Case Report
Copyright ©The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Jun 14, 2016; 22(22): 5297-5300
Published online Jun 14, 2016. doi: 10.3748/wjg.v22.i22.5297
Application of cystoscope in surgical treatment of hepatocellular carcinoma with portal vein tumor thrombus
Nan Li, Xu-Biao Wei, Shu-Qun Cheng
Nan Li, Xu-Biao Wei, Shu-Qun Cheng, Department of Hepatic Surgery, Eastern Hepatobiliary Surgery Hospital, the Second Military Medical University, Shanghai 200433, China
Author contributions: Cheng SQ designed the report and carried out the operation; Li N and Wei XB collected the clinic data and wrote the paper; Li N and Wei XB contributed equally to the article.
Institutional review board statement: The study was reviewed and approved by the Institutional Review Board of Eastern Hepatobiliary Surgery Hospital.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: No potential conflicts of interest relevant to this article were reported.
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: Shu-Qun Cheng, MD, Department of Hepatic Surgery, Eastern Hepatobiliary Surgery Hospital, the Second Military Medical University, 168 Changhai Road, Yangpu District, Shanghai 200433, China. chengshuqun@aliyun.com
Telephone: +86-211-3901746 Fax: +86-218-1875251
Received: February 7, 2016
Peer-review started: February 7, 2016
First decision: January 13, 2016
Revised: March 6, 2016
Accepted: April 7, 2016
Article in press: April 7, 2016
Published online: June 14, 2016
Processing time: 178 Days and 14.2 Hours
Core Tip

Core tip: Inability to ensure the curability of the thrombectomy has been a main obstacle to improving postoperative prognosis of hepatocellular carcinoma with portal vein tumor thrombus, especially for cases with invasion in the main trunk of the portal vein. In this report, we firstly applied the cystoscope as an intravascular endoscope to investigate the cavity of the portal vein after primary tumor removal. The cystoscope offered a clear view of the portal vein cavity from the main trunk to the secondary branch, indicating its suitability as a substitute with a proper size and function to check the portal vein system.