Pure laparoscopic right hemihepatectomy using the caudodorsal side approach (with videos)

Journal of Hepato-biliary-pancreatic Sciences
Koki MaedaYusuke Ome

Abstract

In our process of standardizing laparoscopic right hemihepatectomy (Lap-RH), we found several advantages of the laparoscopic caudate lobe first approach by using a unique laparoscopic caudodorsal view. Between April 2012 and October 2017, 21 patients underwent pure Lap-RH at our hospital. The mean patient age was 62 years (range 36-75 years), and there were more male than female patients (66.7%). Of 21 patients, 11 had hepatocellular carcinoma, eight had metastatic tumor, and the other two had focal nodular hyperplasia and refractory liver abscess. All 21 patients had Child-Pugh class A liver function. The surgical technique was recorded on video. The mean operative time was 409 min (range 241-522 min), and the mean blood loss was 279 g (range 0-1,010 g). No procedure was converted to open surgery. With regard to postoperative complications, one patient had bile leakage from the stump of the main Glissonean branch and another patient had abscess formation in the subphrenic space. No postoperative bleeding, hepatic failure, and mortality occurred. Our standardized procedure of Lap-RH using the unique laparoscopic caudodorsal view is not only feasible but also confers a true advantage of the laparoscopic approach.

References

Oct 7, 2009·Annals of Surgery·Ibrahim DagherJoseph F Buell
Nov 7, 2012·Asian Journal of Endoscopic Surgery·Yukihiro OkudaShin Kobayashi
Dec 25, 2012·Annals of Surgery·Niang-Cheng LinGo Wakabayashi
Dec 28, 2012·Journal of Hepato-biliary-pancreatic Sciences·Goro HondaKeiichi Takahashi
Jan 9, 2013·Digestive Surgery·Roberto I Troisi, Roberto Montalti
May 21, 2014·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Goro HondaKeiichi Takahashi
Jun 30, 2014·Journal of the American College of Surgeons·Yukihiro OkudaKatsunori Sakamoto
Aug 8, 2014·Journal of Hepato-biliary-pancreatic Sciences·Ibrahim DagherGo Wakabayashi
Dec 30, 2014·Journal of the American College of Surgeons·Yukihiro OkudaKeiichi Takahashi
Dec 30, 2015·Journal of the American College of Surgeons·François CauchyBrice Gayet
Jul 14, 2016·Langenbeck's Archives of Surgery·Fernando RotellarFrancisco Hidalgo
Oct 22, 2016·Journal of Hepato-biliary-pancreatic Sciences·Takeshi TakaharaMasakazu Yamamoto
Jan 24, 2017·Journal of the American College of Surgeons·Shohei KomatsuOlivier Soubrane
Feb 12, 2017·Annals of Surgery·Yoshikuni KawaguchiBrice Gayet

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Citations

Sep 9, 2020·Journal of Hepato-biliary-pancreatic Sciences·Goro HondaYusuke Kawamoto
Jan 27, 2019·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Hongyu LiJun Muto
Jan 22, 2021·Journal of Hepato-biliary-pancreatic Sciences·Kazuteru MondenUNKNOWN Study group of Precision Anatomy for Minimally Invasive Hepato-Biliary-Pancreatic surgery (PAM-HBP surgery)
Nov 16, 2021·Journal of Hepato-biliary-pancreatic Sciences·Naoto GotohdaGo Wakabayashi

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