Matsune Yusuke, Aoki Takeshi, Tashiro Yoshihiko
Division of Gastroenterological and General Surgery, Department of Surgery, Showa University, 1-5-8 Hatanodai, Shinagawa, Tokyo, 142-8666, Japan.
Clin J Gastroenterol. 2024 Oct;17(5):943-947. doi: 10.1007/s12328-024-02017-7. Epub 2024 Jul 23.
The Gore-Tex polytetrafluoroethylene patch is one of the most used prostheses for diaphragm, vessel, and pericardial reconstruction. It is strong, flexible, and relatively inexpensive and can be fitted to match the size of the resected area. In addition, it can be used to reconstruct the pericardium and diaphragm following resection to treat diffuse malignant pleural mesothelioma or repair large hiatal hernias. However, the use of polytetrafluoroethylene for hepatocellular carcinoma with diaphragmatic and pericardial invasion has not yet been reported. We report the case of a 72-year-old man with hepatocellular carcinoma with diaphragmatic and pericardial invasion. Subsequently, laparotomic liver subsegmentectomy of segment 3 and resection of the diaphragm and pericardium were performed. The defects were successfully reconstructed using the polytetrafluoroethylene patch, without postoperative complications. This is the first report describing a case of invasive liver malignancy that required simultaneous diaphragmatic and pericardial reconstruction using a polytetrafluoroethylene patch, indicating that the polytetrafluoroethylene patch could effectively and directly treat invasive liver malignancies.
戈尔特斯聚四氟乙烯补片是用于膈肌、血管和心包重建最常用的假体之一。它坚固、柔韧且相对便宜，能够根据切除区域的大小进行适配。此外，它可用于在切除术后重建心包和膈肌，以治疗弥漫性恶性胸膜间皮瘤或修复大型食管裂孔疝。然而，聚四氟乙烯用于伴有膈肌和心包侵犯的肝细胞癌的情况尚未见报道。我们报告了一例72岁伴有膈肌和心包侵犯的肝细胞癌男性患者。随后，进行了3段肝部分切除术以及膈肌和心包切除术。使用聚四氟乙烯补片成功重建了缺损，术后无并发症。这是首例描述使用聚四氟乙烯补片同时进行膈肌和心包重建的侵袭性肝脏恶性肿瘤病例，表明聚四氟乙烯补片可有效且直接地治疗侵袭性肝脏恶性肿瘤。
