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Journal of Medical Case Reports

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Open Access 01-12-2019 | Liver Transplantation | Case report

One-lung ventilation to treat hepatic dome lesion – a further step towards minimally invasive surgery: a case report

Authors: Francesco D’Amico, Simone Serafini, Michele Finotti, Marianna Di Bello, Chiara Di Renzo, Umberto Cillo

Published in: Journal of Medical Case Reports | Issue 1/2019

Abstract

Background

Although liver resection is still the best treatment for primary or metastatic hepatic lesions, a conventional surgical approach may be challenging in patients with a history of previous abdominal surgery. We present a case of a 58-year-old white man with paracaval, subdiaphragmatic, recurrent hepatocellular carcinoma; he had a history of multiple abdominal surgeries.

Methods

In select patients, percutaneous ultrasound-guided thermal ablation is a valid non-surgical alternative due to its safety, efficacy, and good tolerability. Hepatic lesions located in the posterosuperior segments, however, can be difficult to reach via a percutaneous approach.

Result

For these cases, one-lung left-sided ventilation may be particularly helpful in blocking the right hemidiaphragm and improving the acoustic window to the liver.

Conclusion

We present a case of paracaval, subdiaphragmatic, recurrent hepatocellular carcinoma in which the tumor was only reachable after one-lung left-sided ventilation that was successfully treated by percutaneous ultrasound-guided microwave ablation.

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Title: One-lung ventilation to treat hepatic dome lesion – a further step towards minimally invasive surgery: a case report
Authors: Francesco D’Amico
Simone Serafini
Michele Finotti
Marianna Di Bello
Chiara Di Renzo
Umberto Cillo
Publication date: 01-12-2019
Publisher: BioMed Central
Keywords: Liver Transplantation
Ultrasound
Abdominal Surgery
Liver Resection
Liver Resection
Liver Transplantation
Hepatocellular Carcinoma
Liver Transplantation
Hepatocellular Carcinoma
Liver Transplantation
Ultrasound
Liver Transplantation
Minimally Invasive Surgery
Published in: Journal of Medical Case Reports / Issue 1/2019
Electronic ISSN: 1752-1947
DOI: https://doi.org/10.1186/s13256-019-1999-6

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

One-lung ventilation to treat hepatic dome lesion – a further step towards minimally invasive surgery: a case report

Abstract

Background

Methods

Result

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Result

Conclusion

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