Totally laparoscopic hepatectomy for hepatic caudate lobe tumors
10.3670.cma.j.issn.1007-631X.2019.11.004
- VernacularTitle: 腹腔镜肝尾状叶肿瘤切除的临床分析
- Author:
Xuemin LI
1
;
Cang LI
1
;
Junfeng CHEN
1
;
Shian YU
1
Author Information
1. Department of Hepatopancreatobiliary Surgery, Jinhua Municipal Central Hospital, Jinhua 321000, China
- Publication Type:Journal Article
- Keywords:
Liver neoplasms;
Hepatectomy;
Laparoscopes
- From:
Chinese Journal of General Surgery
2019;34(11):925-927
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the safety and feasibility of laparoscopic resection of hepatic caudate lobe tumor.
Methods:The clinical data of six patients who underwent laparoscopic hepatic caudate lobe tumor resection in Jinhua Municipal Central Hospital were retrospectively analyzed.
Results:Laparoscopic procedures were successful in all the 6 patients. Four patients underwent partial caudate lobe resection, 1 patient did combined left hemihepatectomy with partial caudate lobe resection, and 1 patient underwent combined left lateral lobectomy.The operation time ranged from 130 to 240 minutes with a mean of 190 minutes.The intraoperative blood loss ranged from 60 to 480 ml with a mean of 185 ml. Postoperative bile leakage occured in 1 case. The primary diseases were hepatic haemangioma (n=4) and hepatocellular carcinoma(n=2), margin negtiveness achieved. The follow-up period was from 4 to 48 months, the patients recovered well and no recurrence was found.
Conclusions:Laparoscopic resection of hepatic caudate lobe tumor was safe and feasible in appropriately selected patients with skilled laparoscopic techniques.
