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Laparoscopic Caudate Hepatectomy for Cancer—An Innovative Approach to the No-Man’s Land

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Journal of Gastrointestinal Surgery Aims and scope

Abstract

Background

Caudate hepatectomy remains a surgical challenge in spite of recent advances in laparoscopic technique. Hepatic tumor in the caudate lobe is usually deeply located in the center of the liver and close to the vena cava and hepatic hilum. Thus, lesion in this region was considered as a contraindication of laparoscopic hepatectomy. Only sporadic reports could be found in the literature. The aim of this study is to review the safety and feasibility of laparoscopic hepatectomy for lesions in the caudate lobe.

Methods

Nine consecutive patients with caudate hepatic tumor received laparoscopic caudate hepatectomy in our institute from February 2006 to July 2010. One patient with hepatic adenoma was excluded from the analysis. Demographic data, intraoperative parameters, and postoperative outcomes of the remaining eight patients were assessed.

Results

All procedure for these eight patients with caudate hepatic tumors (size 0.9–4.5 cm) were completed with totally laparoscopic technique except one in which additional left hepatectomy was also done. The average operative time was 254 min (range 210–345 min) and estimated blood loss was 202 ml (range 10–1,000 ml), and average length of postoperative hospital stay was 6.9 days (range 4–11 days). There was no perioperative complications and patient mortality in this series.

Conclusions

Our experience demonstrated that laparoscopic hepatectomy is a safe and feasible procedure for caudate hepatic tumors in selected patients.

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Conflict of Interest

The authors listed have no conflicts of interest or financial ties to disclose.

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Authors and Affiliations

  1. Department of Surgery, Far Eastern Memorial Hospital, 220, 21, Sec. 2, Nan-Ya S. Road, Ban Ciao, Taipei, Taiwan

    Kuo-Hsin Chen, Kuo-Shyang Jeng & Shih-Horng Huang

  2. Cardiovascular Center, Far Eastern Memorial Hospital, 220, 21, Sec. 2, Nan-Ya S. Road, Ban Ciao, Taipei, Taiwan

    Shu-Hsun Chu

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  1. Kuo-Hsin Chen
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  2. Kuo-Shyang Jeng
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  3. Shih-Horng Huang
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Correspondence to Shu-Hsun Chu.

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Chen, KH., Jeng, KS., Huang, SH. et al. Laparoscopic Caudate Hepatectomy for Cancer—An Innovative Approach to the No-Man’s Land. J Gastrointest Surg 17, 522–526 (2013). https://doi.org/10.1007/s11605-012-2115-z

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  • DOI: https://doi.org/10.1007/s11605-012-2115-z

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