Novel procedure for hepatic venous outflow block after liver resection:A case report  

作　　者：Hisanobu Higashi Yuta Abe Kodai Abe Yutaka Nakano Masayuki Tanaka Shutaro Hori Yasushi Hasegawa Hiroshi Yagi Minoru Kitago Yuko Kitagawa 

机构地区：[1]Department of Surgery,National Hospital Organization Saitama Hospital,Wako 351-0102,Japan [2]Department of Surgery,Keio University School of Medicine,Tokyo 160-8582,Japan

出　　处：《World Journal of Clinical Cases》2024年第29期6320-6326,共7页世界临床病例杂志

摘　　要：BACKGROUND Postoperative complications like remnant hepatic vein(HV)outflow block and liver torsion can occur after right hepatectomy.Hepatic falciform ligament fixation is typically used to prevent liver torsion.We report a novel procedure to manage outflow block.CASE SUMMARY An 80-year-old man developed HV outflow block after remnant right hepatectomy,despite liver fixation and intraoperative HV flow check.He had a history of cholangiocellular carcinoma and had undergone posterior segmentectomy and choledojejunostomy.The falciform ligament fixation was inadequate to maintain liver position.Emergency surgery was performed,using an omental flap and mobilized right side colon with ileocecal region to prevent liver dislocation due to intraabdominal adhesion.His postoperative course was uneventful.CONCLUSION This is the first report providing a novel surgical procedure when the falciform ligament is insufficient for remnant liver fixation.

关 键 词：HEPATECTOMY Postoperative complications Budd-Chiari syndrome Hepatic vein outflow block Emergency surgery Case report 

分 类 号：R575[医药卫生—消化系统]