Laparoscopic Medial-to-Lateral Approach for the Resection of Hepatocellular Carcinoma Located at the Spiegel Lobe of the Liver.
Journal
Annals of surgical oncology
ISSN: 1534-4681
Titre abrégé: Ann Surg Oncol
Pays: United States
ID NLM: 9420840
Informations de publication
Date de publication:
Jan 2023
Jan 2023
Historique:
received:
28
07
2022
accepted:
04
10
2022
pubmed:
26
10
2022
medline:
15
12
2022
entrez:
25
10
2022
Statut:
ppublish
Résumé
Laparoscopic caudate lobe resection is a challenging procedure. Several researchers have reported the safety of laparoscopic liver resections;1.Transl Gastroenterol Hepatol. 1:56;2.Asian J Endosc Surg. 12:232-236;3.Ann Surg Oncol. 26:2980; however, a standardized procedure has not yet been established. Herein, we present a video showing laparoscopic Spiegel lobectomy in a patient with 6-cm hepatocellular carcinoma (HCC) using a novel approach. A 63-year-old man with a caudate lobe HCC was referred to our hospital. Computed tomography showed a 5 × 6 cm The operation time was 383 min. The blood loss was 10 mL. The patient was discharged on the seventh postoperative day without any complications. Histopathological examination revealed well-differentiated HCC with a negative surgical margin. Laparoscopic medial-to-lateral approach with initial parenchymal transection at the medial side of the Spiegel lobe followed by dissection of the left lateral side of the IVC is considered as a safe and effective procedure for large tumors in the Spiegel lobe.
Sections du résumé
BACKGROUND
BACKGROUND
Laparoscopic caudate lobe resection is a challenging procedure. Several researchers have reported the safety of laparoscopic liver resections;1.Transl Gastroenterol Hepatol. 1:56;2.Asian J Endosc Surg. 12:232-236;3.Ann Surg Oncol. 26:2980; however, a standardized procedure has not yet been established. Herein, we present a video showing laparoscopic Spiegel lobectomy in a patient with 6-cm hepatocellular carcinoma (HCC) using a novel approach.
PATIENT AND METHODS
METHODS
A 63-year-old man with a caudate lobe HCC was referred to our hospital. Computed tomography showed a 5 × 6 cm
RESULTS
RESULTS
The operation time was 383 min. The blood loss was 10 mL. The patient was discharged on the seventh postoperative day without any complications. Histopathological examination revealed well-differentiated HCC with a negative surgical margin.
CONCLUSIONS
CONCLUSIONS
Laparoscopic medial-to-lateral approach with initial parenchymal transection at the medial side of the Spiegel lobe followed by dissection of the left lateral side of the IVC is considered as a safe and effective procedure for large tumors in the Spiegel lobe.
Identifiants
pubmed: 36284055
doi: 10.1245/s10434-022-12667-x
pii: 10.1245/s10434-022-12667-x
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
381-382Informations de copyright
© 2022. Society of Surgical Oncology.
Références
Cheung TT. Technical notes on pure laparoscopic isolated caudate lobectomy for patient with liver cancer. Transl Gastroenterol Hepatol. 2016;1:56.
doi: 10.21037/tgh.2016.06.06
Hayami S, Ueno M, Kawai M, et al. Standardization of surgical procedures for laparoscopic Spiegel lobectomy: a single-institutional experience. Asian J Endosc Surg. 2019;12:232–6.
doi: 10.1111/ases.12609
Liu F, Wei Y, Li B. Laparoscopic isolated total caudate lobectomy for hepatocellular carcinoma located in the paracaval portion of the cirrhotic liver. Ann Surg Oncol. 2019;26:2980.
doi: 10.1245/s10434-019-07461-1