Journal of Nippon Medical School: Vol.71 No.3 page.209

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ArticleTitle 完全内臓逆位を伴う肝細胞癌の1切除例

AuthorList 柿沼大輔¹, 田尻孝¹, 吉田寛¹, 真々田裕宏¹, 谷合信彦¹, 川野陽一¹, 水口義昭¹, 清水哲也¹, 高橋翼¹, 秋丸琥甫¹, 荒牧琢己², 高野照夫²

Affiliation ¹日本医科大学大学院医学研究科臓器病態制御外科学
²日本医科大学内科学第1教室

Language JA

Volume 71

Issue 3

Year 2004

Page 209-212

Received April 2, 2003

Accepted January 21, 2004

Keywords hepatocellular carcinoma, situs inversus totalis

Abstract We report a case of hepatocellular carcinoma with situs inversus totalis treated by hepatectomy. A 70-year-old asymptomatic female with hepatocellular carcinomas in segments 5, 6 and 8 underwent transarterial embolization in the department of medicine. However, hepatocellular carcinoma in segment 8 relapsed, and she was referred to the department of surgery. Laboratory tests revealed elevation of serum PIVKA2 level (4,690 ng/mL). Angiography revealed tumor stain in segment 8, 3 cm in diameter. No aberrant vessels were detected on angiography. The operator stood on the patient's left, and partial hepatectomy could be performed safety after careful examination of the anatomy. Although aberrant vessels are detected in many patients with situs inversus totalis, operations can be performed safely on them with sufficient understanding of the anatomy.

Correspondence to Daisuke Kakinuma, Surgery for Organ Function and Biological Regulation, Nippon Medical School, Graduate School of Medicine, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan

ArticleTitle	完全内臓逆位を伴う肝細胞癌の1切除例
AuthorList	柿沼大輔¹, 田尻孝¹, 吉田寛¹, 真々田裕宏¹, 谷合信彦¹, 川野陽一¹, 水口義昭¹, 清水哲也¹, 高橋翼¹, 秋丸琥甫¹, 荒牧琢己², 高野照夫²
Affiliation	¹日本医科大学大学院医学研究科臓器病態制御外科学 ²日本医科大学内科学第1教室
Language	JA
Volume	71
Issue	3
Year	2004
Page	209-212
Received	April 2, 2003
Accepted	January 21, 2004
Keywords	hepatocellular carcinoma, situs inversus totalis
Abstract	We report a case of hepatocellular carcinoma with situs inversus totalis treated by hepatectomy. A 70-year-old asymptomatic female with hepatocellular carcinomas in segments 5, 6 and 8 underwent transarterial embolization in the department of medicine. However, hepatocellular carcinoma in segment 8 relapsed, and she was referred to the department of surgery. Laboratory tests revealed elevation of serum PIVKA2 level (4,690 ng/mL). Angiography revealed tumor stain in segment 8, 3 cm in diameter. No aberrant vessels were detected on angiography. The operator stood on the patient's left, and partial hepatectomy could be performed safety after careful examination of the anatomy. Although aberrant vessels are detected in many patients with situs inversus totalis, operations can be performed safely on them with sufficient understanding of the anatomy.
Correspondence to	Daisuke Kakinuma, Surgery for Organ Function and Biological Regulation, Nippon Medical School, Graduate School of Medicine, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan