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Published on: April 11, 2025
Right hepatic lobectomy with thoracotomy: a description (with video)
1Department of Gastroenterological Surgery, Dokkyo Medical University, 880 Kitakobayashi, Mibu, Tochigi, 321-0283, Japan. kubotak@dokkyomed.ac.jp
Journal of Hepato-Biliary-Pancreatic Sciences
|September 22, 2011
Summary
Right hepatic lobectomy (RHL) with thoracotomy provides a safer approach for liver resections, especially for large or diaphragm-invading tumors. This thoraco-abdominal technique shows no increase in patient morbidity or mortality.
Area of Science:
- Hepatobiliary Surgery
- Surgical Oncology
- Thoracic Surgery
Background:
- Right hepatic lobectomy (RHL) is a complex liver surgery.
- Thoracotomy can potentially improve surgical access.
Purpose of the Study:
- To detail the surgical techniques for RHL utilizing a thoracotomy approach.
- To evaluate the outcomes and safety of RHL with thoracotomy.
Main Methods:
- The procedure involves laparotomy, thoracotomy, cholecystectomy, and division of hepatic vessels and ducts.
- Thoracotomy facilitates enhanced retraction and operative field visualization.
Main Results:
- 62 patients underwent RHL; 55 with thoracotomy between 2000-2011.
- No significant differences in age, blood loss, or morbidity were observed.
- No postoperative mortality occurred in either group.
Conclusions:
- RHL with thoracotomy, despite longer operation times, offers increased safety.
- This approach is particularly beneficial for massive tumors or those invading the diaphragm.
- The thoraco-abdominal approach does not elevate morbidity or mortality rates.
