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Updated: Nov 28, 2025
Laparoscopic Left Hemihepatectomy Combined with Caudate Lobe Resection
Published on: April 11, 2025
Hepatocellular carcinoma with atrial tumor thrombus presenting as myxoma: Resection under cardiopulmonary bypass
Manoj K Singh1, Rahul Roy1, Varun Shetty2
1Liver Transplant/HPB Surgery, Narayana Health, Bengaluru, India.
Insights
This case study details a rare, life-saving surgery for Hepatocellular carcinoma (HCC) involving an atrial tumor thrombus. The successful resection utilized cardio-pulmonary bypass for a patient with a left lateral segment liver tumor.
Area of Science:
- Hepatobiliary surgery
- Cardiovascular surgery
- Oncology
Background:
- Hepatocellular carcinoma (HCC) rarely presents with atrial tumor thrombus, posing significant surgical challenges.
- Surgical resection is a potential life-saving intervention for advanced HCC with vascular invasion.
Observation:
- A case involving a left lateral segment liver tumor (HCC) with extension into the atrium via a tumor thrombus is presented.
- The patient required a complex surgical approach due to the tumor's location and vascular involvement.
Findings:
- Successful surgical resection of the Hepatocellular carcinoma (HCC) and the atrial tumor thrombus was achieved.
- Cardio-pulmonary bypass was essential for managing the cardiopulmonary circulation during the resection.
Implications:
- This case highlights the feasibility of radical resection for rare HCC presentations with atrial thrombus.
- The successful use of cardio-pulmonary bypass demonstrates its value in managing complex hepatobiliary-cardiac cases.
- Such interventions may offer a chance for long-term survival in highly selected patients with advanced HCC.
Abstract:
Surgical resection for Hepatocellular carcinoma (HCC) with atrial tumor thrombus is a rare life saving procedure. A case of left lateral segment liver tumor (HCC) with atrial tumor thrombus resected with use of cardio-pulmonary bypass is presented.
