title: Technical refinement in living-donor liver transplantation for hepatoblastoma with main portal vein tumor thrombosis - a pullout technique.
abstract: We present a case of a two-yr-old boy diagnosed with HBT with complete main PVTT. HBT was located in the bilateral lobe with PVTT involving the confluence of the SMV and the SpV. Cisplatin-based neoadjuvant chemotherapy was delivered; main tumor shrank and AFP levels decreased to below one hundredth. However, PVTT remained in the bilateral portal branches to the main trunk of PV. We describe the technical details of the portal venous tumor thrombectomy that was succeeded by a LDLT. The patient remained healthy 2.5 yr after LDLT, showing good patency of the PV with no evidence of recurrence of tumor.
authors.affiliation: Department of Transplant Surgery, National Center for Child Health and Development, Tokyo, Japan.
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Kanazawa
authors.forename: Seisuke
authors.initials: S
authors.lastname: Sakamoto
authors.forename: Masatoshi
authors.initials: M
authors.lastname: Matsunami
authors.forename: Kengo
authors.initials: K
authors.lastname: Sasaki
authors.forename: Hajime
authors.initials: H
authors.lastname: Uchida
authors.forename: Takanobu
authors.initials: T
authors.lastname: Shigeta
authors.forename: Akinari
authors.initials: A
authors.lastname: Fukuda
authors.forename: Kimikazu
authors.initials: K
authors.lastname: Matsumoto
authors.forename: Atsuko
authors.initials: A
authors.lastname: Nakazawa
authors.forename: Ryuhei
authors.initials: R
authors.lastname: Tanaka
authors.forename: Mureo
authors.initials: M
authors.lastname: Kasahara
mesh_terms: D002675:Child, Preschool; D018197:Hepatoblastoma / Q000150:complications / Q000601:surgery*; D006801:Humans; D008113:Liver Neoplasms / Q000150:complications / Q000601:surgery*; D016031:Liver Transplantation / Q000379:methods*; D019520:Living Donors; D008297:Male; D011169:Portal Vein / Q000601:surgery*; D017131:Thrombectomy / Q000379:methods*; D013927:Thrombosis / Q000209:etiology / Q000601:surgery*
keywords: hepatoblastoma; liver transplantation; portal vein tumor thrombosis