How far can we go with laparoscopic liver resection for hepatocellular carcinoma? Laparoscopic sectionectomy of the liver combined with the resection of the major hepatic vein main trunk

Zenichi Morise, Norihiko Kawabe, Hirokazu Tomishige, Hidetoshi Nagata, Jin Kawase, Satoshi Arakawa, Masashi Isetani

研究成果: ジャーナルへの寄稿学術論文査読

12 被引用数 (Scopus)

抄録

Although the reports of laparoscopic major liver resection are increasing, hepatocellular carcinomas (HCCs) close to the liver hilum and/or major hepatic veins are still considered contraindications. There is virtually no report of laparoscopic liver resection (LLR) for HCC which involves the main trunk of major hepatic veins. We present our method for the procedure. We experienced 6 cases: 3 right anterior, 2 left medial, and 1 right posterior extended sectionectomies with major hepatic vein resection; tumor sizes are within 40-75 (median: 60) mm. The operating time, intraoperative blood loss, and postoperative hospital stay are within 341-603 (median: 434) min, 100-750 (300) ml, and 8-44 (18) days. There was no mortality and 1 patient developed postoperative pleural effusion. For these procedures, we propose that the steps listed below are useful, taking advantages of the laparoscopy-specific view. (1) The Glissonian pedicle of the section is encircled and clamped. (2) Liver transection on the ischemic line is performed in the caudal to cranial direction. (3) During transection, the clamped Glissonian pedicle and the peripheral part of hepatic vein are divided. (4) The root of hepatic vein is divided in the good view from caudal and dorsal direction.

本文言語英語
論文番号960752
ジャーナルBioMed Research International
2015
DOI
出版ステータス出版済み - 2015

All Science Journal Classification (ASJC) codes

  • 生化学、遺伝学、分子生物学一般
  • 免疫学および微生物学一般

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