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Updated: Jul 20, 2025
Application of the En Bloc Concept Combined with Anatomic Resection in Laparoscopic Hepatectomy
Published on: March 10, 2023
Different Approaches of Laparoscopic Mesohepatectomy for Centrally Located Hepatocellular Carcinomas
Chu Hongpeng1, Wang Guannan, Pan Shangfei
1Department of Hepatobiliary Surgery, The First Affiliated Hospital of Wannan Medical College, Wuhu, China.
Background:
This study aimed to describe a simple and novel positional classification system for centrally located hepatocellular carcinoma (CL-HCC), based on which different surgical approaches for laparoscopic mesohepatectomy (LMH) were chosen.
Materials And Methods:
The data of patients with CL-HCC who underwent LMH between January 2017 and December 2021 were retrospectively analyzed. The positional classification method was used to locate tumors. In addition, different approaches were used during the surgery according to the classification type.
Results:
All 98 patients underwent LMH, of whom 4 were converted to open surgery. Types I, Ⅱ, and Ⅲ were 24, 37, and 37, respectively. Blood transfusions were performed in only 7 patients, of which the amount was 800 (600, 900) mL. All the patients underwent R0 resection. The complication rate was 9.2% in all cases. No deaths occurred.
Conclusions:
Our proposed classification system and corresponding surgical approach in LMH is conducive to the successful completion of surgery.
