Technical notes on pure laparoscopic isolated caudate lobectomy for patient with liver cancer

Cheung, Tan To

doi:10.21037/tgh.2016.06.06

Cited by 23 publications

(7 citation statements)

References 13 publications

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“…Depending on the site and number of metastases, the segment 1 of the liver can be addressed by different sides [4]: by the left side of segment 1, which is the most common approach in laparoscopic liver resection, because there are more technical advantages [5]; by the posterior right approach, which is more often used in great tumors located in the right side of segment 1. Finally, exist a completely posterior approach, which is less used because its di culty.…”

Section: Discussionmentioning

confidence: 99%

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Laparoscopic Caudal Approach of the Inferior Vena Cava for Isolated Segment 1 Liver Resection

Tur-Martínez

Fonollosa

García-Domingo

et al. 2021

J Gastrointest Canc

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Isolated segment 1 laparoscopic liver resection is a very challenging procedure. Very few references are available about this laparoscopic technique, so the aim of this article is to show the main technical aspects of laparoscopic caudal approach for segment 1. Material and Methods:A 64 years old woman with a past medical history of a breast cancer previously operated (pT1N0M0, with positive hormonal receptors). Adjuvant treatment was done with radiotherapy and hormone-therapy (Tamoxifen). After 12 months of follow-up, a 18 mm single liver metastasis was detected in the segment 1, suggestive of metastatic disease. A complementary study was done with Magnetic Resonance Image, Computed Tomography and Positron Emission Tomography, without other lesions proven. Result:A laparoscopic resection of isolated liver segment 1 is performed with a caudal approach of the inferior vena cava. All the steps are carefully described. The surgery time was 120 minutes and the blood loss was less than 100 ml. No postoperative complications were registered. The patient was discharged on the third postoperative day. Conclusion:Liver 1 segment resection by laparoscopy with a caudal approach of the inferior vena cava is a secure technique in selected patients and it should be performed in experienced liver surgery and advanced laparoscopy centers, because of its high complexity.

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Section: Discussionmentioning

confidence: 99%

“…Isolated segment 1 laparoscopic liver resection is a very challenging procedure. Some few references are available about this laparoscopic technique [1][2][3][4][5], so the aim of this article is to show the main technical aspects of laparoscopic caudal approach for segment 1.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic Caudal Approach of the Inferior Vena Cava for Isolated Segment 1 Liver Resection

Tur-Martínez

Fonollosa

García-Domingo

et al. 2021

J Gastrointest Canc

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“…Surgery included partial or total caudate lobectomy. Partial caudate lobectomy was performed by resecting Spiegel's lobe or the caudate process only, each of which was easily identified intraoperatively [14]. In other previous research, total isolated caudate lobectomy was performed by approaching the caudate lobe from the right side of the liver, using the right posterior Glisson pedicle as the anterior border plane of the caudate lobe and reaching the dorsal plane by transecting the parenchyma between the MHV and RHV.…”

Section: Discussionmentioning

confidence: 99%

Can we delineate preoperatively the right and ventral margins of caudate lobe of the liver?

et al. 2019

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Purpose Complete removal of the caudate lobe, which is sometimes necessary, is accomplished via isolated caudate lobectomy or hepatectomy that includes the caudate lobe. It is impossible, however, to confirm the right and ventral margins of the caudate lobe by preoperative imaging. This study was undertaken to determine whether we could identify the right and ventral margins of the caudate lobe preoperatively using Synapse 3D visualization software. Methods Ninety-four preoperative 3-dimensional (3D) computed tomographic images (1-mm slices) of the liver from candidate donors were examined. The images of the caudate lobe were subjected to a counter-staining method according to Synapse 3D to delineate their dimensions. We first examined whether the right margin of the caudate lobe exceeded the plane formed by the root of the right hepatic vein (RHV) and the right side of the inferior vena cava (IVC). Second, we determined whether the ventral margin of the caudate lobe exceeded the plane formed by the root of the middle hepatic vein (MHV) and the root of the RHV. Results For the right margin, 17 cases (18%) exceeded the RHV-IVC plane by a mean of 10.2 mm (range, 2.4–27.2 mm). For the ventral margin, 28 cases (30%) exceeded the MHV-RHV plane by a mean of 17.4 mm (range, 1.2–49.1 mm). Conclusion Evaluating the anatomy of caudate lobe using Synapse 3D preoperatively could be helpful for more precise anatomical resection of the caudate lobe.

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“…Traditionally, for open approach, large incision and extensive mobilization are necessary and even so, visibility remains very limited because of the deep location and its surrounding major vascular structures. In the contrary, because of its intrinsic "caudal approach" nature in laparoscopic surgery, the plane lying posteriorly such as between the caudate lobe and the retrohepatic IVC can easily be seen through the scope without the need for an extensive dissection [36] . The reverse Trendelenburg position of the patient further improves exposure by gravitationally shifting visceral structures away from the liver hilum [29] .…”

Section: Laparoscopic Approach For Caudate Lobectomymentioning

confidence: 99%

Laparoscopic isolated caudate lobectomy for HCC

Kim¹,

Kwon²

2021

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Hepatocellular carcinoma (HCC) located in caudate lobectomy is not common, but caudate lobectomy is associated with technical difficulty and high degree of operative risk due to deep location of the caudate lobe and surrounding major vasculature. Recently, with advances in technology and accumulation of techniques, minimal invasive surgery has been widely performed in the field of liver surgery. However, laparoscopic isolated caudate lobectomy is still technically challenging which requires in-depth knowledge of the anatomy of the caudate and extensive experience in laparoscopic liver surgery. This review focuses on the surgical techniques and outcomes of laparoscopic isolated caudate lobectomy. Although it is difficult to make conclusion regarding oncologic outcome because only a few studies with limited case numbers have reported oncologic outcome of laparoscopic isolated caudate lobectomy for HCC, laparoscopic approach could be performed safely with several benefits and become a favorable method for isolated caudate lobectomy, especially for surgeons with relatively large experience in laparoscopic liver surgery.

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Technical notes on pure laparoscopic isolated caudate lobectomy for patient with liver cancer

Abstract: Laparoscopic approach for caudate lobe resection is a feasible option. It can be performed to patients in center by surgeons with experience in both hepatobiliary and laparoscopic skills.

Cited by 23 publications

References 13 publications

Laparoscopic Caudal Approach of the Inferior Vena Cava for Isolated Segment 1 Liver Resection

Laparoscopic Caudal Approach of the Inferior Vena Cava for Isolated Segment 1 Liver Resection

Can we delineate preoperatively the right and ventral margins of caudate lobe of the liver?

Laparoscopic isolated caudate lobectomy for HCC

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