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Caudate resection for primary and metastatic liver tumors

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Summary

Background

Surgical procedures involving the caudate lobe of the liver are characterized as the most demanding operations in liver surgery.

Methods

Liver resections including the caudate lobe performed at our institution by one senior hepatobiliary surgeon in a 2-year period were reviewed for the purposes of this study. Indications comprised primary and metastatic liver lesions.

Results

In a total of 60 hepatectomies, 12 patients underwent caudate lobe resection (20%). This was either isolated resection of segment I (n = 3) or combined with right, left, extended left hepatectomy or atypical resections in one, three, one, and four instances, respectively. Vascular resections/reconstructions were necessary in six cases (three cases each for portal vein and vena cava). All but one patient were directly extubated. Median hospital stay was 10.5 days. Surgical complications were classified as Dindo–Clavien grades I (n = 4), II (n = 4), IIIa (n = 1), IIIb (n = 2), and IV (n = 1).

Conclusion

Surgery for tumors located in the caudate lobe is feasible and can be safely performed by experienced teams.

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Authors and Affiliations

  1. 2nd Department of Propaedeutic Surgery, National and Kapodistrian University of Athens, Medical School, General Hospital Laiko, Ag. Thoma 17, 11527, Athens, Greece

    Georgios C. Sotiropoulos PhD, FACS, FEBS, Petros Charalampoudis, Paraskevas Stamopoulos, Nikolaos Machairas, Eleftherios D. Spartalis, Stylianos Kykalos & Gregory Kouraklis

Authors
  1. Georgios C. Sotiropoulos PhD, FACS, FEBS
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  2. Petros Charalampoudis
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  3. Paraskevas Stamopoulos
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  4. Nikolaos Machairas
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  5. Eleftherios D. Spartalis
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  6. Stylianos Kykalos
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  7. Gregory Kouraklis
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Corresponding author

Correspondence to Georgios C. Sotiropoulos PhD, FACS, FEBS.

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Conflict of interest

G.C. Sotiropoulos, P. Charalampoudis, P. Stamopoulos, N. Machairas, E.D. Spartalis, S. Kykalos, and G. Kouraklis declare that they have no competing interests.

Ethical standards

All procedures performed in the current study were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Sotiropoulos, G.C., Charalampoudis, P., Stamopoulos, P. et al. Caudate resection for primary and metastatic liver tumors. Eur Surg 49, 132–139 (2017). https://doi.org/10.1007/s10353-017-0466-0

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  • DOI: https://doi.org/10.1007/s10353-017-0466-0

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