Are Large Hepatocellular Carcinomas Still a Contraindication for Laparoscopic Liver Resection?

2015 ◽  
Vol 25 (2) ◽  
pp. 98-102 ◽  
Author(s):  
Yujin Kwon ◽  
Ho-Seong Han ◽  
Yoo-Seok Yoon ◽  
Jai Young Cho
Keyword(s):  
Liver Resection ◽  
Laparoscopic Liver Resection ◽  
Hepatocellular Carcinomas

scholarly journals 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

2015 ◽  
Vol 2015 ◽  
pp. 1-9 ◽  
Author(s):  
Zenichi Morise ◽  
Norihiko Kawabe ◽  
Hirokazu Tomishige ◽  
Hidetoshi Nagata ◽  
Jin Kawase ◽  
...  
Keyword(s):  
Liver Resection ◽  
Hepatic Vein ◽  
Laparoscopic Liver Resection ◽  
Operating Time ◽  
Hepatic Veins ◽  
Peripheral Part ◽  
Main Trunk ◽  
Hepatocellular Carcinomas ◽  
Vein Resection ◽  
Major Hepatic Vein

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.

scholarly journals Invention of Two Instruments Fitted with SECUREA™ Useful for Laparoscopic Liver Resection

2016 ◽  
Vol 83 (3) ◽  
pp. 107-112 ◽  
Author(s):  
Youichi Kawano ◽  
Nobuhiko Taniai ◽  
Yoshiharu Nakamura ◽  
Satoshi Matsumoto ◽  
Masato Yoshioka ◽  
...  
Keyword(s):  
Liver Resection ◽  
Laparoscopic Liver Resection

scholarly journals Does Laparoscopic Liver Resection for Hepatocellular Carcinoma Reduce Posthepatectomy Liver Failure?

HPB ◽  
2021 ◽  
Vol 23 ◽  
pp. S159
Author(s):  
Y. Uemoto ◽  
K. Taura ◽  
T. Nishio ◽  
Y. Kimura ◽  
N. Nam ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Liver Resection ◽  
Liver Failure ◽  
Laparoscopic Liver Resection ◽  
Posthepatectomy Liver Failure

scholarly journals A safe and simple procedure for laparoscopic hepatectomy with combined diaphragmatic resection

2021 ◽  
Author(s):  
Keisuke Oyama ◽  
Shin Nakahira ◽  
Sakae Maeda ◽  
Akihiro Kitagawa ◽  
Yuki Ushimaru ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Liver Resection ◽  
Liver Metastasis ◽  
Laparoscopic Liver Resection ◽  
Liver Tumors ◽  
Simple Procedure ◽  
Laparoscopic Hepatectomy ◽  
Pleural Space ◽  
Absorbable Suture ◽  
Surgical Field

AbstractDiaphragmatic resection may be required beneath the diaphragm in some patients with liver tumors. Laparoscopic diaphragmatic resection is technically difficult to secure in the surgical field and in suturing. We report a case of successful laparoscopic hepatectomy with diaphragmatic resection. A 48-year-old man who underwent laparoscopic partial hepatectomy for liver metastasis of rectal cancer 20 months ago underwent surgery because of a new hepatic lesion that invaded the diaphragm. The patient was placed in the left hemilateral decubitus position. The liver and diaphragm attachment areas were encircled using hanging tape. Liver resection preceded diaphragmatic resection with the hanging tape in place. Two snake retractors were used to secure the surgical field for the inflow of CO2 into the pleural space after diaphragmatic resection. The defective part of the diaphragm was repaired using continuous or interrupted sutures. Both ends of the suture were tied with an absorbable suture clip without ligation. In laparoscopic liver resection with diaphragmatic resection, the range of diaphragmatic resection can be minimized by performing liver resection using the hanging method before diaphragmatic resection. The surgical field can be secured using snake retractors. Suturing with an absorbable suture clip is conveniently feasible.

scholarly journals The Comparison of Postoperative Pain Between Umbilical and Suprapubic Incision in Laparoscopic Liver Resection

HPB ◽  
2021 ◽  
Vol 23 ◽  
pp. S186
Author(s):  
S. Murakami ◽  
M. Hidaka ◽  
T. Hamada ◽  
T. Kugiyama ◽  
T. Hara ◽  
...  
Keyword(s):  
Liver Resection ◽  
Postoperative Pain ◽  
Laparoscopic Liver Resection

Laparoscopic Liver Resection of a Desmoplastic Nested Spindle Cell Tumor of the Liver

2010 ◽  
Vol 76 (9) ◽  
pp. 184-185
Author(s):  
Caridad Marín ◽  
Ricardo Robles ◽  
Matilde Fuster ◽  
Pascual Parrilla
Keyword(s):  
Liver Resection ◽  
Laparoscopic Liver Resection ◽  
Spindle Cell ◽  
Cell Tumor ◽  
Spindle Cell Tumor
Sign in / Sign up

Export Citation Format

Share Document