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Modified high dorsal procedure for performing isolated anatomic total caudate lobectomy (with video)
BACKGROUND: Isolated anatomic total caudate lobectomy is indicated in patients who have liver tumors limited to the caudate lobe. However, isolated caudate lobe resection is a challenging surgical procedure that required safe and reliable techniques. All portal and hepatic veins that connect this ar...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4850680/ https://www.ncbi.nlm.nih.gov/pubmed/27129389 http://dx.doi.org/10.1186/s12957-016-0896-3 |
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author | Ochiai, Toshiya Ishii, Hiromichi Toma, Atsushi Ishimoto, Takeshi Yamamoto, Yusuke Morimura, Ryo Ikoma, Hisashi Otsuji, Eigo |
author_facet | Ochiai, Toshiya Ishii, Hiromichi Toma, Atsushi Ishimoto, Takeshi Yamamoto, Yusuke Morimura, Ryo Ikoma, Hisashi Otsuji, Eigo |
author_sort | Ochiai, Toshiya |
collection | PubMed |
description | BACKGROUND: Isolated anatomic total caudate lobectomy is indicated in patients who have liver tumors limited to the caudate lobe. However, isolated caudate lobe resection is a challenging surgical procedure that required safe and reliable techniques. All portal and hepatic veins that connect this area originate from the first branch of the portal vein or vena cava; therefore, the operator must be cautious of the potential for massive bleeding. METHODS: The important points regarding the safety of our procedure include creating an optimal surgical view and preparing for accidental bleeding before parenchymal dissection. Sufficient mobilization and removal of Spiegel’s lobe from the left to the right side of the vena cava allows the operator to perform parenchymal dissection under a right- or front-side view. RESULTS: We have performed this technique in two patients with HCC and one patient with primary cystadenocarcinoma. The average operative time and amount of blood loss were 435 min and 1137 ml, respectively. No operative mortalities or postoperative complications were observed in any of the patients. Our three patients are currently doing well without any recurrence. CONCLUSION: Our modified high dorsal resection procedure can be used to safely remove the entire caudate lobe. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12957-016-0896-3) contains supplementary material, which is available to authorized users. |
format | Online Article Text |
id | pubmed-4850680 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-48506802016-04-30 Modified high dorsal procedure for performing isolated anatomic total caudate lobectomy (with video) Ochiai, Toshiya Ishii, Hiromichi Toma, Atsushi Ishimoto, Takeshi Yamamoto, Yusuke Morimura, Ryo Ikoma, Hisashi Otsuji, Eigo World J Surg Oncol Technical Innovations BACKGROUND: Isolated anatomic total caudate lobectomy is indicated in patients who have liver tumors limited to the caudate lobe. However, isolated caudate lobe resection is a challenging surgical procedure that required safe and reliable techniques. All portal and hepatic veins that connect this area originate from the first branch of the portal vein or vena cava; therefore, the operator must be cautious of the potential for massive bleeding. METHODS: The important points regarding the safety of our procedure include creating an optimal surgical view and preparing for accidental bleeding before parenchymal dissection. Sufficient mobilization and removal of Spiegel’s lobe from the left to the right side of the vena cava allows the operator to perform parenchymal dissection under a right- or front-side view. RESULTS: We have performed this technique in two patients with HCC and one patient with primary cystadenocarcinoma. The average operative time and amount of blood loss were 435 min and 1137 ml, respectively. No operative mortalities or postoperative complications were observed in any of the patients. Our three patients are currently doing well without any recurrence. CONCLUSION: Our modified high dorsal resection procedure can be used to safely remove the entire caudate lobe. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12957-016-0896-3) contains supplementary material, which is available to authorized users. BioMed Central 2016-04-29 /pmc/articles/PMC4850680/ /pubmed/27129389 http://dx.doi.org/10.1186/s12957-016-0896-3 Text en © Ochiai et al. 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Technical Innovations Ochiai, Toshiya Ishii, Hiromichi Toma, Atsushi Ishimoto, Takeshi Yamamoto, Yusuke Morimura, Ryo Ikoma, Hisashi Otsuji, Eigo Modified high dorsal procedure for performing isolated anatomic total caudate lobectomy (with video) |
title | Modified high dorsal procedure for performing isolated anatomic total caudate lobectomy (with video) |
title_full | Modified high dorsal procedure for performing isolated anatomic total caudate lobectomy (with video) |
title_fullStr | Modified high dorsal procedure for performing isolated anatomic total caudate lobectomy (with video) |
title_full_unstemmed | Modified high dorsal procedure for performing isolated anatomic total caudate lobectomy (with video) |
title_short | Modified high dorsal procedure for performing isolated anatomic total caudate lobectomy (with video) |
title_sort | modified high dorsal procedure for performing isolated anatomic total caudate lobectomy (with video) |
topic | Technical Innovations |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4850680/ https://www.ncbi.nlm.nih.gov/pubmed/27129389 http://dx.doi.org/10.1186/s12957-016-0896-3 |
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