An isolated caudate lobectomy by the transhepatic approach for hepatocellular carcinoma in cirrhotic liver.

Published on Jun 1, 1992in Surgery3.982
Junji Yamamoto44
Estimated H-index: 44
Abstract A new strategy for the treatment of hepatic malignancy located deep in the cirrhotic liver is reported. A 66-year-old man, who had a 3 cm hepatocellular carcinoma in the cranial part of the caudate lobe, underwent an isolated caudate lobectomy. By transecting along the interlobar plane and opening the hepatic hilus anteriorly, we resected almost the entire caudate lobe without loss of the remaining liver parenchyma.
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6 Authors (Katsuhiko Yanaga, ..., K. Sugimachi)
Cited By49
#1Tadatoshi Takayama (Nihon University)H-Index: 92
#2Yutaka Midorikawa (Nihon University)H-Index: 31
Last. Masatoshi MakuuchiH-Index: 135
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OBJECTIVE: To propose an algorithm for resecting hepatocellular carcinoma (HCC) in the caudate lobe. BACKGROUND: Owing to a deep location, resection of HCC originating in the caudate lobe is challenging, but a plausible guideline enabling safe, curable resection remains unknown. METHODS: We developed an algorithm based on sublocation or size of the tumor and liver function to guide the optimal procedure for resecting HCC in the caudate lobe, consisting of 3 portions (Spiegel, process, and caval)...
BACKGROUND The caudate lobe is located deep in the dorsal portion of the liver. Complete resection is an extremely demanding surgery due to the limited surgical field, especially in cases with severe intra-abdominal complications. A major concern of isolated caudate lobectomy is the difficulty associated with securing the contralateral visual field during parenchymal transection. To overcome this issue, we present a new technique for isolated caudate lobectomy that uses a modified hanging maneuv...
#1Tokio Higaki (Nihon University)H-Index: 12
#2Tadatoshi Takayama (Nihon University)H-Index: 92
Last. Yutaka Midorikawa (Nihon University)H-Index: 31
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Abstract Background Resection of hepatocellular carcinoma located in the caudate lobe is challenging because this anatomical location is difficult to approach, especially the caval portion. Methods We performed resection of the caval portion of the caudate lobe using a ventral approach combined with the resection of segment IV, VII, or VIII for hepatocellular carcinoma in 41 patients (extended segmentectomy group). As a control group, 138 patients with hepatocellular carcinoma who underwent segm...
#1Luca Vigan貌 (Humanitas University)H-Index: 37
#2Guido Costa (Humanitas University)H-Index: 15
Last. Guido Torzilli (Humanitas University)H-Index: 56
view all 8 authors...
#1Cheng-Chung WuH-Index: 14
#2Ching-Hui ShenH-Index: 2
Last. Facs Fang-Ku P'eng Md (NYMU: National Yang-Ming University)H-Index: 3
view all 9 authors...
Background and Objectives Unroofing hepatectomy, an alternative approach to remove a deep-seated hepatocellular carcinoma (HCC) adjacent to major intrahepatic vessels by peel-off technique after sacrificing the overlying noncancerous liver, may result in tumor exposure without resection margin. The aim of the study was to examine the value of this approach in cirrhotic patients. Methods Between 1998 and 2012, 51 cirrhotic patients underwent unroofing hepatectomy for deep-seated newly-diagnosed H...
#1Giuseppe D'AmicoH-Index: 16
#2Giuseppe TarantinoH-Index: 14
Last. F. Di BenedettoH-Index: 16
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#1K. Jiang (Chinese PLA General Hospital)H-Index: 1
#2W. Zhang (Chinese PLA General Hospital)H-Index: 1
Last. Z. Huang (Chinese PLA General Hospital)H-Index: 1
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Abstract Objective Surgical resection in the treatment of hepatocellular carcinoma (HCC) originating in the caudate lobe is challenging because of its deep location in the liver and possibly worse prognosis. We evaluated the overall survival of patients with solitary caudate small HCC who underwent laparoscopic radiofrequency ablation (RFA). Methods This is a retrospective study on patients who underwent laparoscopic RFA (RFA) for solitary small HCC. Results Twenty-seven (27) patients underwent ...
#1Tsuyoshi SanoH-Index: 40
#2Yasuhiro ShimizuH-Index: 66
Last. Yuji NimuraH-Index: 89
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Background In patients with distal bile duct cancer involving the hepatic hilus, a major hepatectomy concomitant with pancreatoduodenectomy (HPD) is sometimes ideal to obtain a cancer-free resection margin. However, the surgical invasiveness of HPD is considerable.
#1Jia-Hua Yang (SHU: Shanghai University)H-Index: 11
#2Jun Gu (SJTU: Shanghai Jiao Tong University)H-Index: 26
Last. Yingbin Liu (SJTU: Shanghai Jiao Tong University)H-Index: 36
view all 14 authors...
Background: How to resect the caudate lobe safely is a major challenge to current liver surgery which requires further study. Methods: Nine cases (6 hepatic cell carcinoma, 2 cavernous hemangioma and 1 intrahepatic cholangiocacinoma) were performed using the anterior transhepatic approach in the isolated complete caudate lobe resection. During the operation, we used the following techniques: the intraoperative routine use of Peng鈥檚 multifunction operative dissector (PMOD), inflow and outflow of ...
#1Yanming Zhou (Ha Tai: Xiamen University)H-Index: 21
#2Xiaofeng Zhang ('SMMU': Second Military Medical University)H-Index: 17
Last. Bin Li (Ha Tai: Xiamen University)H-Index: 21
view all 5 authors...
Background Caudate resection for hepatocellular carcinoma (HCC) remains a challenging procedure. This study aimed to assess the surgical outcomes of HCC originating from caudate lobe. Methods Twenty-three patients with HCC in the caudate lobe who received surgical treatment were retrospectively reviewed. Results Surgical procedures included 13 isolated caudatectomy (56.5%) and 10 combined caudatectomy (43.5%). Eight patients (34.7%) experienced post-operative complications. Mortality was nil. Th...
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