Gringeri Enrico, Boetto Riccardo, Bassi Domenico, D'Amico Francesco E, Polacco Marina, Romano Maurizio, Barbieri Stefania, Feltracco Paolo, Spampinato Marcello, Zanus Giacomo, Cillo Umberto
*General Surgery and Organ Transplantation, Hepatobiliary Surgery and Liver Transplant Unit †Department of Anesthesiology, Azienda Università di Padova, Padova ‡Department of Surgery, HPB and Advanced Minimally Invasive Surgery, Policlinico di Abano Terme, Italy.
Surg Laparosc Endosc Percutan Tech. 2014 Dec;24(6):e233-6. doi: 10.1097/01.sle.0000442525.26905.6d.
The particular anatomic location of the hepatic caudate lobe between the hilar plate and inferior vena cava means that it is still considered unsuitable for laparoscopic measures and a difficult site even for conventional surgery. Here we describe the first case to be reported in the literature of caudate lobe resection for a single metastasis from breast adenocarcinoma that was completed using an exclusively laparoscopic procedure and a simplified scheme involving the placement of 4 trocars, without any need for conversion or the Pringle maneuver. The patient was 31 years old with a history of radical right mastectomy and chemotherapy. The patient's postoperative course was uneventful and she was discharged 4 days after the surgery. Twelve months on, she is currently alive and disease free.
肝尾状叶位于肝门板和下腔静脉之间的特殊解剖位置，这意味着它仍被认为不适合腹腔镜手术，即使对于传统手术来说也是一个困难的部位。在此，我们描述了文献中报道的首例通过完全腹腔镜手术完成的肝尾状叶切除术，该手术用于切除来自乳腺腺癌的单个转移灶，采用了一种简化方案，仅放置4个套管针，无需中转开腹或行Pringle手法。患者为31岁女性，有右侧乳腺癌根治术及化疗史。患者术后恢复顺利，术后4天出院。术后12个月，她目前仍存活且无疾病复发。
