Open AccessPreoperative detection of intrahepatic venovenous shunt treated by microwave precoagulation during right hepatectomy
Author(s) -
Jean-Baptiste Delhorme,
Riccardo Méméo,
Jacques Marescaux,
Patrick Pessaux
Publication year - 2015
Publication title -
world journal of gastrointestinal pharmacology and therapeutics
Language(s) - English
Resource type - Journals
ISSN - 2150-5349
DOI - 10.4292/wjgpt.v6.i4.253
Subject(s) - medicine , hepatectomy , hepatocellular carcinoma , surgery , shunt (medical) , radiology , hemostasis , intrahepatic cholangiocarcinoma , resection
A 53-year-old woman underwent a 2-stage right hepatectomy for bilobar metastasis of an ileal neuroendocrine carcinoma. Preoperative three-dimensional computed tomography reconstruction helped to diagnose an intrahepatic venovenous shunts from the right and middle hepatic veins to the left hepatic vein, which could cause a intraoperative bleeding. Hemostasis was performed by means of precoagulation with microwave-assisted coagulation.