title: Living donor liver transplantation with abdominal wall reconstruction for hepatocellular carcinoma with needle track seeding.
abstract: Malignant cell seeding in subcutaneous tissues along the needle track and/or percutaneous biliary drainage catheters is rare complication, but pose various technical issues in planning surgical treatment of such patients. If underlying primary hepatic malignancy can be treated, an aggressive resection of subcutaneous tissue bearing cancer cell with subsequent abdominal wall reconstruction has been sporadically reported. But, when hepatic resection is not possible due to underlying advanced cirrhosis, liver transplantation along with abdominal wall resection and subsequent reconstruction remains only feasible option. Herein, we describe our successful experience of living donor liver transplantation for hepatocellular carcinoma with full-thickness abdominal wall resection bearing the tumor seeding followed by reconstruction in single stage surgery.
authors.affiliation: Horng-Ren Yang, Ashok Thorat, Ping-Chun Li, Long-Bin Jeng, Department of Surgery and Organ Transplantation Center, China Medical University Hospital, Taichung 40447, Taiwan.
authors.forename: Horng-Ren
authors.initials: HR
authors.lastname: Yang
authors.affiliation: Horng-Ren Yang, Ashok Thorat, Ping-Chun Li, Long-Bin Jeng, Department of Surgery and Organ Transplantation Center, China Medical University Hospital, Taichung 40447, Taiwan.
authors.forename: Ashok
authors.initials: A
authors.lastname: Thorat
authors.affiliation: Horng-Ren Yang, Ashok Thorat, Ping-Chun Li, Long-Bin Jeng, Department of Surgery and Organ Transplantation Center, China Medical University Hospital, Taichung 40447, Taiwan.
authors.forename: Kanellos
authors.initials: K
authors.lastname: Gesakis
authors.affiliation: Horng-Ren Yang, Ashok Thorat, Ping-Chun Li, Long-Bin Jeng, Department of Surgery and Organ Transplantation Center, China Medical University Hospital, Taichung 40447, Taiwan.
authors.forename: Ping-Chun
authors.initials: PC
authors.lastname: Li
authors.affiliation: Horng-Ren Yang, Ashok Thorat, Ping-Chun Li, Long-Bin Jeng, Department of Surgery and Organ Transplantation Center, China Medical University Hospital, Taichung 40447, Taiwan.
authors.forename: Kidakorn
authors.initials: K
authors.lastname: Kiranantawat
authors.affiliation: Horng-Ren Yang, Ashok Thorat, Ping-Chun Li, Long-Bin Jeng, Department of Surgery and Organ Transplantation Center, China Medical University Hospital, Taichung 40447, Taiwan.
authors.forename: Hung Chi
authors.initials: HC
authors.lastname: Chen
authors.affiliation: Horng-Ren Yang, Ashok Thorat, Ping-Chun Li, Long-Bin Jeng, Department of Surgery and Organ Transplantation Center, China Medical University Hospital, Taichung 40447, Taiwan.
authors.forename: Long-Bin
authors.initials: LB
authors.lastname: Jeng
keywords: Abdominal wall resection; Hepatocellular carcinoma; Living donor liver transplantation; Tumour seeding