Surgical strategy for hepatocellular carcinoma originating in the caudate lobe

Yamamoto, Takatsugu; Kubo, Shoji; Shuto, Taichi; Ichikawa, Tsuyoshi; Ogawa, Michio; Hai, Seikan; Sakabe, Katsu; Tanaka, Shogo; Uenishi, Takahiro; Ikebe, Takashi; Tanaka, Hiromu; Kaneda, Kenji; Hirohashi, Kazuhiro

doi:10.1016/j.surg.2003.10.015

Cited by 44 publications

(37 citation statements)

References 14 publications

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“…Karayama et al 15 and Peng et al 19 reported to successfully treat patients by performing percutaneous RFA for HCC lesions in the caudate with the use of artificial ascites and careful ultrasonic guidance. The overall survival rates (5) were 88% in 1 year, 80% in 2 years and 72% in 4 years. 19 However, in order to increase efficacy, from our experience, it would be worthwhile to directly view tumors and their surrounding tissues through laparoscopy to ensure total ablation of the entire caudate lobe (including the paracaval portion and Spiegel lobe).…”

Section: Discussionmentioning

confidence: 90%

Laparoscopic radiofrequency ablation of solitary small hepatocellular carcinoma in the caudate lobe

Jiang

Zhang

et al. 2013

European Journal of Surgical Oncology (EJSO)

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Section: Discussionmentioning

confidence: 90%

Laparoscopic radiofrequency ablation of solitary small hepatocellular carcinoma in the caudate lobe

Jiang

Zhang

et al. 2013

European Journal of Surgical Oncology (EJSO)

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“…Although the caudate lobe constitutes only a small part of the whole liver, it has the same histologic structure and the same incidence of developing benign and malignant neoplasms as other hepatic segments in proportion to their volume. Percutaneous ethanol injection and radiofrequency ablation (RFA) for tumors in the caudate lobe are difficult to be carried out because of their spatial peculiarity [1]. Multiple bilateral blood supplies from hepatic artery and portal vein make transcatheter arterial chemoembolization (TACE) less effective for malignant tumors in the lobe than those in the main lobes.…”

Section: Introductionmentioning

confidence: 99%

Surgical Strategy for Isolated Caudate Lobectomy: Experience with 16 Cases

et al. 2014

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Introduction. Surgical resection is the most effective treatment for neoplasm in the caudate lobe. Isolated caudate lobectomy is still a challenge for hepatobiliary surgeons. No widely accepted surgical strategy for the procedure has been developed yet. Objective. To get a better understanding of isolated caudate lobectomy and to optimize the procedure. Materials and Methods. 16 cases of isolated caudate lobectomy were reviewed to summarize the surgical experience. Results. All the 16 cases of isolated caudate lobectomy were carried out successfully, among which left side approach was adopted in two cases (12.5%), right side approach in three cases (18.75%), and both sides approach in 11 cases (68.75%). No severe complications occurred. Conclusion. The majority of neoplasms confined to the caudate lobe can be resected safely by left and right side approach with proper anatomic surgical procedure, usually in the sequence of mobilization, outflow control, inflow control, and division of the hepatic parenchyma. Fully mobilizing the caudate lobe from the inferior vena cava (IVC) is of great importance. Division of the retrohepatic ligament and the venous ligament facilitated the procedure.

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“…A resection of a tumor arising in the dorsal sector is a challenging procedure because it is located deep in the abdominal cavity and surrounded by major blood vessels, including the right and middle hepatic veins anteriorly and the inferior vena cava (IVC) posteriorly. Although there have been several reported surgical procedures for isolated caudate lobectomy (segment I and/or segment IX) [2,3,4,5], the safety of these procedures is questionable, especially when a protruding tumor compresses or surrounds the IVC. A liver hanging maneuver, a surgical procedure used in liver surgery, in which a tape hangs a plane of the liver, making a straight cutting line.…”

Section: Introductionmentioning

confidence: 99%

A Two-Step Hanging Maneuver for a Complete Resection of Couinaud’s Segment I

et al. 2012

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Background: A hepatic resection of Couinaud’s segment I is a challenging procedure because it is located deep in the abdominal cavity and surrounded by large blood vessels. A new technique, called the ‘two-step hanging maneuver,’ was applied to completely resect Couinaud’s segment I. Methods: A 59-year-old male was diagnosed with hepatocellular carcinoma in Couinaud’s segment I. A hanging tape was positioned from the groove between the middle and left hepatic veins to the groove between the right and left Glisson sheaths via the posterior hepatic surface after all short hepatic veins were divided. The liver was split into the left and right hemilivers (step 1). The hanging tape was positioned into the fissure of the ligamentum venosus, then Couinaud’s segment I was completely resected after dividing the liver parenchyma between segments I and IV by hanging the tape medially (step 2). Results: The operation time was 435 min. No blood transfusions were necessary and there were no complications. Conclusion: This technique allowed resection of a tumor located in Couinaud’s segment I without mobilization of the tumor and safely divided the liver parenchyma via only an anterior approach.

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Surgical strategy for hepatocellular carcinoma originating in the caudate lobe

Cited by 44 publications

References 14 publications

Laparoscopic radiofrequency ablation of solitary small hepatocellular carcinoma in the caudate lobe

Laparoscopic radiofrequency ablation of solitary small hepatocellular carcinoma in the caudate lobe

Surgical Strategy for Isolated Caudate Lobectomy: Experience with 16 Cases

A Two-Step Hanging Maneuver for a Complete Resection of Couinaud’s Segment I

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