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Updated: Aug 22, 2026

Application of the En Bloc Concept Combined with Anatomic Resection in Laparoscopic Hepatectomy
Published on: March 10, 2023
Surgical approach to liver metastasis with hepatic hilar invasion
Masami Minagawa1, Masatoshi Makuuchi, Tadatoshi Takayama
1Department of Hepato-Biliary-Pancreatic Surgery, Graduate School of Medicine, University of Tokyo, Japan. minagawa-thy@umin.ac.jp
Abstract:
We present a surgical procedure for liver metastases with hepatic hilar invasion, which was originally developed for hilar bile duct cancer. A 64-year-old man with 8 metastatic nodules from colon cancer and hepatic hilar invasion received this technique, and lived for more than 5 years without any restriction in his life. The authors recommend this procedure for those patients in order to preserve their quality of life.
