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| Laparoscopic extended right hepatectomy for posterior and completely caudate massive liver tumor (with videos) |
| Liang Chen # , Lu-Zheng Liu # , Jia-Cheng Chen, Da-Feng Xu, Cheng Chen, Shi-Xun Lin, Xiang-Xiang Luo, Jin-Cai Wu ∗ |
Division of Hepatobiliary Pancreatic Surgery, Hainan Affiliated Hospital of Hainan Medical University (Hainan General Hospital), Haikou 570311, China
∗ Corresponding author.
E-mail address: wjc2778@hainmc.edu.cn (J.-C. Wu).
# Contributed equally. |
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Abstract Liver tumor may occur in any hepatic segment or lobe, and thus the liver resection is individualized as per the location and size of the tumor. In addition, the resection of the posterior and caudate lobes of the liver is especially difficult amongst all types of hepatectomy. Kawaguchi et al. believed that the laparoscopic resection of right posterior liver lobe was a difficult surgical procedure [1]. Besides, since the hepatic caudate lobe is deep in the anatomical position and wrapped by the three porta hepatis, with limited exposure space, it has always been one of the most challenging complex operations in hepatic surgery [2]. If the patient has poor liver function due to liver cirrhosis, this will undoubtedly increase surgical difficulty. In case of a massive tumor that involves the hepatic posterior and caudate lobes, the requirement for the surgical evaluation and techniques is even higher, and it might be a challenge to conduct laparoscopic hepatectomy. On November 11, 2021, we completed one case of laparoscopic anatomically extended right posterior and complete caudate lobe resection.
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2023, Vol. 22 
