Premium
Living‐related liver transplantation with removal of inferior vena cava for unresectable hepatoblastoma
Author(s) -
Hasegawa Toshimichi,
Kimura Takuya,
Ihara Yoshiyuki,
Tazuke Yuko,
Yoneda Akihiro,
Kusafuka Takeshi,
Fukuzawa Masahiro,
Okuyama Hiroomi,
Inoue Masami
Publication year - 2006
Publication title -
pediatric transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.457
H-Index - 69
eISSN - 1399-3046
pISSN - 1397-3142
DOI - 10.1111/j.1399-3046.2006.00516.x
Subject(s) - medicine , hepatoblastoma , inferior vena cava , hepatectomy , liver transplantation , surgery , transplantation , metastasis , left lobe , radiology , resection , cancer
We report a case of a two‐yr‐old boy with hepatoblastoma resectable only by total hepatectomy including the vena cava. Successful LTx was performed with a living donor segment without vena cava reconstruction. The tumor was located in the bilateral lobe, surrounding the IVC. In spite of the high‐dose chemotherapy, the tumor did not become resectable. LTx was performed using left lateral segment after removal of the IVC combined with total hepatectomy. Because the collaterals were well developed, the patient tolerated the procedure well. The serum AFP level decreased from 186 699 to 8 ng/mL in 11 months after LTx without local recurrence or distant metastasis.