Related Experiment Video
Updated: May 1, 2026
Laparoscopic Left Hemihepatectomy Combined with Caudate Lobe Resection
Published on: April 11, 2025
Totally laparoscopic caudate lobe resection: technical aspects and literature review
Enrico Gringeri1, Riccardo Boetto, Domenico Bassi
1*General Surgery and Organ Transplantation, Hepatobiliary Surgery and Liver Transplant Unit †Department of Anesthesiology, Azienda Università di Padova, Padova ‡Department of Surgery, HPB and Advanced Minimally Invasive Surgery, Policlinico di Abano Terme, Italy.
Abstract:
The particular anatomic location of the hepatic caudate lobe between the hilar plate and inferior vena cava means that it is still considered unsuitable for laparoscopic measures and a difficult site even for conventional surgery. Here we describe the first case to be reported in the literature of caudate lobe resection for a single metastasis from breast adenocarcinoma that was completed using an exclusively laparoscopic procedure and a simplified scheme involving the placement of 4 trocars, without any need for conversion or the Pringle maneuver. The patient was 31 years old with a history of radical right mastectomy and chemotherapy. The patient's postoperative course was uneventful and she was discharged 4 days after the surgery. Twelve months on, she is currently alive and disease free.
