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academies
Journal of Gastroenterology and Digestive Diseases | Volume 3
May 25-26, 2018 | New York, USA
World Liver Conference 2018
Background & Aim:
In the past 15 years, we have completed
more than 560 cases of laparoscopic hepatectomy; there
are two cases of caudate lobe. Caudate hepatectomy
remains a surgical challenge in spite of recent advances in
laparoscopic technique. Hepatic tumor in the caudate lobe
is usually deeply located in the center of the liver and close
to the vena cava and hepatic hilum. Thus, lesion in this
region was considered as a contraindication of laparoscopic
hepatectomy. The aim of this study is to explore the safety
and feasibility of laparoscopic hepatectomy for lesions in the
caudate lobe.
Methods:
Two patients with caudate hepatic tumor received
laparoscopic caudate hepatectomy in our hospital from
November 2016 to July 2017.
Results:
All procedure for two patients with caudate hepatic
tumours (sizes 2.5, 4.5 cm) was completed with totally
laparoscopic technique. The average operative time was
268 min. and estimated blood loss was 180 ml, and average
length of postoperative hospital stay was 7.5 days. There was
no perioperative complications and patient mortality.
Conclusions:
Our experience demonstrated that laparoscopic
hepatectomy is a safe and feasible procedure for caudate
hepatic tumours in selected patients.
e:
fangzheping@yeah.netTotally laparoscopic caudate hepatectomy for cancer
Zheping Fang, Xuefeng Du
and
Wenlong Zhang
Wenzhou Medical University, China