Totally laparoscopic hepatectomy for hepatic caudate lobe tumors / 中华普通外科杂志

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 eaudate 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.