Morbidity and health-related quality of life after laparoscopic liver resection

Abstract

hepatobiliary surgeon in a 2-year period of time were reviewed for the purposes of this study. Indications comprised primary and metastatic liver lesions. Results: In a total of 60 hepatectomies, 12 patients underwent caudate resection (20%). This was either isolated resection of segment I (n=3) or combined with right, left, extended left hepatectomy or atypical resections in one, 3, one, and 4 instances, respectively. Vascular resections/reconstructions were necessary in 6 cases (3 cases each for portal vein and vena cava). All but one patient were directly extubated. Median hospital stay was 10.5 days. Surgical complications were classified as Dindo-Clavien Grades I (n=4), II (n=4), IIIa (n=1), IIIb (n=2) and IV (n=1), respectively. Conclusion: Surgery for tumors located in the caudate lobe constitutes a surgical challenge. Nevertheless caudate lobe resections are feasible and can be safely performed by experienced teams.