Then he underwent
left lobectomy. Resection was performed with pedicle clamping
for 24 minutes. Intraoperative blood transfusion (2
Units) was necessary.
The left hepatic vein was compressed but non infiltrated by
the tumor (Fig. 6). |
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Fig. 5 Intraoperative
view: macronodular cirrhotic liver with tumor in the segment
2. |
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Fig. 6 Surgical
specimen: the tumor is closely related to the left hepatic
vein. |
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On the surgical
specimen, necrosis over 90% induced by pre-operative chemoembolization
was documented. The tumor was a 4 cm capsulated hepatocellular
carcinoma, almost completely necrotic, with a 2 mm satellite
nodule (Fig 7 and 8). |
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| Fig. 7 and 8: surgical
specimen: the tumor has a capsula; the almost complete
necrosis is evident; in the right figure a small
satellite nodule is evident. |
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The patient had
an hepatic recurrence in the rigth liver 22 months after
operation and died after 53 months. |
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