Department of Hepatopancreatobiliary Surgery, The Second Affiliated Hospital of Kunming Medical University, 243 Dianmian Avenue, Wuhua District, Kunming, 650101, Yunnan, China.
Surg Endosc. 2024 Aug;38(8):4722-4730. doi: 10.1007/s00464-024-11072-7. Epub 2024 Jul 15.
The caudate lobe (S1) of the liver, due to its deep central position, presents a formidable challenge for laparoscopic resection. Historical skepticism about laparoscopic approaches has been overshadowed by advancements in technology and technique, with recent studies showing comparable outcomes to open surgery.
This paper introduces the "Easy First" technique and the Sextet strategies for laparoscopic hepatic caudate lobectomy. The strategies include meticulous preoperative planning, optimal trocar placement, and team positioning, tailored to the anatomical complexities of the caudate lobe.
With a 0% conversion and mortality rate, our series demonstrates the safety of the "Easy First" technique. The Sextet strategies have been instrumental in navigating the technical challenges, emphasizing the importance of patient selection and surgeon expertise.
The "Easy First" technique, with its structured approach and the Sextet strategies, offers a replicable method for laparoscopic caudate lobectomy. It underscores the need for stringent patient selection, advanced technical skill, and high-volume center expertise to ensure procedural success and patient safety.
由于肝尾叶（S1 段）位于肝脏深部中央位置，因此腹腔镜切除极具挑战性。腹腔镜技术的进步已经克服了历史上对该技术的怀疑，近期的研究表明其与开放手术的结果相当。
本文介绍了腹腔镜肝尾叶切除术的“先易后难”技术和 sextet 策略。这些策略包括术前精心规划、最佳套管针放置和团队定位，以适应肝尾叶的解剖复杂性。
我们的系列研究中，零中转率和死亡率证明了“先易后难”技术的安全性。sextet 策略在应对技术挑战方面发挥了重要作用，强调了患者选择和外科医生专业知识的重要性。
“先易后难”技术及其 sextet 策略为腹腔镜肝尾叶切除术提供了一种可复制的方法。它强调了严格的患者选择、先进的技术技能和高容量中心专业知识的必要性，以确保手术的成功和患者的安全。
