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Laparoscopic Caudal Approach of the Inferior Vena Cava for Isolated Segment 1 Liver Resection
Jaume Tur-Martínez1, Èric Herrero-Fonollosa2, María Isabel García-Domingo2
1Hepatobiliary and Pancreatic Surgery Unit, Hospital Universitari Mútua Terrassa, Plaça Dr. Robert, 5, 08221, Terrassa (Barcelona), Spain. jaume.tur.martinez@gmail.com.
Journal of Gastrointestinal Cancer
|July 12, 2021
Summary
Laparoscopic resection of the hepatic caudate lobe (segment 1) is complex. This study details a safe caudal approach for this challenging liver surgery in selected patients.
Area of Science:
- Hepatobiliary surgery
- Minimally invasive surgical techniques
- Oncology
Background:
- Laparoscopic resection of the hepatic caudate lobe (segment 1) is technically demanding.
- Limited literature exists on the laparoscopic caudal approach for segment 1 resection.
- This paper aims to elucidate the key technical aspects of this procedure.
Observation:
- A 64-year-old woman with a history of breast cancer presented with a single 18-mm liver metastasis in segment 1.
- Advanced imaging (MRI, CT, PET) confirmed isolated metastatic disease.
- The patient underwent isolated laparoscopic resection of segment 1 using a caudal approach.
Findings:
- The procedure involved a caudal approach to the inferior vena cava for segment 1 resection.
- Surgery duration was 120 minutes with less than 100 ml blood loss.
- No postoperative complications occurred, and the patient was discharged on postoperative day 3.
Implications:
- Laparoscopic resection of segment 1 with a caudal approach is a safe and feasible technique for selected patients.
- This complex procedure requires specialized expertise in liver surgery and advanced laparoscopy.
- Successful implementation can lead to improved patient outcomes and reduced morbidity.
