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Laparoscopic Left Hemihepatectomy Combined with Caudate Lobe Resection
Published on: April 11, 2025
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Laparoscopic Total Caudate Lobectomy for Hepatocellular Carcinoma
Kit-Man Ho1,2, Ho-Seong Han1, Yoo-Seok Yoon1
11 Department of Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine , Seongnam-si, Korea.
Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
|November 18, 2016
Summary
Laparoscopic total caudate lobectomy is a safe and feasible procedure for selected patients with liver cancer. This technically demanding surgery requires experienced hepatobiliary surgeons for optimal outcomes.
Area of Science:
- Hepatobiliary Surgery
- Minimally Invasive Procedures
- Oncology
Background:
- The caudate lobe, located deep in the liver, presents surgical challenges due to its proximity to the inferior vena cava (IVC) and hepatic veins.
- Torrential bleeding is a significant risk during caudate lobe dissection.
- Isolated total caudate lobe resection is infrequently performed and technically demanding.
Observation:
- A 61-year-old female patient with recurrent hepatocellular carcinoma in segment I (S1) of the liver was evaluated.
- Previous treatment included open cholecystectomy and tumorectomy of segments 6 and 8.
- Imaging confirmed a 1 cm arterial enhancing lesion in S1 without other recurrence foci.
Findings:
- Laparoscopic total caudate lobectomy was successfully performed.
- The procedure took 270 minutes with 200 mL blood loss.
- The patient was discharged on postoperative day 4 with no complications.
Implications:
- Laparoscopic total caudate lobectomy is a safe and feasible option for carefully selected patients.
- This procedure requires advanced laparoscopic skills and should be performed by experienced hepatobiliary surgeons.
- Minimally invasive approaches can be beneficial for complex liver resections.
