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Related Experiment Video

Updated: Jun 27, 2025

Laparoscopic Left Hemihepatectomy Combined with Caudate Lobe Resection
07:22

Laparoscopic Left Hemihepatectomy Combined with Caudate Lobe Resection

Published on: April 11, 2025

134

Strategies to Perform Emergency Laparoscopic Partial Liver Resection for Ruptured Hepatocellular Carcinoma.

Masashi Tsunematsu1,2, Shinji Onda3,2, Yoshihiro Shirai3,2

  • 1Department of Digestive Surgery, Saku Central Hospital Advanced Care Center, Nagano, Japan; tsunematsu@jikei.ac.jp.

Anticancer Research
|April 27, 2024
PubMed
Summary

Emergency laparoscopic partial liver resection offers a viable option for ruptured hepatocellular carcinoma (HCC) in select patients. This minimally invasive approach, utilizing specific surgical techniques, demonstrated successful outcomes in a small case series.

Keywords:
Emergency operationhepatocellular carcinomalaparoscopic partial liver resectionrupture

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Area of Science:

  • Hepatobiliary Surgery
  • Minimally Invasive Procedures
  • Oncology

Background:

  • Ruptured hepatocellular carcinoma (HCC) presents significant surgical challenges.
  • Laparoscopic hepatic resection is technically demanding for ruptured HCC.

Purpose of the Study:

  • To develop and implement surgical strategies for emergency laparoscopic partial liver resection.
  • To evaluate the feasibility of this approach in hemodynamically stable patients with peripheral HCC lesions and without severe liver dysfunction.

Main Methods:

  • Pringle maneuver for hepatic inflow control.
  • Application of hemostatic agents at the tumor rupture site.
  • Use of hanging tape for dissection and control of partial blood flow.
  • Performed on three hemodynamically stable patients in pre-shock status.

Main Results:

  • Successful control of bleeding from ruptured HCC using hemostatic products.
  • Hanging tape facilitated liver parenchyma dissection.
  • Operative times ranged from 135 to 266 minutes with blood loss between 200 and 495 ml.
  • No in-hospital deaths were recorded.

Conclusions:

  • Emergency laparoscopic partial liver resection is a potential treatment option for ruptured HCC.
  • The described surgical techniques are effective in managing bleeding and facilitating dissection.