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- Title
Isolated complete caudate lobectomy for hepatic tumor of the anterior transhepatic approach: surgical approaches and perioperative outcomes.
- Authors
Jia-Hua Yang; Jun Gu; Ping Dong; Lei Chen; Wen-Guang Wu; Jia-Sheng Mu; Mao-Lan Li; Xiang-Song Wu; Yang-Lu Zhao; Lin Zhang; Hao Weng; Qian Ding; Qi-Chen Ding; Ying-Bin Liu
- Abstract
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's multifunction operative dissector (PMOD), inflow and outflow of hepatic blood control, low central venous pressure and selective use of liver hanging maneuver. Results: There were no perioperative deaths observed after the operation. The median operating time was 230 ± 43.6 minutes, the median intraoperative blood loss was 606.6 ± 266.3 ml and the median length of postoperative hospital stay was 12.6 ± 2.9 days. The incidence of complications was 22.22% (2/9). Conclusion: PMOD and "curettage and aspiration" technique can be of great help of in the dissection of vessels and parenchyma, clearly making caudate lobe resection safer, easier and faster.
- Subjects
LIVER surgery; SURGICAL excision; VENA cava inferior; CIRRHOSIS of the liver; CENTRAL venous pressure
- Publication
World Journal of Surgical Oncology, 2013, Vol 11, Issue 1, p1
- ISSN
1477-7819
- Publication type
Case Study
- DOI
10.1186/1477-7819-11-197