Precision right hemihepatectomy combined with caudate lobectomy for the treatment of huge carcinoma in the caudate lobe
10.3760/cma.j.issn.1673-9752.2014.09.012
- VernacularTitle:精准右半肝联合尾状叶肿瘤切除术治疗肝尾状叶巨大肿瘤
- Author:
Guangyao LI
;
Weidong JIA
;
Yongsheng GE
;
Geliang XU
;
Jinliang MA
;
Wenbin LIU
;
Jianyu ZHU
- Publication Type:Journal Article
- Keywords:
Liver neoplasms;
Precision hepatectomy;
Three dimensional reconstruction;
Caudate lobe
- From:
Chinese Journal of Digestive Surgery
2014;13(9):726-729
- CountryChina
- Language:Chinese
-
Abstract:
Hepatectomy for huge hepatocellular carcinoma (HCC) is difficult due to its huge size and the compression and invasion to the surrounding tissues as well as the important vascular systems.Surgical resection of huge carcinoma in the caudate lobe is a big challenge for hepatobiliary surgeons because of its special location and complex anatomical structure.As the improvement of surgical techniques in recent years,especially the promotion of the concept of precision liver surgery,many surgeons begin to take the challenge of resection of huge HCC in the caudate lobe in a variety of ways.In April 2014,a male patient aged 58 years with huge HCC in the caudate lobe was admitted to the Anhui Provincial Hospital.Precision right hemihepatectomy combined with caudate lobectomy was performed on this patient without occlusion of the hepatic inflow,and the efficacy was satisfactory.The key techniques involved in this procedure were discussed in this article.
