Nihon Gekakei Rengo Gakkaishi (Journal of Japanese College of Surgeons)
Online ISSN : 1882-9112
Print ISSN : 0385-7883
ISSN-L : 0385-7883
CASE REPORTS
A Case of Non–B/C Type Hepatocellular Carcinoma Treated with Central Hepatectomy After CABG Using Right Gastroepiploic Artery
Keigo MatsumotoShohachi SuzukiHideto OchiaiOsamu JindoAkihiro UnoAtsuko FukazawaMasaaki NaitoFumihiko TaniokaHiroshi Kitamura
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Keywords: CABG, RGEA, HCC
JOURNAL FREE ACCESS

2011 Volume 36 Issue 2 Pages 197-202

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Abstract
We report a case of non–B/C hepatocellular carcinoma (HCC) treated with central hepatectomy after coronary artery bypass grafting (CABG) using right gastroepiploic artery (RGEA) grafting.
A 54–year–old–man was referred for a hepatic tumor 8 cm in diameter 5 years after undergoing CABG using the RGEA. Enhanced abdominal computed tomography (CT) showed a hypervascular liver tumor at segments 4 and 8 with a compressed middle hepatic vein and RGEA grafting to the diaphragm along the left hepatic falciform ligament. Because hepatitis B and C markers were negative with high serum PIVKA–II, the tumor was diagnosed as non–B/C HCC. Central hepatectomy was done without injuring the RGEA graft or adversely affecting morbidity. The man has remained without recurrent disease in the 7 months after surgery.
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© 2011 Japanese College of Surgeons
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