Postoperative management following massive hepatectomy in a patient with Dubin-Johnson syndrome: report of a case

Surg Today. 1998;28(12):1274-8. doi: 10.1007/BF02482814.

Abstract

We report herein the case of a 46-year-old man with Dubin-Johnson syndrome (DJS) who was referred to our hospital to undergo a right hepatic lobectomy for hepatocellular carcinoma. His complicated postoperative conjugated hyperbilirubinemia was successfully treated by hemopurification based on the increased level of serum hepatocyte growth factor (HGF). It is considered that hemopurification based on the early postoperative HGF levels has beneficial effects for patients with DJS; however, the specific role of hemopurification in the conjugated hyperbilirubinemia that develops postoperatively in these patients has not been determined.

Publication types

  • Case Reports

MeSH terms

  • Carcinoma, Hepatocellular / complications
  • Carcinoma, Hepatocellular / pathology
  • Carcinoma, Hepatocellular / surgery*
  • Hepatectomy
  • Hepatocyte Growth Factor / blood
  • Humans
  • Hyperbilirubinemia / blood
  • Hyperbilirubinemia / etiology
  • Hyperbilirubinemia / therapy*
  • Jaundice, Chronic Idiopathic / complications*
  • Jaundice, Chronic Idiopathic / diagnosis
  • Liver Neoplasms / complications
  • Liver Neoplasms / pathology
  • Liver Neoplasms / surgery*
  • Male
  • Microscopy, Electron
  • Middle Aged
  • Plasmapheresis
  • Postoperative Care

Substances

  • Hepatocyte Growth Factor