Laparoscopic Left Hepatectomy for Intrahepatic Cholangiocarcinoma.
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:
27 Jan 2024
27 Jan 2024
Historique:
received:
06
09
2023
accepted:
29
12
2023
medline:
28
1
2024
pubmed:
28
1
2024
entrez:
27
1
2024
Statut:
aheadofprint
Résumé
Minimally invasive surgery for intrahepatic cholangiocarcinoma (ICC) remains challenging, especially in advanced patients. A 66-year-old male was diagnosed with stage II ICC after a comprehensive evaluation and was scheduled for laparoscopic exploration and left hepatectomy. The pure laparoscopic left hepatectomy was completed in 240 min, employing a no-touch en bloc technique and lymphadenectomy skeletonization. The patient was discharged 6 days after the operation without any complications and received gemcitabine and cisplatin treatment postoperatively. There was no recurrence during 14 months of follow-up. Our experience demonstrates that when utilizing the no-touch en bloc technique, standardized lymphadenectomy through skeletonization, and effective control of bleeding, surgeons with extensive expertise in laparoscopic hepatectomy can achieve results comparable to open surgery.
Sections du résumé
BACKGROUND
BACKGROUND
Minimally invasive surgery for intrahepatic cholangiocarcinoma (ICC) remains challenging, especially in advanced patients.
PATIENT AND METHOD
METHODS
A 66-year-old male was diagnosed with stage II ICC after a comprehensive evaluation and was scheduled for laparoscopic exploration and left hepatectomy.
RESULTS
RESULTS
The pure laparoscopic left hepatectomy was completed in 240 min, employing a no-touch en bloc technique and lymphadenectomy skeletonization. The patient was discharged 6 days after the operation without any complications and received gemcitabine and cisplatin treatment postoperatively. There was no recurrence during 14 months of follow-up.
CONCLUSIONS
CONCLUSIONS
Our experience demonstrates that when utilizing the no-touch en bloc technique, standardized lymphadenectomy through skeletonization, and effective control of bleeding, surgeons with extensive expertise in laparoscopic hepatectomy can achieve results comparable to open surgery.
Identifiants
pubmed: 38280962
doi: 10.1245/s10434-024-14905-w
pii: 10.1245/s10434-024-14905-w
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Subventions
Organisme : 1.3.5 project for disciplines of excellence-Clinical Research Incubation Project, West China Hospital, Sichuan University
ID : 2021HXFH001
Organisme : National Natural Science Foundation of China for Young Scientists Fund
ID : 82203650
Organisme : National Natural Science Foundation of China for Young Scientists Fund
ID : 82203782
Organisme : The fellowship of China Postdoctoral Science Foundation
ID : 2021M692277
Organisme : Sichuan Science and Technology Program
ID : 2021YFS0100
Organisme : Natural Science Foundation of Sichuan Province
ID : 2022NSFSC0806
Organisme : 1.3.5 project for disciplines of excellence, West China Hospital, Sichuan University
ID : ZYJC21046
Organisme : Sichuan University-Sui Lin School-local Cooperation project
ID : 2022CDSN-18
Organisme : Sichuan University-Zigong School-local Cooperation project
ID : 2021CDZG-23
Organisme : Post-Doctor Research Project, West China Hospital, Sichuan University
ID : 2020HXBH127
Organisme : Science and Technology project of the Health planning committee of Sichuan
ID : 21PJ046
Informations de copyright
© 2024. Society of Surgical Oncology.
Références
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