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©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Transplant. Dec 24, 2015; 5(4): 360-365
Published online Dec 24, 2015. doi: 10.5500/wjt.v5.i4.360
Published online Dec 24, 2015. doi: 10.5500/wjt.v5.i4.360
Living donor liver transplantation with abdominal wall reconstruction for hepatocellular carcinoma with needle track seeding
Horng-Ren Yang, Ashok Thorat, Ping-Chun Li, Long-Bin Jeng, Department of Surgery and Organ Transplantation Center, China Medical University Hospital, Taichung 40447, Taiwan
Horng-Ren Yang, Ping-Chun Li, Long-Bin Jeng, College of Medicine, China Medical University, Taichung 40447, Taiwan
Kanellos Gesakis, Kidakorn Kiranantawat, Hung Chi Chen, Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung 40447, Taiwan
Author contributions: All authors contributed to this paper.
Institutional review board statement: This is to state that the present retrospective study was approved by the IRB of the China medical university hospital.
Informed consent statement: Informed consent was obtained prior to initiation of procedure.
Conflict-of-interest statement: No conflict of interests among the authors.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Long-Bin Jeng, Professor, Chief, Department of Surgery and Organ Transplantation Center, China Medical University Hospital, 2, Yuh-Der Road, Taichung 40447, Taiwan. otc@mail.cmuh.org.tw
Telephone: +886-04-22052121 Fax: +886-04-22029083
Received: June 27, 2015
Peer-review started: July 12, 2015
First decision: August 26, 2015
Revised: October 17, 2015
Accepted: November 10, 2015
Article in press: November 11, 2015
Published online: December 24, 2015
Peer-review started: July 12, 2015
First decision: August 26, 2015
Revised: October 17, 2015
Accepted: November 10, 2015
Article in press: November 11, 2015
Published online: December 24, 2015
Core Tip
Core tip: Metastatic cell seeding can rarely occur in hepatocellular carcinoma secondary to procedures such as liver biopsy and percutaneous biliary drainage catheters. Abdominal resection bearing the malignant cells with resection of underlying liver cancer is the only curative option. But, if the resection of the liver is not possible due to poor underlying liver functions, liver transplantation (LT) can still be performed with excision of the subcutaneous malignant track. In this case report we are presenting our successful experience with living donor LT combined with abdominal wall resection and reconstruction using thigh myocutaneous pedicle flap in a single stage surgery.