Thoracoscopic Transthoracic Hepatectomy for Hepatocellular Carcinoma in Budd-Chiari Syndrome

Atsushi Takebe; Masaya Nakano; Katsuya Ami; Chihoko Nobori; Yuta Yoshida; Takaaki Murase; Keiko Kamei; Ippei Matsumoto

doi:10.1111/ases.70101

Thoracoscopic Transthoracic Hepatectomy for Hepatocellular Carcinoma in Budd-Chiari Syndrome

Asian J Endosc Surg. 2025 Jan-Dec;18(1):e70101. doi: 10.1111/ases.70101.

Authors

Atsushi Takebe¹, Masaya Nakano¹, Katsuya Ami¹, Chihoko Nobori¹, Yuta Yoshida¹, Takaaki Murase¹, Keiko Kamei¹, Ippei Matsumoto¹

Affiliation

¹ Department of Surgery, Kindai University Hospital, Osaka, Japan.

Abstract

Budd-Chiari syndrome (BCS), caused by venous outflow obstruction, results in hepatic congestion and portal hypertension. BCS is also associated with a relatively high incidence of hepatocellular carcinoma (HCC). Selecting a minimally invasive approach based on hemodynamic assessment for the management of HCC arising from BCS is essential. A hepatic tumor located in liver segment 8 region was identified in an 88-year-old female patient with BCS. Following a detailed preoperative hemodynamic evaluation using angiography, a thoracoscopic transthoracic hepatectomy (TTH) was successfully performed. TTH may represent a feasible and effective surgical option for HCC in high-risk patients, including those with BCS.

Keywords: Budd‐Chiari syndrome; hepatocellular carcinoma; transthoracic hepatectomy.

Publication types

Case Reports

MeSH terms

Aged, 80 and over
Budd-Chiari Syndrome* / complications
Carcinoma, Hepatocellular* / complications
Carcinoma, Hepatocellular* / surgery
Female
Hepatectomy* / methods
Humans
Liver Neoplasms* / complications
Liver Neoplasms* / surgery
Thoracoscopy* / methods