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Updated: Jun 30, 2026
Right Hemihepatectomy by Suprahilar Intrahepatic Transection of the Right Hemipedicle using a Vascular Stapler
Published on: January 25, 2010
Two-step hepatectomy with right portal branch ligature for a right lobe metastasis
T Bara1, S Bancu, I Gyorgy-Fazahas
1Surgical Clinic No.2, Tg. Mures, Mures County, Romania. barativadar@yahoo.com
Aims/Background:
Hepatic resection is the only treatment with possible curative effect both for primary and secondary tumors. An increase of the rate of resectability for tumors considered inoperable at first and a decrease of the postoperative morbidity and mortality can be realized by right portal branch ligature and two-step hepatectomy.
Methodology:
This paper presents the case of a patient with left bowel cancer with a hepatic metastasis. A right portal branch ligature was performed followed by systemic postoperative chemotherapy.
Results:
The right portal branch occlusion was followed by right lobe atrophy and left lobe hypertrophy, confirmed by CT scan. Three months after the portal occlusion a right lobe hepatectomy was performed. The postoperative evolution was favorable; eight days of hospitalization were necessary.
Conclusions:
Portal branch ligature can be performed in certain cases of hepatic tumors to increase the resectability rate.
