Feasibility of laparoscopic isolated caudate lobe resection for rare hepatic mesenchymal neoplasms

Li, Yang; Zeng, Kaining; Ruan, Dan‐Yun; Yao, Jia; Yang, Yang; Chen, Guihua; Wang, Genshu

doi:10.12998/wjcc.v7.i20.3194

Cited by 7 publications

(4 citation statements)

References 15 publications

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“…A total of twenty studies including patients who underwent LCL met our inclusion criteria [ 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 ]. Three studies were excluded from our systematic review because they were lacking critical patient and procedure information [ 14 , 30 , 32 ].…”

Section: Resultsmentioning

confidence: 99%

Safety and Efficacy of Laparoscopic Caudate Lobectomy: A Systematic Review

Dorovinis

Machairas

Kykalos

et al. 2021

JCM

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Resection of the caudate lobe of the liver is considered a highly challenging type of liver resection due to the region’s intimacy with critical vascular structures and deep anatomic location inside the abdominal cavity. Laparoscopic resection of the caudate lobe is considered one of the most challenging laparoscopic liver procedures. The objective of our systematic review was to evaluate the safety, technical feasibility and main outcomes of laparoscopic caudate lobectomy LCL. A systematic review of the literature was undertaken for studies published until September 2021. A total of 20 studies comprising 221 patients were included. Of these subjects, 36% were women, whereas the vast majority of resections (66%) were performed for malignant tumors. Tumor size varied significantly between 2 and 160 mm in the largest diameter. The mean operative time was 210 min (range 60–740 min), and estimated blood loss was 173.6 mL (range 50–3600 mL). The median hospital length of stay LOS was 6.5 days (range 2–15 days). Seven cases of conversion to open were reported. The vast majority of patients (93.7%) underwent complete resection (R0) of their tumors. Thirty-six out of 221 patients developed postoperative complications, with 5.8% of all patients developing a major complication (Clavien–Dindo classification ≥ III).No perioperative deaths were reported by the included studies. LCL seems to be a safe and feasible alternative to open caudate lobectomy OCL in selected patients when undertaken in high-volume centers by experienced surgeons.

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Section: Resultsmentioning

confidence: 99%

Safety and Efficacy of Laparoscopic Caudate Lobectomy: A Systematic Review

Dorovinis

Machairas

Kykalos

et al. 2021

JCM

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“…Laparoscopic approach to caudate lobe resection LCL has been described in multicentre cohort studies, case series and case reports and our review reports a total of 193 patients (Table 3) [4][5][6][7][8][9][10][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35].…”

Section: Caudate Lobe Resection In Consensus Conferences Guidelines and DI Culty Score Systemsmentioning

confidence: 99%

“…Operative techniques and features LCL operative techniques and features have been described in multicentre cohort studies, case series and case reports (Table 5) [3][4][5][6][7][8][9][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36]. All the analysed cases have been carried out laparoscopically.…”

Section: Caudate Lobe Resection In Consensus Conferences Guidelines and DI Culty Score Systemsmentioning

confidence: 99%

Knowledge and Surgical Strategies for Successful Laparoscopic Caudate Lobectomy, a Comprehensive Literature Review

Anselmo¹,

Vinci²,

Siragusa³

et al. 2021

Preprint

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Laparoscopic approach in patients presenting caudate lobe lesions has always been considered prohibitive as technically demanding, so that the role of minimally invasive surgery for this posterior and deep location is still debated. Recently some studies presented cases of laparoscopic caudate lobectomy discussing how to manage technical challenges and providing excellent results. Innovative technologies for laparoscopic liver surgery are likely to improve the feasibility and reproducibility of laparoscopic liver resections in the near future especially for lesions located in the so called “difficult segments”.Still, laparoscopic caudate lobectomy remains unfamiliar to many surgeons and there are relatively few reports in the literature on this subject. For this reason, we conducted a comprehensive review of the literature to understand the safety and feasibility of LCL resections and discuss current and future perspectives.

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“…The following are available online at , Table S1: Published cases of primary liver PEComas. References [ 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 , 72 , 73 , 74 , 75 , 76 , 77 , 78 , 79 , ...…”

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Primary Liver Perivascular Epithelioid Cell Tumor (PEComa): Case Report and Literature Review

Kvietkauskas,

Samuolyte,

Rackauskas

et al. 2024

Medicina

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A primary liver perivascular epithelioid cell tumor (PEComa) is an extremely rare entity. In this article, we present a case report with a review of the literature on the patients diagnosed with primary liver PEComa and an elaboration of diagnostic and treatment modalities. A systematic literature search was conducted using the terms “perivascular epithelioid cell tumor”, “PEComa”, “liver”, and “hepatic”. All articles describing patients diagnosed with primary liver PEComa were included. We identified a total of 224 patients of primary liver PEComa from 75 articles and a case from the present study with a significant preponderance of females (ratio 4:1) and with a mean age of 45.3 ± 12.1 years. Most of the patients (114 out of 224, 50.9%) were asymptomatic. A total of 183 (81.3%) patients underwent surgical hepatic resection at the time of diagnosis, while 19 (8.4%) underwent surveillance. Recurrence and metastases were detected in seven (3.1%) and six (2.7%) patients, respectively. In conclusion, surgical resection remains the cornerstone of therapy; however, the presence of nonspecific imaging features makes it difficult to reach a definite diagnosis preoperatively. Therefore, a multidisciplinary approach should be the gold standard in selecting the treatment modality.

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Feasibility of laparoscopic isolated caudate lobe resection for rare hepatic mesenchymal neoplasms

Cited by 7 publications

References 15 publications

Safety and Efficacy of Laparoscopic Caudate Lobectomy: A Systematic Review

Safety and Efficacy of Laparoscopic Caudate Lobectomy: A Systematic Review

Knowledge and Surgical Strategies for Successful Laparoscopic Caudate Lobectomy, a Comprehensive Literature Review

Primary Liver Perivascular Epithelioid Cell Tumor (PEComa): Case Report and Literature Review

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