Right hepatectomy with thrombectomy in treatment of hepatocellular carcinoma with portal vein thrombosis: A case report

Abstract

Hepatocellular carcinoma (HCC) attacks the intrahepatic vasculature, particularly the portal vein. One of the most important criteria for a poor prognosis in individuals with HCC is the presence of portal vein tumour thrombus (PVTT). There is no global consensus or standard guidelines on the management of HCC with PVTT. We present a 48-year-old male manual labourer with a mass in the right hypochondriac region associated with dull, aching pain for four months. His preoperative preparation, involved addressing and rectifying any existing deficits. Standard precautions were taken for a major liver resection, specifically a right hepatectomy with the removal of a blood clot from the right portal vein. Postoperatively, the patient was mobilized on the first day, engaged in respiratory exercises, and received preventive measures against deep vein thrombosis. We have successfully performed a right hepatectomy with thrombectomy for HCC right lobe with PVTT, which showed a better outcome for the patient. He was leading a normal life at 14-day and 45-day follow-up visits.