Laparoscopic Total Caudate Lobectomy for Hepatocellular Carcinoma
- 1 October 2017
- journal article
- case report
- Published by Mary Ann Liebert Inc in Journal of Laparoendoscopic & Advanced Surgical Techniques
- Vol. 27 (10), 1074-1078
- https://doi.org/10.1089/lap.2016.0459
Abstract
Background: Caudate lobe is located in the deep dorsal area of the liver between the portal triad and the inferior vena cava (IVC). Torrential bleeding can occur from the IVC and short hepatic veins during dissection. Isolated total caudate lobe resection is still rare and technically demanding. We herein present a video on the technical aspect of laparoscopic total caudate lobectomy. Method: A 61-year-old woman was admitted for recurrent hepatocellular carcinoma detected on imaging. She had history of multifocal hepatocellular carcinoma in July 2015 and underwent open cholecystectomy, segment 6 and segment 8 tumorectomy. Ten months later, the computed tomography scan and magnetic resonance imaging showed a 1 cm arterial enhancing lesion in segment I (S1) with no other foci of recurrence. Laparoscopic total caudate lobectomy was contemplated. Results: The operative time was 270 minutes. The intraoperative blood loss was 200 mL and blood transfusion was not necessary. The patient was discharged on the fourth postoperative day without any complications. Conclusion: This report showed the safety and feasibility of laparoscopic total caudate lobectomy. Nonetheless, it is a technically demanding procedure. It should be performed in carefully selected patients and by experienced hepatobiliary surgeons proficient in laparoscopic liver resection.Keywords
This publication has 27 references indexed in Scilit:
- Laparoscopic versus open liver resection for hepatocellular carcinoma: Case-matched study with propensity score matchingJournal of Hepatology, 2015
- Laparoscopic Transabdominal With Transdiaphragmatic Access Improves Resection of Difficult Posterosuperior Liver LesionsAnnals of Surgery, 2015
- Laparoscopic Caudate Hepatectomy for Cancer—An Innovative Approach to the No-Man’s LandJournal of Gastrointestinal Surgery, 2013
- Laparoscopic liver resection for centrally located tumors close to the hilum, major hepatic veins, or inferior vena cavaSurgery, 2012
- Laparoscopic Segmentectomy of the LiverAnnals of Surgery, 2012
- Total laparoscopic liver resection for hepatocellular carcinoma located in all segments of the liverSurgical Endoscopy, 2009
- The International Position on Laparoscopic Liver SurgeryAnnals of Surgery, 2009
- Feasibility of laparoscopic liver resection for tumors located in the posterosuperior segments of the liver, with a special reference to overcoming current limitations on tumor locationSurgery, 2008
- Hand-Assisted Laparoscopic Hepatectomy for Solid Tumor in the Posterior Portion of the Right LobeAnnals of Surgery, 2003
- Anatomy of the caudate lobe with special reference to portal vein and bile duct.Kanzo, 1985