Resection of right or total hepatic caudate lobe including paracaval portion / 中华外科杂志

ABSTRACT

<p><b>OBJECTIVES</b>To evaluate the surgical techniques and feasibility for resecting the hepatic caudate lobe including the paracaval portion.</p><p><b>METHODS</b>Right posterior approach for right caudate lobectomy and left lateral approach for total caudate lobectomy were taken with or without some kinds of preparatory segmentectomies.</p><p><b>RESULTS</b>Seven right and 6 total caudate lobectomies, all including paracaval portion, ware accomplished without operative death. The mean intraoperative blood loss was 896.15 (250 - 2 000) ml and the mean portal triad clamping time was 25.4 (10 - 83) min. The postoperative course was uneventful for all the cases, and the mean hospital stay was 12 (9 - 22) days.</p><p><b>CONCLUSIONS</b>Although being complicated anatomically, resection of the hepatic caudate lobe including the paracaval portion is feasible with a high safety.</p>