High dorsal resection of the liver

Published on Jul 1, 1994in Journal of The American College of Surgeons6.113
Tadatoshi Takayama92
Estimated H-index: 92
,
Tanaka T1
Estimated H-index: 1
+ 3 AuthorsMasatoshi Makuuchi135
Estimated H-index: 135
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Abstract
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References0
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Cited By59
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#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)...
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#1Masaharu Kogure (Kyorin University)H-Index: 6
#2Yutaka Suzuki (Kyorin University)H-Index: 14
Last. Yoshihiro Sakamoto (Kyorin University)H-Index: 65
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PURPOSE Resection of liver cancer involving the paracaval portion (PC) of the caudate lobe is challenging because the PC is located deepest in the liver. This study aimed to elucidate the utility of two parenchymal-sparing approaches of limited resection and central hepatectomy for resecting tumors located in the PC. METHODS In 2018 and 2020, 12 out of 143 patients underwent hepatectomy for tumors located in the PC of the liver. In six patients, limited resection (LR) of the PC after full mobili...
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#1Yasunari Kawabata (Shimane University)H-Index: 12
#2Hikota Hayashi (Shimane University)H-Index: 7
Last. Yoshitsugu Tajima (Shimane University)H-Index: 20
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BACKGROUND The role of ligation of the portal venous branches to the caudate lobe (cPVL) as preparation for planned major hepatectomy is unclear. The aim of this study was to evaluate the efficacy of laparoscopic cPVL (Lap-cPVL) concomitant with transileocolic portal vein embolization of the right portal venous system (rTIPE), namely, Lap-cPVL/rTIPE, for planned right hemihepatectomy (rHx) in advanced hepatobiliary cancer patients. METHODS Thirty-one patients who underwent rHx after rTIPE with/w...
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#1Gang Xu (Peking Union Medical College)H-Index: 8
#2Junxiang Tong (Chinese PLA General Hospital)H-Index: 3
Last. Zhixian Hong (Chinese PLA General Hospital)H-Index: 1
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Caudate lobectomy via laparoscopic surgery has rarely been described. This multicenter, propensity score-matched study was performed to assess the safety and efficacy of laparoscopic caudate lobectomy (LCL). A multicenter retrospective study was performed including all patients who underwent LCL and open caudate lobectomy (OCL) in four institutions from January 2013 to December 2018. In total, 131 patients were included in this study and divided into LCL (n鈥=鈥19) and OCL (n鈥=鈥112) groups. LCLs w...
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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...
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#1Akinori Miyata (UTokyo: University of Tokyo)H-Index: 4
#2Junichi Arita (UTokyo: University of Tokyo)H-Index: 24
Last. Norihiro KokudoH-Index: 3
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The advent of preoperative 3-dimensional (3D) simulation software has made a variety of unprecedented surgical simulations possible. Since 2004, we have performed more than 2,000 preoperative simulations in the University of Tokyo Hospital, and they have enabled us to obtain a great deal of information, such as the detailed shape of liver segments, the precise volume of each segment, and the volume of hepatic venous drainage areas. As a result, we have been able to perform more aggressive and co...
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#1Masamitsu KumonH-Index: 5
#2Tatsuya KumonH-Index: 2
Last. Yoshihiro Sakamoto (Kyorin University)H-Index: 65
view all 7 authors...
Models of liver corrosion were developed by injecting colored Mercox, epoxy resin, silicon rubber and other materials into the portal vein, hepatic artery, bile duct and hepatic vein of autopsied livers. The glissonean or venous branches that obstructed the view of the caudate lobe of the liver were subsequently removed. The detailed anatomy of the caudate vessels was studied and the three parts of the caudate lobe (Spiegel lobe, paracaval portion and caudate process) were defined based on porta...
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#1Wei Wang (SJTU: Shanghai Jiao Tong University)
#2ZiJie Zhang (SJTU: Shanghai Jiao Tong University)
Last. Jian Wang (SJTU: Shanghai Jiao Tong University)
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Background Hepatolithiasis often leads to atrophy-hypertrophy complex due to bile duct obstruction, inflammation or infection in the affected liver segments and compensatory response in the normal segments. In severe bilateral diffuse cases, main liver can all be atrophic, leaving the caudate lobe to be extremely hypertrophic. Subtotal (segment II-VIII) hepatectomy can be an option in selected patients under such circumstances. Since rare cases have been reported, our study aims to highlight the...
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