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 4

Preoperative CT findings of case number 3 (right anterior sectionectomies combined with middle hepatic vein resection). 58-year-old man with type-C chronic hepatitis developed 7 cm HCC in segment 8–1. The tumor compressed the inferior vena cava (B) and the right hepatic vein (C) widely and also there was an involvement of the middle hepatic vein (A). This patient underwent extended right anterior sectionectomy combined with the middle hepatic vein resection at its root. This case is one of the most complicated cases for pure laparoscopic liver resection due to the long dissection of the inferior vena cava to the right hepatic vein and the resection of the middle hepatic vein at its root.