ArticleAnnals of surgical oncology2026
Laparoscopic Extended Left Hepatectomy and Portal Vein Thrombectomy for Advanced Hepatocellular Carcinoma After Second-Line Conversion Therapy.
Article in Annals of surgical oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundHepatocellular carcinoma with portal vein tumor thrombus (HCC-PVTT) is correlated with poor prognosis.
methodsA 56-year-old patient with HCC-PVTT involving the main and left portal veins initially received camrelizumab, apatinib, and systemic FOLFOX (oxaliplatin, fluorouracil, leucovorin).
resultsThe patient experienced progression after first-line therapy (tumor enlargement, PVTT extension), and second-line therapy achieved notable shrinkage of both the tumor and the PVTT. After 5 cycles, surgical resection was feasible. Laparoscopic extended left hepatectomy with portal vein thrombectomy was completed in 340 minutes, with 100 mL blood loss. Pathology revealed HCC with extensive necrosis. Postoperative regorafenib and adebrelimab was administered for 3 cycles, and the patient remains recurrence free to date.
conclusionThis case report highlights that, for patients with HCC-PVTT with first-line therapy resistance, actively applying second-line therapy can still yield an opportunity for radical resection. It also suggests the feasibility of laparoscopic extended hepatectomy with thrombectomy, emphasizing the value of individualized, multidisciplinary strategies for improving outcomes in complex HCC cases.
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