Laparoscopic Segment 1 with Partial IVC Resection in Advanced Cirrhosis: How to Do It Safely

Vega, Eduardo; Nicolaescu, Diana; Salehi, Omid; Kozyreva, Olga; Vellayappan, Usha; Ricklan, D. E.; McCarty, Justin C; Fontan, Fermin; Pomposelli, Frank B.; Conrad, Claudius

doi:10.1245/s10434-019-08122-z

Cited by 12 publications

(7 citation statements)

References 7 publications

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“…Today, technological advancements in energy and dissection devices, and a growing international community of LLS surgeons who share their experiences, have changed the paradigm of LLS. The ability to easily share operative approaches via video (as in our article 5 ) has increased transparency and facilitates learning. Nonetheless, there remains a critical need for further improvement.…”

Section: Futurementioning

confidence: 99%

ASO Author Reflections: Laparoscopic Caudate Resection in Advanced Cirrhosis: Are We Transferring the Pain from the Patient to the Surgeon?

Vega

Conrad

2020

Ann Surg Oncol

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The caudate lobe of the liver has a uniquely complex anatomy. It is located behind both the right and left lobes and is surrounded by hepatic veins, the hepatic hilum, and the inferior vena cava (IVC) (Fig. 1). 1 It is this hidden location and complex inflow and outflow that makes its removal difficult for laparoscopic and open surgery. In cirrhotic patients, the complexity of a caudate resection is magnified as the resulting compensatory left lobe and caudate hypertrophy can make access to the IVC challenging and the stiff fibrotic liver complicates rotation for exposure. In this context, compared with open surgery, the laparoscopic 'caudate view' aligns the viewing axis of the surgeon with the axis of the IVC, helping to overcome these exposure challenges. 2 Moreover, laparoscopic liver surgery (LLS) may have specific advantages for patients with liver cirrhosis. 3,4 The reduced access trauma of the small incisions results in less disruption of collaterals through the abdominal wall and less need for liver mobilization, resulting in a reduced risk of postoperative ascites. ASO Author Reflections is a brief invited commentary on the article ''Laparoscopic Segment 1 with Partial IVC Resection in Advanced Cirrhosis: How to Do It Safely''.

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Section: Futurementioning

confidence: 99%

ASO Author Reflections: Laparoscopic Caudate Resection in Advanced Cirrhosis: Are We Transferring the Pain from the Patient to the Surgeon?

Vega

Conrad

2020

Ann Surg Oncol

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“…Laparoscopic approach to caudate lobe resection LCL has been described in multicentre cohort studies, case series and case reports and our review reports a total of 193 patients (Table 3) [4][5][6][7][8][9][10][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35].…”

Section: Caudate Lobe Resection In Consensus Conferences Guidelines and DI Culty Score Systemsmentioning

confidence: 99%

“…Operative techniques and features LCL operative techniques and features have been described in multicentre cohort studies, case series and case reports (Table 5) [3][4][5][6][7][8][9][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36]. All the analysed cases have been carried out laparoscopically.…”

Section: Caudate Lobe Resection In Consensus Conferences Guidelines and DI Culty Score Systemsmentioning

confidence: 99%

Knowledge and Surgical Strategies for Successful Laparoscopic Caudate Lobectomy, a Comprehensive Literature Review

Anselmo¹,

Vinci²,

Siragusa³

et al. 2021

Preprint

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Laparoscopic approach in patients presenting caudate lobe lesions has always been considered prohibitive as technically demanding, so that the role of minimally invasive surgery for this posterior and deep location is still debated. Recently some studies presented cases of laparoscopic caudate lobectomy discussing how to manage technical challenges and providing excellent results. Innovative technologies for laparoscopic liver surgery are likely to improve the feasibility and reproducibility of laparoscopic liver resections in the near future especially for lesions located in the so called “difficult segments”.Still, laparoscopic caudate lobectomy remains unfamiliar to many surgeons and there are relatively few reports in the literature on this subject. For this reason, we conducted a comprehensive review of the literature to understand the safety and feasibility of LCL resections and discuss current and future perspectives.

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“…Ligation of these branches will show the anatomical transection border and parenchymal transection is carried out up to cranially until the confluence of the right hepatic vein into the IVC is reached [28] . In some cases, counterstaining technique as described by Takayama et al [34] may be useful for better delineating the borders.…”

Section: Selection Of Approach For Caudate Lobectomy and Surgical Techniquesmentioning

confidence: 99%

Laparoscopic isolated caudate lobectomy for HCC

Kim¹,

Kwon²

2021

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Hepatocellular carcinoma (HCC) located in caudate lobectomy is not common, but caudate lobectomy is associated with technical difficulty and high degree of operative risk due to deep location of the caudate lobe and surrounding major vasculature. Recently, with advances in technology and accumulation of techniques, minimal invasive surgery has been widely performed in the field of liver surgery. However, laparoscopic isolated caudate lobectomy is still technically challenging which requires in-depth knowledge of the anatomy of the caudate and extensive experience in laparoscopic liver surgery. This review focuses on the surgical techniques and outcomes of laparoscopic isolated caudate lobectomy. Although it is difficult to make conclusion regarding oncologic outcome because only a few studies with limited case numbers have reported oncologic outcome of laparoscopic isolated caudate lobectomy for HCC, laparoscopic approach could be performed safely with several benefits and become a favorable method for isolated caudate lobectomy, especially for surgeons with relatively large experience in laparoscopic liver surgery.

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Laparoscopic Segment 1 with Partial IVC Resection in Advanced Cirrhosis: How to Do It Safely

Cited by 12 publications

References 7 publications

ASO Author Reflections: Laparoscopic Caudate Resection in Advanced Cirrhosis: Are We Transferring the Pain from the Patient to the Surgeon?

ASO Author Reflections: Laparoscopic Caudate Resection in Advanced Cirrhosis: Are We Transferring the Pain from the Patient to the Surgeon?

Knowledge and Surgical Strategies for Successful Laparoscopic Caudate Lobectomy, a Comprehensive Literature Review

Laparoscopic isolated caudate lobectomy for HCC

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