|
|
|
| Laparoscopic combined with thoracoscopic transdiaphragmatic hepatectomy for hepatitis B-related hepatocellular carcinoma located in segment VII or VIII |
| Yu Zhu a , b , c , Zhen-Yu Li c , Chun-Guo Wang c , Zhe-Ping Fang c , Wei-Dong Jia a , b , Fa-Biao Zhang c , ∗ |
a School of Medicine, Shandong University, Jinan 250012, China
b Division of Liver Surgery, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei 230001, China
c Department of Hepatobiliary Surgery, Taizhou Hospital of Zhejiang Province, Wenzhou Medical University, Taizhou 317000, China
∗ Corresponding author.
E-mail address: zhangfabiao@enzemed.com (F.-B. Zhang). |
|
|
|
|
Abstract Laparoscopic hepatectomy (LH) is considered a safe and effective method of treating liver cancer because of its relatively low level of trauma, bleeding, pain, and short hospital stay as compared with traditional open surgery [1] . However, this is not ideal for tumors located in segment VII or VIII of the liver as these tumors are difficult to be exposed during laparoscopy, and the conversion rate is relatively high [2] . Although it has been reported that the thoracoscopic transdiaphragmatic segment VII or VIII hepatectomy can obtain better visual field and operation space [3] , it is difficult to control the bleeding of surgical wound. The application is therefore limited. To resolve this problem, we employed a laparoscope to dissect the left hepatic artery, hang over the hepatoduodenal ligament except the left hepatic artery to block liver blood flow and then resect the liver cancer by transdiaphragmatic thoracoscopy.
|
|
|
|
|
|
|
|
|
2020, Vol. 19 
