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Updated: Mar 3, 2026
Application of the En Bloc Concept Combined with Anatomic Resection in Laparoscopic Hepatectomy
Published on: March 10, 2023
A systematic surgical approach to hepatoblastoma with intracardiac extension
Sajid Sayed1,2, Sudesh Prabhu1,3,4, Jonathan Fawcett5
11 Queensland Paediatric Cardiac Services, Lady Cilento Children's Hospital, Brisbane, Australia.
Insights
This study details the successful treatment of a rare pediatric hepatoblastoma with intracardiac extension. A multidisciplinary surgical approach, including cardiopulmonary bypass, achieved positive outcomes in a young child.
Area of Science:
- Pediatric Oncology
- Surgical Oncology
- Cardiovascular Surgery
Background:
- Hepatoblastoma is a rare pediatric liver cancer.
- Intracardiac extension of hepatoblastoma is exceptionally uncommon.
- The SIOPEL-4 regimen has improved metastatic hepatoblastoma treatment outcomes.
Abstract:
Hepatoblastoma is very uncommon in children, and intracardiac extension is rare. The SIOPEL-4 regime for metastatic hepatoblastoma has extended the surgical options with good results. We successfully treated a boy aged 2 years and 9 months with hepatoblastoma, using a multidisciplinary surgical strategy involving an extended left hepatectomy, left adrenalectomy, biopsy of the paraaortic and coeliac lymph nodes, and resection of the inferior vena caval-right atrial extension of the hepatoblastoma, under cardiopulmonary bypass and deep hypothermia.
