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Isolated caudate lobectomy: Left-sided approach. Case reports.

Orlando Jorge M Torres¹, Rodrigo Rodrigues Vasques¹, Ozimo Pereira Gama-Filho¹

¹Division of Hepato-pancreatobiliary Surgery, Department of Gastrointestinal Surgery, Federal University of Maranhão, São Luiz, MA, Brazil.

International Journal of Surgery Case Reports

|July 18, 2017

Summary

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Isolated caudate lobectomy using a left-sided approach is a safe and feasible procedure for large tumors. This technique allows for effective tumor resection while preserving liver function, even for lesions exceeding five centimeters.

Area of Science:

Hepatobiliary Surgery
Surgical Oncology
Liver Anatomy

Background:

The caudate lobe presents unique surgical challenges due to its complex anatomy.
Resection of caudate lobe tumors traditionally required specialized approaches.
The left-sided approach has evolved for resecting larger tumors in this region.

Purpose of the Study:

To present three cases of isolated caudate lobectomy using a left-sided approach.
To evaluate the safety and feasibility of this technique for various tumor types.
To demonstrate the efficacy of the left-sided approach for tumors larger than five centimeters.

Main Methods:

Modified Makuuchi incision was utilized in all three cases.
Early control of short hepatic and portal veins was performed before hepatectomy.

Keywords:

Caudate Caudate lobectomy Left-sided approach Spiegel lobe Tumor

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Resection was performed for metastatic colorectal cancer, hepatocellular carcinoma, and neuroendocrine tumor metastasis.

Main Results:

All three patients underwent successful isolated caudate lobectomy.
Operative times ranged from 200 to 270 minutes.
No blood transfusions or postoperative complications were recorded, with short hospital stays (5-11 days).

Conclusions:

Isolated caudate lobectomy via a left-sided approach is a safe and feasible surgical option.
This technique is effective even for large caudate lobe tumors ( > 5 cm).
Parenchymal preservation is crucial in liver resections to prevent complications.