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...

Descripción completa

Detalles Bibliográficos
Autores principales: Adachi, Yuki, Takahashi, Hiroyuki, Yamamoto, Tomohiro, Hagiwara, Masahiro, Imai, Koji, Yokoo, Hideki
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