Successful Surgical Resection for Peritoneal Implantation of Hepatocellular Carcinoma at the Paracardial Portion
Figure 2
Images and schematic presentations of operative findings and procedures. By opening the pericardium, the tumor was found to be located between the remnant liver and the heart, and the diaphragm was displaced to the upper side ((a), (b)). Due to a median sternotomy with opening of the pericardium, the tumor was pulled to the right (c). The pericardium was divided from the dorsal aspect of the tumor to the left wall of the IVC (d). A complete resection can be achieved (e). Defects of the diaphragm and the pericardium were repaired ((f)–(h)).
