoo, Hideki Diagnostics (Basel) Case Report Right-sided ligamentum teres (RSLT) is a rare anatomic variant in which the fetal umbilical vein connects to the right portal vein. Patients with RSLT frequently have hepatic vasculature and bile duct anomalies, which increase the risk of complications with hepatectomy. Most patients with RSLT undergo open hepatectomy. Herein, we describe a patient with RSLT and hepatocellular carcinoma who underwent laparoscopic hepatectomy. The patient was a 69-year-old man with hepatocellular carcinoma located in the left liver based on computed tomography (CT) and magnetic resonance imaging. Imaging also demonstrated RSLT. Three-dimensional CT analysis revealed independent right lateral type anomalies of the portal vein and bile duct. A laparoscopic extended left lateral sectionectomy was performed after careful surgical planning. Ultrasonography was used frequently during surgery to avoid damaging the right hepatic vasculature. The left lateral and partial left median sections were removed as planned. The patient’s postoperative recovery was uneventful. Avoiding injury to the right hepatic vasculature is essential when performing left lobectomy, including left lateral sectionectomy, in patients with RSLT. Laparoscopic hepatectomy can be performed safely in patients with RSLT, provided that careful surgical planning is conducted using preoperative three-dimensional CT analysis and intraoperative ultrasonography. MDPI 2023-07-29 /pmc/articles/PMC10417133/ /pubmed/37568891 http://dx.doi.org/10.3390/diagnostics13152529 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Case Report Adachi, Yuki Takahashi, Hiroyuki Yamamoto, Tomohiro Hagiwara, Masahiro Imai, Koji Yokoo, Hideki Laparoscopic Extended Left Lateral Sectionectomy for Hepatocellular Carcinoma in a Patient with Right-Sided Ligamentum Teres: A Case Report and Literature Review |
title | Laparoscopic Extended Left Lateral Sectionectomy for Hepatocellular Carcinoma in a Patient with Right-Sided Ligamentum Teres: A Case Report and Literature Review |
title_full | Laparoscopic Extended Left Lateral Sectionectomy for Hepatocellular Carcinoma in a Patient with Right-Sided Ligamentum Teres: A Case Report and Literature Review |
title_fullStr | Laparoscopic Extended Left Lateral Sectionectomy for Hepatocellular Carcinoma in a Patient with Right-Sided Ligamentum Teres: A Case Report and Literature Review |
title_full_unstemmed | Laparoscopic Extended Left Lateral Sectionectomy for Hepatocellular Carcinoma in a Patient with Right-Sided Ligamentum Teres: A Case Report and Literature Review |
title_short | Laparoscopic Extended Left Lateral Sectionectomy for Hepatocellular Carcinoma in a Patient with Right-Sided Ligamentum Teres: A Case Report and Literature Review |
title_sort | laparoscopic extended left lateral sectionectomy for hepatocellular carcinoma in a patient with right-sided ligamentum teres: a case report and literature review |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10417133/ https://www.ncbi.nlm.nih.gov/pubmed/37568891 http://dx.doi.org/10.3390/diagnostics13152529 |
work_keys_str_mv | AT adachiyuki laparoscopicextendedleftlateralsectionectomyforhepatocellularcarcinomainapatientwithrightsidedligamentumteresacasereportandliteraturereview AT takahashihiroyuki laparoscopicextendedleftlateralsectionectomyforhepatocellularcarcinomainapatientwithrightsidedligamentumteresacasereportandliteraturereview AT yamamototomohiro laparoscopicextendedleftlateralsectionectomyforhepatocellularcarcinomainapatientwithrightsidedligamentumteresacasereportandliteraturereview AT hagiwaramasahiro laparoscopicextendedleftlateralsectionectomyforhepatocellularcarcinomainapatientwithrightsidedligamentumteresacasereportandliteraturereview AT imaikoji laparoscopicextendedleftlateralsectionectomyforhepatocellularcarcinomainapatientwithrightsidedligamentumteresacasereportandliteraturereview AT yokoohideki laparoscopicextendedleftlateralsectionectomyforhepatocellularcarcinomainapatientwithrightsidedligamentumteresacasereportandliteraturereview |