• Jian Xu, Xiangyu Lu, Yu Zhang, Hongji Yang, and Xiaojiong Yu.
• The Third Department of Hepatobiliary Surgery, Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, P. R. China.
• Medicine (Baltimore). 2017 Oct 1; 96 (43): e8378.

RationaleStaged hepatectomy is an important surgical method for large hepatocellular carcinoma (HCC). However, the insufficient future liver remnant (FLR) is still the major barrier in stage II hepatectomy. We herein reported a case of laparoscopic associating liver tourniquet and portal ligation combined rescue transhepatic arterial embolization (TAE) for staged hepatectomy.Patient ConcernsLaparoscopic associating liver tourniquet and portal ligation for staged hepatectomy (ALTPS) was performed for cirrhotic HCC in stage I. To stimulate the growth of FLR, a "rescue" TAE was initiated before stage II.DiagnoseHCC with hepatitis B cirrhosis.OutcomesTwo weeks later after TAE, the FLR achieved sufficient hypertrophy and stage II surgery was successfully performed. The patient was discharged 7 days after the second stage without serious complication. During the follow-up at postoperative 6 months, the patient underwent radiofrequency ablation, because contrast-enhanced ultrasonography showed 1 cm tumor recurrence in the remnant liver.LessonsRescue TAE plays an important role to stimulate the increasing of FLR after ALTPS.

32 keywords...

hide…