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Successful laparoscopic extirpation of peritoneal dissemination after hepatectomy for ruptured hepatocellular carcinoma
Author(s) -
Hai Seikan,
Okada Toshihiro,
Iimuro Yuji,
Hirano Tadamichi,
Suzumura Kazuhiro,
Fujimoto Jiro
Publication year - 2015
Publication title -
asian journal of endoscopic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.372
H-Index - 18
eISSN - 1758-5910
pISSN - 1758-5902
DOI - 10.1111/ases.12212
Subject(s) - medicine , hepatocellular carcinoma , hepatectomy , surgery , metastasis , laparoscopy , radiology , resection , cancer
Clinically, peritoneal dissemination of hepatocellular carcinoma ( HCC ) rarely occurs. We herein report a case that had a good outcome following laparoscopic extirpation of peritoneal dissemination after hepatectomy for ruptured HCC . A 66‐year‐old man underwent central bisectionectomy 12 days after emergency transcatheter arterial embolization for a ruptured HCC . Thereafter, pulmonary resection was performed twice for lung metastasis. About 8 months after the second pulmonary resection, a mass lesion was detected at the left subphrenic space on CT and 18 F ‐fluorodeoxyglucose PET scans. We made a diagnosis of peritoneal dissemination of HCC , and laparoscopic extirpation was performed. The patient is now doing well without any signs of recurrence 2 years after the last operation. Laparoscopic surgical resection for peritoneal dissemination that develops after hepatectomy for HCC may have a beneficial effect as a less‐invasive approach and may improve the prognosis in select patients.