The tumour had compressed the middle hepatic vein from above, and encroached upon the right and left hepatic veins. There were 5 boys and 2 girls ranging in age between 4 months and 9 years with a median age of 3.1 years. Resection of an advanced Klatskin tumour with extended left hepatectomy, complex portal vein reconstruction, and in situ cold perfusion of the liver. There were no deaths within 30 days of operation. In this study, we describe the surgical technique of laparoscopic extended left hepatectomy using a modified liver hanging maneuver (LHM). Methods. Extended left hepatectomy (left hepatic trisegmentectomy) in childhood ☆ Presented at the 30th Annual Meeting of the American Pediatric Surgical Association, … Essential preoperative studies, indications and technical details of the operation are described. The most common extended hepatectomy is the right trisegmentectomy, which includes the medial segment of the left lobe in addition to the right lobe (Fig. Based on the patient history of a 62-year-old man with a centrally located hepatocellular carcinoma we describe the potential influence of three-dimensional computed tomography (3D CT) on operation planning in extended left hepatectomy. Extended left hepatectomy for intrahepatic cholangiocarcinoma: hepatic vein reconstruction with in-situ hypothermic perfusion and extracorporeal membrane oxygenation Deniz Balci1*, Menekse Ozcelik2, Elvan Onur Kirimker1, Arda Cetinkaya1, Evren Ustuner3, Mehmet Cakici4, Bahadir Inan4, Zekeriyya Alanoglu2, Sadik Bilgic3 and Ahmet Ruchan Akar4 Abstract Background: Liver resection for … 3B); the left lateral segment (segments 2 and 3) remains. Extended left hepatectomy With in situ cold perfusion and reconstruction of right hepatic vein and accessory 6/7 vein. A left trisegmentectomy is harder to … Laparoscopic extended left hepatectomy has rarely been reported because of technical difficulties. Case Description. "Extended" resections refer to resections that include more than just a right- or left hemi-hepatectomy; usually another segment.
Of these patients, five underwent right hepatectomy, five underwent left hepatectomy, and two underwent extended left hepatectomy that included the middle hepatic vein. The patient was a 57 year old woman with a 4 cm hepatocellular carcinoma, identified during investigation of an unrelated problem. Seven patients underwent extended left hepatectomy over this period. Lessons learned in an operative experience of 14 patients submitted to extended left hepatectomy for the management of liver tumours are presented.