Dual transformation therapy for giant hepatocellular carcinoma: Two case reports and review of literature

Figure 1 Image data of case 1. A: Arterial phase; B: Portal stage; C and D: 3D imaging before and after treatment.

Figure 2 Image data of case 2. A: Arterial phase; B: Portal stage; C and D: 3D imaging before and after treatment.

Figure 3 Complete laparoscopic right portal vein ligation surgery. A: Dissection of the right branch of the portal vein within the Glisson's sheath at the first porta hepatis; B: Occlusion with titanium clip or ligation with No. 7 silk suture; C: Marking of the ischemic line on the surface of the liver with an electrocautery hook.

Figure 4 Right hemihepatectomy. A: Intraoperative exploration revealed hypertrophied left lobe of the liver and a marked ischemic line; B: Postoperative left lobe of the liver; C: Surgical section; D: Tumor specimen.

Figure 5 Histopathological image. A: Case 1; B: Case 2.