| Title | Successful resection of cecal hepatic metastasis extending into the right side of the heart under cardiopulmonary bypass |
| Publication Type | Journal Article |
| Year of Publication | 1999 |
| Authors | Hwang YJ, Chang BH, Kim JW, Choi GS, Yun YK, Chui A, Kim YI |
| Journal | J Hepatobiliary Pancreat Surg |
| Volume | 6 |
| Issue | 3 |
| Pagination | 320 - 3 |
| Accession Number | 10526069 |
| Keywords | Adenocarcinoma / complications / *secondary / *surgery, Cardiopulmonary Bypass / methods, Cecal Neoplasms / pathology / *surgery, Female, Follow-Up Studies, Hepatic Veins / pathology / radiography, Humans, Liver Neoplasms / complications / *secondary / *surgery, Middle Aged, Neoplasm Circulating Cells / pathology, Phlebography, Thrombectomy, Tomography, X-Ray Computed, Treatment Outcome, Vena Cava, Inferior / pathology / radiography, Ventricular Dysfunction, Right / etiology / pathology / *surgery |
| Abstract | Resection is the best hope for the cure of colorectal metastasis to the liver. However, surgery is indicated for only a few patients, especially those who have major vascular involvement. We report a 55-year-old woman with a liver metastasis from the cecum that showed a tumor thrombus in the right side of the heart. She had undergone laparoscopic right hemicolectomy for cecal cancer 6 months before, and presented with a palpable mass in the epigastrium. Abdominal ultrasonography, computed tomography, hepatic angiogram, and echocardiography showed a huge mass on the left lobe of the liver, with a tumor thrombus which extended to the right ventricle through the left hepatic vein and inferior vena cava. Tumor thrombectomy, through a right atriotomy, was success-fully performed under cardiopulmonary bypass, followed by left hepatic lobectomy. The patient's postoperative course was uneventful. |
| Notify Library Reference ID | 712 |
