Yoon Yoo-Seok, Han Ho-Seong, Choi Yoo Shin, Jang Jin-Young, Suh Kyung-Suk, Kim Sun-Whe, Lee Kuhn Uk, Park Yong-Hyun
Department of Surgery, College of Medicine, Seoul National University, Seoul, Korea.
J Laparoendosc Adv Surg Tech A. 2006 Jun;16(3):274-7. doi: 10.1089/lap.2006.16.274.
A 57-year-old man presented with a liver mass that had been detected on physical examination. The abdominal computed tomography scan revealed a 5-cm single nodular hepatoma located in segments 6 and 7. A total laparoscopic right posterior sectionectomy was performed for this lesion. The anatomical demarcation of the posterior section was possible with selective control of a Glissonian pedicle to that section. The patient was discharged on postoperative day 13 without complications. The postoperative pathology confirmed a hepatocellular carcinoma with a 1-cm free resection margin. The patient had no evidence of recurrence at 12-month follow-up. To our knowledge, this is the first reported case of total laparoscopic right posterior sectionectomy in segments 6 and 7.
一名57岁男性因体检发现肝脏肿物就诊。腹部计算机断层扫描显示，在肝段6和7有一个5厘米的单发结节性肝癌。针对该病变实施了全腹腔镜右后叶切除术。通过选择性控制至该肝叶的肝蒂，能够实现后叶的解剖学划分。患者术后第13天出院，无并发症。术后病理证实为肝细胞癌，切缘阴性1厘米。患者在12个月的随访中无复发迹象。据我们所知，这是首例报道的全腹腔镜下肝段6和7右后叶切除术病例。
