Laparoscopic hepatic resection for hepatocellular carcinoma.
Despite recent progress in diagnostics for hepatocellular carcinoma, the rate of resectability remains low, mainly because of the advancement of the underlying liver disease. We report a case of a 54-year-old man with a hepatocellular carcinoma and poor liver function that was treated successfully with a laparoscopic hepatic resection. Laparoscopic hepatic resection is considered to be feasible with the aid of an ultrasonic dissector and a microwave coagulator; however, close attention should be paid to the development of air embolism and hepatic vein injury.
Hashizume
M
M
Department of Surgery II, Faculty of Medicine, Kyushu University, Fukuoka, Japan.
Takenaka
K
K
Yanaga
K
K
Ohta
M
M
Kajiyama
K
K
Shirabe
K
K
Itasaka
H
H
Nishizaki
T
T
Sugimachi
K
K
D006528:Carcinoma, Hepatocellular / Q000601:surgery*; D004210:Dissection / Q000295:instrumentation; D004564:Electrocoagulation / Q000295:instrumentation; D004618:Embolism, Air / Q000517:prevention & control; D005240:Feasibility Studies; D006498:Hepatectomy / Q000295:instrumentation / Q000379:methods; D006503:Hepatic Veins / Q000293:injuries; D006801:Humans; D007431:Intraoperative Complications / Q000517:prevention & control; D020706:Laparoscopes; D010535:Laparoscopy / Q000379:methods; D008113:Liver Neoplasms / Q000601:surgery*; D008297:Male; D008872:Microwaves / Q000627:therapeutic use; D008875:Middle Aged; D014464:Ultrasonic Therapy / Q000295:instrumentation