腹腔镜尾侧入路治疗位于肝硬化肝脏腔静脉旁部的小肝细胞癌
Laparoscopic caudal approach for a small hepatocellular carcinoma located in the paracaval portion of a cirrhotic liver.
作者信息
Iwashita Yukio, Uchida Hiroki, Endo Yuichi, Yada Kazuhiro, Mori Tetsu, Ohta Masayuki, Inomata Masafumi
机构信息
Department of Gastroenterological and Pediatric Surgery, Oita University Faculty of Medicine, Oita, Japan.
Mori Clinic, Oita, Japan.
出版信息
Asian J Endosc Surg. 2016 Aug;9(3):204-7. doi: 10.1111/ases.12273. Epub 2016 Jun 2.
Resection of a tumor located in the paracaval portion of the liver, without sacrificing other parts of the liver, is surgically challenging. Here, we describe using a laparoscopic caudal approach for a small hepatocellular carcinoma located in the paracaval portion. It is the first case using the laparoscopic caudal approach to be reported in the literature. Compared with the conventional approaches, this procedure can minimize both surgical invasiveness and the volume of liver parenchyma to be resected. In addition, the laparoscopic view is suitable for this procedure. The laparoscopic caudal approach can be a safe procedure with minimal invasiveness for a small paracaval tumor, particularly in patients with liver cirrhosis.
在不切除肝脏其他部分的情况下，切除位于肝腔静脉旁部分的肿瘤，在手术上具有挑战性。在此，我们描述了一种针对位于肝腔静脉旁部分的小肝细胞癌采用腹腔镜尾侧入路的方法。这是文献中报道的首例使用腹腔镜尾侧入路的病例。与传统方法相比，该手术可将手术侵袭性和需切除的肝实质体积降至最低。此外，腹腔镜视野适用于此手术。腹腔镜尾侧入路对于小的腔静脉旁肿瘤而言可以是一种具有最小侵袭性的安全手术，尤其是对于肝硬化患者。
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