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Updated: Jun 10, 2026
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Laparoscopic Left Hemihepatectomy Combined with Caudate Lobe Resection
Published on: April 11, 2025
Caudate lobe hepatocellular carcinoma treated with selective chemoembolization.
Hyo-Cheol Kim1, Jin Wook Chung, Hwan Jun Jae
1Department of Radiology, Seoul National University College of Medicine; Institute of Radiation Medicine; Seoul National University Medical Research Center, Seoul, Korea.
Radiology
|August 11, 2010
Summary
Selective chemoembolization of the caudate artery improves survival outcomes for patients with caudate lobe hepatocellular carcinoma (HCC). This minimally invasive procedure is a critical factor in achieving longer overall survival and progression-free survival for HCC patients.
Area of Science:
- Interventional Radiology
- Hepatobiliary Oncology
- Medical Imaging
Background:
- Hepatocellular carcinoma (HCC) is a primary liver malignancy.
- The caudate lobe presents unique anatomical challenges for treatment.
- Solitary caudate lobe HCC requires specific therapeutic strategies.
Purpose of the Study:
- To evaluate the clinical outcomes of chemoembolization for solitary caudate lobe HCC.
- To determine the efficacy of selective chemoembolization via the caudate artery.
Main Methods:
- Retrospective analysis of 40 patients with solitary caudate lobe HCC treated with chemoembolization.
- Assessment of overall survival and progression-free survival.
- Multivariate analysis using Cox proportional hazard model for prognostic factors.
Main Results:
- Selective chemoembolization via the caudate artery was successful in 85% of patients.
- Five-year overall survival rate was 56%.
- Selective chemoembolization of the caudate artery was significantly associated with improved overall and progression-free survival.
Conclusions:
- Selective chemoembolization is a feasible and effective treatment for caudate lobe HCC.
- The procedure is a critical factor for enhanced survival in these patients.
- Portal vein tumor thrombosis and multiple feeding vessels negatively impact survival.
