Surgical Techniques for Totally Laparoscopic Caudate Lobectomy

Oh, Dongkyu; Kwon, Choon Hyuck David; Na, Byung Gon; Lee, Kyo Won; Cho, Won Tae; Lee, Seung Hwan; Choi, Jin Yong; Choi, Gyu Seong; Kim, Jong Man

doi:10.1089/lap.2016.0161

Cited by 41 publications

(16 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…With the accumulated experience of laparoscopic surgery and the development of laparoscopic devices, an increasing number of studies have reported the safety and feasibility of laparoscopic extended hemihepatectomy [53,54], laparoscopic caudate lobectomy [55,56], laparoscopic hepatoduodenal lymphadenectomy and bilioenteric anastomosis [44,45]. Thus, from a technical perspective, it is obvious that the essential surgical techniques for laparoscopic resection of HC have become more reliable and diverse.…”

Section: Discussionmentioning

confidence: 99%

Complete laparoscopic radical resection of hilar cholangiocarcinoma: technical aspects and long-term results from a single center.

Li¹,

Xiong²,

Ye³

et al. 2020

Videosurgery and Other Miniinvasive Techniques

View full text Add to dashboard Cite

Introduction: The landscape of surgical treatments for hepatobiliary disease was significantly changed after the advent of laparoscopy. Many kinds of complex laparoscopic procedures can be routinely performed at present, but radical resection of hilar cholangiocarcinoma (HC) by laparoscopy is still highly contentious. Aim: To describe our primary experience with laparoscopic radical resection for HC and determine the safety and feasibility of this procedure. Material and methods: Between December 2015 and November 2019, 32 patients planned to undergo curative-intent laparoscopic resection of HC in our department. The perioperative and long-term outcomes of these patients were retrospectively analyzed. Results: Laparoscopic surgery with radical resection was ultimately performed in 24 (75.0%) patients; 3 (9.3%) patients were found to be unresectable at the preliminary exploration stage, and 5 (15.7%) patients converted from laparoscopy to laparotomy. The operation time and blood loss were 476.95 ±133.89 min and 568.75 ±324.01 ml, respectively. A negative margin was achieved in 19 (79.1%) of the laparoscopy patients. Three (12.5%) patients were identified with microscopic positive margins, and 2 (8.4%) patients underwent macroscopic residual tumor resection (R2). The length of postoperative stay was 23.3 ±11.7 days. Severe morbidity occurred in 4 (16.6%) patients. The actuarial 3-year overall survival and disease-free survival for patients who underwent laparoscopic surgery were 49.1% and 47.0%, respectively. Conclusions: Laparoscopic radical resection for HC is safe and feasible in experienced hands for highly selected patients but is still in its initial stages. When adequate oncologic resection is performed, the laparoscopic approach does not adversely influence the prognosis of the patient.

show abstract

Section: Discussionmentioning

confidence: 99%

Complete laparoscopic radical resection of hilar cholangiocarcinoma: technical aspects and long-term results from a single center.

Li¹,

Xiong²,

Ye³

et al. 2020

Videosurgery and Other Miniinvasive Techniques

View full text Add to dashboard Cite

show abstract

“…In other previous research, total isolated caudate lobectomy was performed by approaching the caudate lobe from the right side of the liver, using the right posterior Glisson pedicle as the anterior border plane of the caudate lobe and reaching the dorsal plane by transecting the parenchyma between the MHV and RHV. There was no mention of the right margin of the caudate lobe [1516]. Although it is known that the anatomy of the caudate lobe is important when performing total caudate lobectomy, the exact locations of the right and ventral margins remain obscure.…”

Section: Discussionmentioning

confidence: 99%

Can we delineate preoperatively the right and ventral margins of caudate lobe of the liver?

et al. 2019

View full text Add to dashboard Cite

Purpose Complete removal of the caudate lobe, which is sometimes necessary, is accomplished via isolated caudate lobectomy or hepatectomy that includes the caudate lobe. It is impossible, however, to confirm the right and ventral margins of the caudate lobe by preoperative imaging. This study was undertaken to determine whether we could identify the right and ventral margins of the caudate lobe preoperatively using Synapse 3D visualization software. Methods Ninety-four preoperative 3-dimensional (3D) computed tomographic images (1-mm slices) of the liver from candidate donors were examined. The images of the caudate lobe were subjected to a counter-staining method according to Synapse 3D to delineate their dimensions. We first examined whether the right margin of the caudate lobe exceeded the plane formed by the root of the right hepatic vein (RHV) and the right side of the inferior vena cava (IVC). Second, we determined whether the ventral margin of the caudate lobe exceeded the plane formed by the root of the middle hepatic vein (MHV) and the root of the RHV. Results For the right margin, 17 cases (18%) exceeded the RHV-IVC plane by a mean of 10.2 mm (range, 2.4–27.2 mm). For the ventral margin, 28 cases (30%) exceeded the MHV-RHV plane by a mean of 17.4 mm (range, 1.2–49.1 mm). Conclusion Evaluating the anatomy of caudate lobe using Synapse 3D preoperatively could be helpful for more precise anatomical resection of the caudate lobe.

show abstract

“…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] .…”

Section: Introductionmentioning

confidence: 87%

“…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] .…”

Section: Surgical and Oncologic Outcomesmentioning

confidence: 99%

Laparoscopic isolated caudate lobectomy for HCC

Kim¹,

Kwon²

2021

Self Cite

View full text Add to dashboard Cite

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.

show abstract

Surgical Techniques for Totally Laparoscopic Caudate Lobectomy

Abstract: Our experience demonstrated that laparoscopic caudate lobectomy is safe and feasible in selected patients with malignancy in the caudate lobe.

Cited by 41 publications

References 6 publications

Complete laparoscopic radical resection of hilar cholangiocarcinoma: technical aspects and long-term results from a single center.

Complete laparoscopic radical resection of hilar cholangiocarcinoma: technical aspects and long-term results from a single center.

Can we delineate preoperatively the right and ventral margins of caudate lobe of the liver?

Laparoscopic isolated caudate lobectomy for HCC

Contact Info

Product

Resources

About