**7. Case report**

#### **7.1. Case 1**

The largest cancer-free survival time in our patients with huge HCC undergone right trisec‐ tionectomy has been more than 26 years. This patient is still alive in Beijing. The patient was a 57-year-old woman and diagnosed with hepatocellular carcinoma, and a right trisectionec‐ tomy was performed under continuous single interruption of the porta hepatic in 1988. The resected tumor weighted 2200 g (Figure 7, the left photograph). The largest cancer-free survival in our series is 26 years. This patient is still alive in Beijing. The patient was a 57-year-old woman and diagnosed with hepatocellular carcinoma, and a right trisectionectomy was performed under continuous single interruption of the porta hepatic in 1988. The resected tumor

#### **7.2. Case 2** weighted 2200 g (Figure 7, the left photograph).

A 24-year-old man was diagnosed with hepatocellular carcinoma. A right trisectionectomy was performed under continuous single interruption of the porta hepatic. The intraoperation bleeding was 1500 ml. The patient accepted autologous blood transfusion (600 ml), and no allogeneic blood transfusion was administered. The resected tumor weighted 2500 g (Figure 7, the right photograph). The patient was discharged from hospital after recovery at 32 days after operation. 7.2. Case 2 A 24-year-old man was diagnosed with hepatocellular carcinoma. A right trisectionectomy was performed under continuous single interruption of the porta hepatic. The intraoperation bleeding was 1500 ml. The patient accepted autologous blood transfusion (600 ml), and no allogeneic blood transfusion was administered.

The resected tumor weighted 2500 g (Figure 7, the right photograph). The patient

was discharged from hospital after recovery at 32 days after operation.

Figure 7. Tumors removed by right trisectionectomy.

19

**Figure 7.** Tumors removed by right trisectionectomy.

#### **7.3. Case 3**

chemoembolization (TACE), radiofrequency ablation (RFA), percutaneous ethanol injection (PEI), cryotherapy coagulation therapy, ultrasound (US)-guided percutaneous microwave, high intensive focused ultrasound (HIFU), iodine125 brachytherapy, immunotherapy, cyto‐ therapy, etc., can be considered according to individual situations of the patient to perform

cytotherapy, etc., can be considered according to individual situations of the patient

intensive focused ultrasound (HIFU), iodine125 brachytherapy, immunotherapy,

The largest cancer-free survival time in our patients with huge HCC undergone right trisec‐ tionectomy has been more than 26 years. This patient is still alive in Beijing. The patient was a 57-year-old woman and diagnosed with hepatocellular carcinoma, and a right trisectionec‐ tomy was performed under continuous single interruption of the porta hepatic in 1988. The

alive in Beijing. The patient was a 57-year-old woman and diagnosed with

hepatocellular carcinoma, and a right trisectionectomy was performed under

continuous single interruption of the porta hepatic in 1988. The resected tumor

The largest cancer-free survival in our series is 26 years. This patient is still

A 24-year-old man was diagnosed with hepatocellular carcinoma. A right trisectionectomy was performed under continuous single interruption of the porta hepatic. The intraoperation bleeding was 1500 ml. The patient accepted autologous blood transfusion (600 ml), and no allogeneic blood transfusion was administered. The resected tumor weighted 2500 g (Figure 7, the right photograph). The patient was discharged from hospital after recovery at 32 days

was discharged from hospital after recovery at 32 days after operation.

A 24-year-old man was diagnosed with hepatocellular carcinoma. A right trisectionectomy was performed under continuous single interruption of the porta hepatic. The intraoperation bleeding was 1500 ml. The patient accepted autologous blood transfusion (600 ml), and no allogeneic blood transfusion was administered. The resected tumor weighted 2500 g (Figure 7, the right photograph). The patient

Figure 7. Tumors removed by right trisectionectomy.

resected tumor weighted 2200 g (Figure 7, the left photograph).

weighted 2200 g (Figure 7, the left photograph).

personalized therapy.

7. Case report

294 Recent Advances in Liver Diseases and Surgery

7.1. Case 1

7.2. Case 2

**Figure 7.** Tumors removed by right trisectionectomy.

to perform personalized therapy.

**7. Case report**

**7.1. Case 1**

**7.2. Case 2**

after operation.

A 40-year-old male patient was suffering from hepatocellular carcinoma. The tumor diameter over 20 cm. One day, the tumor ruptured and the patient went into shock. Then the patient was urgently operated for right trisectionectomy. By follow-ups, the CT examination showed that no recurrence existed within 4 years after operation.
