Strategies to Perform Curative Laparoscopic Repeat Hepatectomy for Recurrent Liver Tumors After Open Right Lobectomy
| Autor: | Ryoga Hamura, Takeshi Gocho, Hironori Shiozaki, Jungo Yasuda, Shinji Onda, Koichiro Haruki, Tomohiko Taniai, Kenei Furukawa, Toru Ikegami, Tomonori Iida, Yoshihiro Shirai, Taro Sakamoto |
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| Rok vydání: | 2021 |
| Předmět: |
Male
Reoperation Cancer Research medicine.medical_specialty Carcinoma Hepatocellular Laparoscopic hepatectomy Adhesion (medicine) Repeat hepatectomy Partial hepatectomy Right hepatic lobectomy medicine Deformity Hepatectomy Humans Laparoscopic resection Aged business.industry Liver Neoplasms Remission Induction General Medicine Middle Aged medicine.disease Surgery Treatment Outcome Oncology Laparoscopy Neoplasm Recurrence Local medicine.symptom business Organ Sparing Treatments |
| Zdroj: | Anticancer Research. 41:2171-2175 |
| ISSN: | 1791-7530 0250-7005 |
| Popis: | Background Although indications of laparoscopic hepatectomy have been expanded, the laparoscopic approach after right hepatic lobectomy has a very high burden. The purpose of this study was to evaluate patients undergoing laparoscopic repeat hepatectomy for recurrent hepatic tumors after open right lobectomy. Patients and methods Five cases of laparoscopic repeat hepatectomy for recurrent hepatic tumors after open right lobectomy were included in the study. Results All the tumors in segment 3 were intraoperatively detected and curatively resected by partial hepatectomy. The tumors in segment 2 could not be detected intraoperatively due to hypertrophic liver deformity and adhesion. They were curatively resected by anatomical subsegmental approach. Conclusion For recurrent tumors located in segment 2 after right lobectomy, anatomical subsegmental approach should be preferred, not only from an oncological standpoint, but also for securing curative laparoscopic resection and overcoming anatomical difficulties. |
| Databáze: | OpenAIRE |
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