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Inferior vena cava reconstruction in extended right hepatectomy |
Karin KY Ho a , Sui Ling Sin a , Kin Pan Au a , Henry HY Lee b , Daniel TL Chan a , Albert Chan a , c , ∗ |
a Department of Surgery, The University of Hong Kong, 102 Pok Fu Lam Road, Hong Kong, China
b Department of Surgery, Yan Chai Hospital, 7 Yan Chai Street, Hong Kong, China
c State Key Laboratory of Liver Research (Li Ka Shing Faculty of Medicine, The University of Hong Kong), 102 Pok Fu Lam Road, Hong Kong, China
∗ Corresponding author at: Department of Surgery, The University of Hong Kong, 102 Pok Fu Lam Road, Hong Kong, China.
E-mail address: acchan@hku.hk (A. Chan). |
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Abstract Barcelona Clinic Liver Cancer (BCLC) Stage C hepatocellular carcinoma (HCC) with vascular invasion has been considered unresectable. However, the curative rate from systemic treatment is rather dismal. Even with the use of immunotherapy, complete remission is less than 10% [1]. On the contrary, recent advances in transplant oncology, especially in the application of liver transplant-related surgical techniques in complex liver resections, make the operation possible for patients with locally advanced HCC who were previously considered to be unresectable [2]. We hereby present the surgical management of a patient with giant HCC in right liver lobe with inferior vena cava (IVC) invasion.
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