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2015 ; 2015
(ä): 960752
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
How Far Can We Go with Laparoscopic Liver Resection for Hepatocellular Carcinoma?
Laparoscopic Sectionectomy of the Liver Combined with the Resection of the Major
Hepatic Vein Main Trunk
#MMPMID26448949
Morise Z
; Kawabe N
; Tomishige H
; Nagata H
; Kawase J
; Arakawa S
; Isetani M
Biomed Res Int
2015[]; 2015
(ä): 960752
PMID26448949
show ga
Although the reports of laparoscopic major liver resection are increasing,
hepatocellular carcinomas (HCCs) close to the liver hilum and/or major hepatic
veins are still considered contraindications. There is virtually no report of
laparoscopic liver resection (LLR) for HCC which involves the main trunk of major
hepatic veins. We present our method for the procedure. We experienced 6 cases: 3
right anterior, 2 left medial, and 1 right posterior extended sectionectomies
with major hepatic vein resection; tumor sizes are within 40-75 (median: 60)?mm.
The operating time, intraoperative blood loss, and postoperative hospital stay
are within 341-603 (median: 434) min, 100-750 (300)?ml, and 8-44 (18) days. There
was no mortality and 1 patient developed postoperative pleural effusion. For
these procedures, we propose that the steps listed below are useful, taking
advantages of the laparoscopy-specific view. (1) The Glissonian pedicle of the
section is encircled and clamped. (2) Liver transection on the ischemic line is
performed in the caudal to cranial direction. (3) During transection, the clamped
Glissonian pedicle and the peripheral part of hepatic vein are divided. (4) The
root of hepatic vein is divided in the good view from caudal and dorsal
direction.