A Case of Non–B/C Type Hepatocellular Carcinoma Treated with Central Hepatectomy After CABG Using Right Gastroepiploic Artery

• Matsumoto Keigo

  Department of Gastroenterological Surgery, Iwata City Hospital

• Suzuki Shohachi

  Department of Gastroenterological Surgery, Iwata City Hospital

• Ochiai Hideto

  Department of Gastroenterological Surgery, Iwata City Hospital

• Jindo Osamu

  Department of Gastroenterological Surgery, Iwata City Hospital

• Uno Akihiro

  Department of Gastroenterological Surgery, Iwata City Hospital

• Fukazawa Atsuko

  Department of Gastroenterological Surgery, Iwata City Hospital

• Naito Masaaki

  Department of Radiology, Iwata City Hospital

• Tanioka Fumihiko

  Department of Pathology, Iwata City Hospital

• Kitamura Hiroshi

  Department of Gastroenterological Surgery, Iwata City Hospital

Bibliographic Information

Other Title

• 右胃大網動脈による冠状動脈バイパス術後に肝中央２区域切除術を施行した非B非C型肝細胞癌の１例

Abstract

We report a case of non–B/C hepatocellular carcinoma (HCC) treated with central hepatectomy after coronary artery bypass grafting (CABG) using right gastroepiploic artery (RGEA) grafting.<BR> A 54–year–old–man was referred for a hepatic tumor 8 cm in diameter 5 years after undergoing CABG using the RGEA. Enhanced abdominal computed tomography (CT) showed a hypervascular liver tumor at segments 4 and 8 with a compressed middle hepatic vein and RGEA grafting to the diaphragm along the left hepatic falciform ligament. Because hepatitis B and C markers were negative with high serum PIVKA–II, the tumor was diagnosed as non–B/C HCC. Central hepatectomy was done without injuring the RGEA graft or adversely affecting morbidity. The man has remained without recurrent disease in the 7 months after surgery.

Journal

• Nihon Gekakei Rengo Gakkaishi (Journal of Japanese College of Surgeons)

  Nihon Gekakei Rengo Gakkaishi (Journal of Japanese College of Surgeons) 36 (2), 197-202, 2011

  Japanese College of Surgeons

Keywords

• CABG
• RGEA
• HCC

Details

• CRID: 1390001204345838720
• NII Article ID: 130004515013
• NII Article ID: 10029365864
• NII Book ID: AN00002502
• DOI: 10.4030/jjcs.36.197
• ISSN: 18829112
• ISSN: 03857883
• Web Site: https://search.jamas.or.jp/link/ui/2012103535
• Text Lang: ja
• Data Source:
  • JaLC
  • Crossref
  • CiNii Articles
• Abstract License Flag: Disallowed