Single port laparoscopic liver resection in a patient with hepatocellular carcinoma : a case report Yukio IWASHITA 1 , Masayuki OHTA 1 , Takuro FUTSUKAICHI 1 , Kazuhiro YADA 1 , Tadashi OGAWA 1 , Seigo KITANO 1 1Department of Gastroenterological Surgery, Oita University Faculty of Medicine Keyword: 単孔式腹腔鏡下手術 , 肝細胞癌 , 腹腔鏡下肝切除 , 単孔式腹腔鏡下肝切除 pp.514-518
Published Date 2011/8/15
DOI https://doi.org/10.11477/mf.4426100669
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 We report our experience of a single port laparoscopic hepatic resection (SP-LHR) in a 71-year-old woman with a single 16 mm hepatocellular carcinoma (HCC), who had undergone percutaneous radiofrequency ablation 2 years ago. A single 2.5cm incision was made in the supraumbilical area, and a SILSTM Port was inserted. A 5-mm flexible endoscope was used. Liver resection was performed using laparoscopic ultrasonic shears and a soft-coagulation device. All procedures were successfully performed without conversion to conventional laparoscopic technique. The operative time was 137 minutes and intraoperative blood loss was 120ml.

SP-LHR provides better cosmetic outcome and could be one of the useful therapeutic choices. However, this procedure should be performed by an experienced endoscopic surgeons and it should be limited to those patients whose tumor site is relatively easy to remove anatomically.

Copyright © 2011, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.


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