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Case Reports
. 2009 Jul 21;15(27):3437-9.
doi: 10.3748/wjg.15.3437.

Right trisegmentectomy with thoracoabdominal approach after transarterial embolization for giant hepatic hemangioma

Hyung-Il Seo  1 , Hong Jae Jo, Mun Sup Sim, Suk Kim
Affiliations
Case Reports

Right trisegmentectomy with thoracoabdominal approach after transarterial embolization for giant hepatic hemangioma

Hyung-Il Seo et al. World J Gastroenterol. .

Abstract

Hepatic hemangiomas need to be treated surgically in cases where they are accompanied with symptoms, have a risk of rupture, or are hardly distinguishable from malignancy. The present authors conducted embolization of the right hepatic artery one day before an operation for a huge hemangioma accompanied with symptoms and confirmed a decrease in its size. The authors performed a right trisegmentectomy through a J-shape incision, using a thoracoabdominal approach, and safely removed a giant hemangioma of 32.0 cm x 26.5 cm x 8.0 cm in size and 2300 g in weight. Even for inexperienced surgeons, a J-shape incision with a thoracoabdominal approach is considered a safe and useful method when right-side hepatectomy is required for a large mass in the right liver.

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Figures

Figure 1
Figure 1
Coronal reformatted CT scan obtained for the portal venous phase shows an ill-defined heterogeneous enhancing mass lesion in the right lobe of the liver.
Figure 2
Figure 2
Angiography obtained at the delayed phase, before embolization, shows displacement of vessels and pooling of contrast medium in the right lobe of the liver.
See this image and copyright information in PMC

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