Laparoscopic Left Lateral Segmentectomy for Spontaneously Hemostatic Ruptured Hepatocellular Carcinoma:a Case Report
スポンサーリンク
概要
- 論文の詳細を見る
We report a case of spontaneously hemostatic ruptured hepatocellular carcinoma(HCC)resected laparoscopically. A 61-year-old previously healthy woman was admitted to our hospital with complaint of mild pain related to the tumor in the upper abdomen. She had no viral infection. Abdominal ultrasound, computed tomography, and MRI revealed a protrusive liver tumor arising from segment Ⅲ about 5.7cm in maximal diameter, which was increasing. Alfa-fetoprotein and protein induced by vitamin K absence or antagonist Ⅱ were extremely high and increasing rapidly. HCC was suspected and laparoscopic left lateral segmentectomy was performed. A little bloody ascites was present and ruptured HCC was suspected. The tumor was covered with a part of lesser omentum and pancreas, and the bleeding site had been sealed off. We could finish the laparoscopic operation safely because vital signs were stable. Postoperative course was uneventful. A few cases with ruptured HCC have been seen treated by laparoscopic hepatectomy alone in the literature. When the tumor bleeding is completely controlled and general conditions are stable, one-stage laparoscopic liver resection is one of the options.
- 山口大学医学会の論文
山口大学医学会 | 論文
- 3.当科における特発性および膠原病性間質性肺炎の検討(一般演題I,第17回山口大学医学部第二内科飛翔会循環器研究会)
- NO.17 当科における特発性および膠原病性間質性肺炎の検討(一般演題,講演抄録,第109回山口大学医学会学術講演会)
- NO.8 心不全における心房性利尿ペプチドの抗酸化作用による心筋保護効果の検討(一般演題,講演抄録,第111回山口大学医学会学術講演会)
- 3. Inhibition of protein phosphatase 1 by inhibitor-2 gene delivery ameliorates heart failure progression in genetic cardiomyopathy
- NO.7致死的不整脈発症要因としてのリアノジン受容体機能異常(一般演題,第108回山口大学医学会学術講演会並びに平成19年度総会)