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Laparoscopic left hepatectomy for intrahepatic cholelithiasis Takashi SHIROBE 1 , Masashi TSURUTA 1 , Hironosuke MORITANI 1 , Tatsuro IMAI 1 1Department of Surgery,Tamakyuryo Hospital Keyword: 腹腔鏡下肝左葉切除 , 腹腔鏡下定型的肝切除 , 完全腹腔鏡下肝切除 pp.345-349
Published Date 2009/6/15
DOI https://doi.org/10.11477/mf.4426100348
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 Laparoscopic surgery for hepatic diseases has been gaining acceptance recently. Several reports of hepatic lobectomy have appeared in the literature. However, totally laparoscopic hepatectomy is still confined to either partial one or lateral segmentectomy since there are not enough data to indicate whether this procedure can be safely performed without the fear of massive bleeding or CO2-embolism.A 60-year-old male was admitted to our hospital for right upper abdominal pain and fever.ERCP revealed intrahepatic cholelithiasis.Totally laparoscopic left hepatic lobectomy was planned.Two surgical devices were introduced into the procedure : ultrasonic surgical aspirator for dividing the liver in deep layer and ultrasonic coagulation shears for hilar dissection, liver mobilization and parenchymal division in superficial layer.The operation was performed securely without any complication.The patient showed rapid postoperative recovery.Oral intake was started on 2 postoperative day(POD)and he was discharged on 8 POD.Totally laparoscopic left hepatic lobectomy should become a reasonable alternative for patients with resectable liver disease.However, further technical improvements are required in liver parenchymal division for patients with liver cirrhosis.


Copyright © 2009, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.

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電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

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