Laparoscopic Left Hemihepatectomy Combined with Caudate Lobe Resection

Area of Science:

• Hepatobiliary surgery
• Surgical oncology
• Minimally invasive procedures

Background:

• Intrahepatic cholangiocarcinoma (ICC) is a common liver malignancy.
• Radical surgical resection offers the best curative potential for ICC.
• Caudate lobe ICC presents unique surgical challenges due to its deep location and proximity to major vasculature.

Purpose of the Study:

• To present a surgical protocol for laparoscopic anatomic hepatectomy of the caudate lobe for ICC.
• To evaluate the safety and efficacy of this minimally invasive approach for caudate lobe ICC.

Main Methods:

• A case report of a 65-year-old male patient with caudate lobe ICC.
• Laparoscopic left hemihepatectomy combined with caudate lobe resection was performed.
• Postoperative pathological examination confirmed ICC with vascular tumor thrombus.

Main Results:

• Successful completion of laparoscopic left hemihepatectomy and caudate lobectomy.
• Achieved negative incision margins.
• Patient experienced no postoperative complications and was discharged on postoperative day 14.

Conclusions:

• Laparoscopic left hemihepatectomy combined with caudate lobectomy is a safe and feasible option for treating caudate lobe ICC.
• This minimally invasive technique can be performed without significantly increasing morbidity or mortality.
• Laparoscopic caudate lobe resection is a promising approach for radical treatment of ICC in this challenging location.