Transhepatic approach for a small paracaval tumor in repeat resection

Area of Science:

• Hepatobiliary Surgery
• Surgical Oncology
• Minimally Invasive Procedures

Background:

• Resection of small liver tumors in the paracaval portion presents surgical challenges.
• Traditional approaches like caudate lobectomy can lead to increased operative time and blood loss, especially in repeat surgeries.
• Minimizing liver parenchymal resection is crucial for patients with compromised liver function.

Observation:

• Transhepatic enucleation involves tumor removal along the main portal fissure, avoiding extensive dissection around the liver and vena cava.
• This technique was specifically applied for resecting a small tumor in the paracaval portion of the liver.
• The procedure focuses on precise tumor removal while preserving surrounding liver tissue.

Findings:

• Transhepatic enucleation significantly reduces dissection near the liver and vena cava compared to caudate lobectomy.
• The technique minimizes the volume of liver parenchyma resected.
• It offers a viable alternative for managing small paracaval liver tumors.

Implications:

• Transhepatic enucleation is a safe and recommendable surgical option for small paracaval tumors.
• This approach is particularly beneficial in repeat resection scenarios and for patients with poor liver functional reserve.
• It contributes to improved patient outcomes by reducing surgical trauma and preserving liver function.