How Far Can We Go with Laparoscopic Liver Resection for Hepatocellular Carcinoma? Laparoscopic Sectionectomy of the Liver Combined with the Resection of the Major Hepatic Vein Main Trunk

Figure 13

Preoperative CT findings (a) and intraoperative findings after completion of the resection (b), case 4 (right posterior sectionectomies combined with right hepatic vein resection). 70-year-old man with alcoholic chronic hepatitis developed 4 cm HCC in segment 7. (a) The tumor compressed the right hepatic vein (arrow head). This patient underwent extended right posterior sectionectomy combined with the right hepatic vein resection at its root. (b) After completion of liver resection, IVC, the stumps of right posterior Glissonian pedicle (arrow), and right hepatic vein (arrow head) were clearly shown in the operative field.

(a)

(b)