Laparoscopic Right Hemihepatectomy for Hepatocellular Carcinoma View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2010-08

AUTHORS

Ho-Seong Han, Yoo-Seok Yoon, Jai Young Cho, Keun Soo Ahn

ABSTRACT

BACKGROUND: Although laparoscopic liver resection has been widely adopted, laparoscopic right hepatectomy remains a challenging procedure. This video shows the relevant technical maneuvers in each step of a total laparoscopic right hepatectomy. PATIENTS AND METHODS: A 47-year-old man was admitted for evaluation of an incidental hepatic mass noted on a health screening test. Two months ago, transarterical chemoembolization was performed for a 3.5-cm hepatocellular carcinoma (HCC), which was located in S7-8; a follow-up abdominal computed tomography (CT) revealed incomplete necrosis of the HCC. The laboratory studies were positive for hepatitis B viral markers and a normal level of alpha-fetoprotein level. The preoperative liver function was Child-Pugh class A. A laparoscopic right hemihepatectomy was performed for this lesion. An anatomic resection of the right liver was possible with selective control of a Glissonian pedicle to the right liver. RESULTS: The operating time was 305 min. The estimated intraoperative blood loss was approximately 300 ml; an intraoperative transfusion was not necessary. The postoperative pathology confirmed a 3.5 x 2.8 x 2.7 cm HCC with safe margins. The patient was discharged on the 9th postoperative day without any postoperative complications. CONCLUSION: A laparoscopic right hepatectomy is feasible for patients with HCC, although the operative technique is still demanding. More... »

PAGES

2090-2091

References to SciGraph publications

  • 2009-07. Techniques for performing laparoscopic liver resection in various hepatic locations in JOURNAL OF HEPATO-BILIARY-PANCREATIC SCIENCES
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1245/s10434-010-1066-4

    DOI

    http://dx.doi.org/10.1245/s10434-010-1066-4

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1022470448

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/20397056


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