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Right Anterior Segmentectomy (V, VIII) and VII Segmentectomy Combined with Resection of the Right Hepatic Vein by Preserving the Right Inferior Hepatic Vein

  • Seiki Tashiro
  • Hidenori Miyake
Chapter

Abstract

The main indication for right anterior hepatic lobectomy preserving major hepatic veins is hepatocellular carcinoma (HCC) localized in the anterior segment. In cases where the tumor extends to segment VII, the right hepatic vein is unable to be preserved and right hepatic lobectomy is then needed. However, in patients in whom an inferior right hepatic vein (IRHV) can be demonstrated preoperatively, segment VI can be preserved. This operation is effective for postoperative functional reserve and complete resection of the affected segment.

Keywords

Hepatic Vein Middle Hepatic Vein Bile Duct Carcinoma Anterior Branch Hepatic Bile Duct 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Matsushima T, Kanematsu T, Takenaka K, Yoshida Y, Nishizaki T, Sugimachi K (1989) Pattern of intrahepatic recurrence after curative resection of hepatocellular carcinoma. Hepatology 9:457–460CrossRefGoogle Scholar
  2. 2.
    Kosuge T, Makuuchi M, Takayama T, Yamamoto J, Shimada K, Yamasaki S (1993) Long-term results after resection of hepatocellular carcinoma: experience of 480 cases. Hepatogastroen-terology 40:328–330Google Scholar
  3. 3.
    Couinaud C (1957) Le fole, études anatomiques et chirurgicales. Masson & Cie, ParisGoogle Scholar
  4. 4.
    Healey JE, Schroy PC (1953) Anatomy of the biliary ducts within the human liver. Arch Surg 66:599–616CrossRefGoogle Scholar
  5. 5.
    Frédet M, Bernier E (1956) Hépatectomie segmentaire droite réglée our vokumineux hémangiome caverneus de foie. Mém Acad Chir 82:1060–1062PubMedGoogle Scholar
  6. 6.
    Makuuchi M, Hashikura Y, Kawasaki S, Tan D, Kosuge T, Takayama T (1993) Personal experience of right anterior seg-mentectomy (segments V and VIII) for hepatic malignancies. Surgery 114:52–58PubMedGoogle Scholar
  7. 7.
    Sato JH, Hirai I, Murakami G, Kanamura T, Fumitake H, Hirata K (2002) An anatomical study of short hepatic veins, with special reference to delineation of the caudate lobe for hanging maneuver of the liver without usual mobilization. J Hepatobiliary Pancreat Surg 9:55–60PubMedCrossRefGoogle Scholar
  8. 8.
    Makuuchi M, Thai BL, Takayasu K, Takayama T, Kosuge T, Gunven P, Yamazaki S, Hasegawa H, Ozaki H (1990) Preoperative portal embolization to increase safety of major hepatec-tomy for hilar bile duct carcinoma: a preliminary report. Surgery 107:521–527PubMedGoogle Scholar

Copyright information

© Springer Japan 2004

Authors and Affiliations

  • Seiki Tashiro
    • 1
  • Hidenori Miyake
    • 1
  1. 1.The University of Tokushima School of MedicineTokushimaJapan

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