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Percutaneous transhepatic hepatic venous stenting after extracorporeal hepatic resection and autotransplantation: A case report

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초록

We report a case of percutaneous transhepatic stent placement for the treatment of hepatic venous outflow obstruction after extracorporeal hepatic resection and autotransplantation. A 63-year-old woman with a large mass in the liver was asymptomatic with no hepatic virus infection. Because the tumor was unresectable by conventional means, we used extracorporeal hepatic resection and autotransplantation for operation. Two days after surgery, hepatic venous outflow obstruction of the right and right inferior hepatic veins was suspected on computed tomography. After failure of the transjugular approach, hepatic venous stenting was performed successfully via the percutaneoustranshepatic approach.

Abstract

We report a case of percutaneous transhepatic stent placement for the treatment of hepatic venous outflow obstruction after extracorporeal hepatic resection and autotransplantation. A 63-year-old woman with a large mass in the liver was asymptomatic with no hepatic virus infection. Because the tumor was unresectable by conventional means, we used extracorporeal hepatic resection and autotransplantation for operation. Two days after surgery, hepatic venous outflow obstruction of the right and right inferior hepatic veins was suspected on computed tomography. After failure of the transjugular approach, hepatic venous stenting was performed successfully via the percutaneoustranshepatic approach.

참고문헌 (9)

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  2. Kim CY, "Concurrent inferior vena cava and hepatic vein stenoses after orthotopic liver transplantation : a case report", Transplant Proc, 43, pp.2421~2423 (2011)
  3. Pichlmayr R, "Technique and preliminary results of extracorporeal liver surgery(bench procedure)and of surgery on the in situ perfused liver", Br J Surg, 77, pp.21~26 (1990)
  4. Oldhafer KJ, "Long-term experience after ex situ liver surgery", Surgery, 127, pp.520~527 (2000)
  5. Sugimachi K, "Successful curative extracorporeal hepatic resection for far-advanced hepatocellular carcinoma in an adolescent patient", Liver Transpl, 16, pp.685~687 (2010)
  6. Kubo T, "Outcome of percutaneous transhepatic venoplasty for hepatic venous outflow obstruction after living donor liver transplantation", Radiology, 239, pp.285~290 (2006)
  7. Darcy MD, "Management of venous outflow complications after liver transplantation", Tech Vasc Interv Radiol, 10, pp.240~245 (2007)
  8. Kim KR, "Transjugular liver biopsy in patients with living donor liver transplantation : comparison with percutaneous biopsy", Liver Transpl, 14, pp.971~979 (2008)
  9. Ko GY, "Early posttransplant hepatic venous outflow obstruction : Long-term efficacy of primary stent placement", Liver Transpl, 14, pp.1505~1511 (2008)

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