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Japanese

Pure laparoscopic partial caudate hepatectomy for hepatocellular carcinoma Katsuhiko ITO 1 , Eisuke KONDO 1 , Koya YOKOYAMA 1 , Kimio SHIMIZU 1 1Department of Surgery, Narita Red Cross Hospital Keyword: 肝細胞癌 , 尾状葉切除 , 腹腔鏡下肝切除 pp.263-268
Published Date 2014/5/15
DOI https://doi.org/10.11477/mf.4426101091
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A 75-year-old man repeatedly underwent trans-arterial chemoembolization therapy and radiofrequency ablation therapy for hepatocellular carcinoma. He was admitted to our department because of hepatocellular carcinoma of S1 lesion. We performed pure laparoscopic partial caudate hepatectomy for the tumor. The operation time was 3 hour 2 minutes and total blood loss was 190ml. The postoperative course was uneventful and the patient was discharged on the 7 postoperative day. Laparoscopic hepatectomy for hepatocellular carcinoma arising from the caudate lobe is a surgical challenge. The deeply located tumors close to the major vessels render isolated caudate lobectomy difficult. The intrinsic illumination magnified view of the video image system offers better exposure of the lesion in the area, making resection possible even for lesion that is close to vena cava. In selected patients, laparoscopic hepatectomy for caudate lesions is feasible.


Copyright © 2014, 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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