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 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.