Retrograde caudate lobectomy combined with right hemi-hepatectomy

VernacularTitle:逆行右半肝联合全尾状叶肿瘤切除术
Author: Zhenguang WANG ; Siyuan FU ; Weiping ZHOU ; Mengchao WU
Publication Type:Journal Article
Keywords: Hepatic neoplasms,caudate lobe; Hepatic resection,retrograde
From: Chinese Journal of Digestive Surgery 2013;12(9):655-658
CountryChina
Language:Chinese
Abstract: Retrograde caudate lobectomy is a proper technique to resect the tumor in caudate lobe when the tumor is too big or closely adherent to the inferior vena cava.A male patient aged 44 years was admitted to the Eastern Hepatobiliary Surgery Hospital in November 2007.The ligaments around the liver were firstly dissected to mobilize the whole liver,and the right hepatic pedicle was dissected and ligated,then the liver was splited anteriorly along the Cantlie's line.The tumor was opposed in the sight and then it was dissected from the liver parenchyma.The short hepatic veins were ligated and the tumor was detached from the inferior vena cava.The inflow blood was occluded for 19 minutes,and the total blood loss was 4500 ml.The technique of retrograde caudate lobectomy can improve the success rate and safety of caudate lobectomy when the tumor in the caudate lobe is too large or adherent to the inferior vena cava.