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Left hepatic trisegmentectomy for interlobar hepatoblastoma located close to the hepatic hilum
Y Tsuchida1, H Hashimoto, T Iwanaka
1Department of Surgery, National Children's Hospital, Tokyo, Japan.
Abstract:
A 10-month-old boy was noted to have hepatomegaly, and hepatic angiography showed a huge tumor of the medial segment of the left lobe, located close to the hepatic hilum and involving the anterior segment of the right lobe in contiguity. We considered at first that resection would not be possible, but at operation the anterior segmental branch of the right hepatic artery was successfully ligated and divided, which made left trisegmentectomy possible in this case. Postoperatively, the patient was treated with cisplatin and tetrahydropyranyl Adriamycin he was doing well without any evidence of disease 24 months after the hepatectomy.