Surgical Technique and Clinical Analysis of Twelve Cases of Isolated Laparoscopic Resection of the Hepatic Caudate Lobe

Abstract

Objective To describe the surgical procedures of laparoscopic caudate lobectomy and analyze its clinical efficiency for treating cancer. Methods Twelve consecutive patients of hepatocellular carcinoma, hepatic hemangioma, and focal nodular hyperplasia who received laparoscopic caudate lobectomy in Qilu Hospital of Shandong University from January 2013 to January 2017 were included in this study. The clinical data, intraoperative parameters, and postoperative outcomes were assessed. Results All 12 patients received totally laparoscopic technique. The operative time was 140.8 ± 95.34 minutes. The average estimated blood loss was 97.92 ± 90.54 ml, and no blood transfusions were required. The mean duration of hospital stay was 9.17 ± 2.88 days. There was no perioperative complication or patient mortality in this series. Conclusions Laparoscopic caudate lobectomy is safe and feasible in the selected patients.

Propensity score matching analysis for outcomes of laparoscopic versus open caudate lobectomy

“…LCB remains challenging for surgeons due to the deep location of the caudate lobe and its proximity to great vessels. Based on some recently published studies, 5–7 laparoscopic liver resection has less intraoperative blood loss, fewer complications, faster post‐operative recovery and equivalent long‐term outcomes than open liver resection, and some studies have also assessed the safety of LCB with case reports 8,10,14 . Nevertheless, it has remained controversial whether LCB for patients with tumours located in the caudate lobe is better than OCB, and we thus performed this study to evaluate the benefits of LCB for these patients compared with OCB.…”

Technical feasibility and short-term outcomes of laparoscopic isolated caudate lobe resection: an IgoMILS (Italian Group of Minimally Invasive Liver Surgery) registry-based study

“…Table 3 Subgroup analysis according to the surgical procedure of S1 resection, resection limited to Spiegel lobe (S1-S) and resection of the Spiegel lobe extended to the paracaval portion and complete/partial resection of caudate process (S1-S + P) Few articles concerning the laparoscopic approach to CL are published in literature. Moreover, the majority of these studies are limited to case reports or small surgical series [5,[8][9][10][11][12][13][14][15][16]. Table 4 provides a literature review and demonstrates that morbidity rate of MILS CL resections ranged from 0 to 33% with no postoperative mortality.…”

“…MILS approaches to the CL have specific technical challenges: proximity to the IVC, major hepatic veins and the hepatic hilum [7]. Surgical series of MILS for the caudate lobe in the literature are limited and only a few reports describing more than 5 cases have been published [5,[8][9][10][11][12][13][14][15][16].…”

Laparoscopic isolated caudate lobectomy for HCC

“…For these reasons, laparoscopic caudate lobectomy has been performed in only a few experienced centers. Nervertheless, safety and feasibility of this procedure, when performed by experienced surgeons, have been reported by several experienced centers [18][19][20][21][22][23][24][25] .…”

“…Despite these limitations, favorable perioperative outcomes compared to open caudate lobectomy regarding operation time, intraoperative bleeding, and perioperative morbidity have been reported. However, these results are based on the premise that this procedure would be performed by experienced surgeons in laparoscopic liver resection who have profound anatomical knowledge [18][19][20][21][22][23][24]29,39] .…”