Hepatic subsegmentectomy with segmental hepatic vein sacrifice
M. Beppu, T. Fukuzaki, K. Mitani, K. Fujimoto and S. Taniguchi
Department of Surgery, Nishinomiya Prefectural Hospital, Japan.
There is no clinical disorder in partial Budd-Chiari syndrome or in a major
hepatic vein ligation in hepatic trauma. When considering these findings,
it is significant to investigate hepatic subsegmentectomies in which a
major hepatic vein is sacrificed. We performed such hepatic
subsegmentectomies in nine cases of hepatocellular carcinoma. With the
sacrifice of the right hepatic vein, S7, S8 resection was done in three
patients, S7 resection in two patients, S8 resection in one patient, and S5
resection in one patient. With the sacrifice of the middle hepatic vein, S8
resection was done in two patients. These resections were successfully
performed with no postoperative problem. Further, there were no significant
differences in postoperative liver function tests of the patients from
those of a control group of the commonly performed systematic segmentectomy
and subsegmentectomy. By performing such resections, resection was made
possible in three cases and curative resection was made feasible in six
cases.
