Total Laparoscopic Liver Resection for a Metastatic Lesion Located in the Caudate Lobe.
- Author:
Yoo Seok YOON
1
;
Ho Seong HAN
;
Sang Hyun SHIN
;
Jai Young CHO
;
Jin Young JANG
;
Kyung Suk SUH
;
Sun Whe KIM
;
Kuhn Uk LEE
;
Yong Hyun PARK
Author Information
1. Department of Surgery, Seoul National University College of Medicine, Seoul, Korea. hanhs@snubh.org
- Publication Type:Case Report
- Keywords:
Laparoscopy;
Hepatectomy;
Caudate lobectomy
- MeSH:
Hepatectomy;
Humans;
Laparoscopy;
Liver*;
Male;
Middle Aged;
Neoplasm Metastasis;
Operative Time;
Surgical Instruments;
Surgical Procedures, Operative
- From:Journal of the Korean Surgical Society
2007;73(4):340-343
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Isolated resection of the caudate lobe of the liver is a technically demanding operation because of its unique anatomical location. Moreover the laparoscopic approach for this operative procedure has been rarely attempted. We report on a total laparoscopic liver resection of the caudate lobe including Spiegel lobe and most of paracaval portion that was performed in a 63-year-old male with a colorectal liver metastasis. The operative procedure was performed using five trocars with the patient placed in the lithotomy position. The operative time was 170 minutes. Blood loss was 350 ml and no perioperaive transfusion was needed. The patient was discharged on postoperative day 4 without any significant complications. This case shows that total laparoscopic liver resection of the caudate lobe is a feasible operation and that laparoscopic approach may be a useful option for the lesion located in Spiegel lobe in selected cases.
