[Resection of right or total hepatic caudate lobe including paracaval portion].
OBJECTIVE
To evaluate the surgical techniques and feasibility for resecting the hepatic caudate lobe including the paracaval portion.


METHODS
Right posterior approach for right caudate lobectomy and left lateral approach for total caudate lobectomy were taken with or without some kinds of preparatory segmentectomies.


RESULTS
Seven right and 6 total caudate lobectomies, all including paracaval portion, ware accomplished without operative death. The mean intraoperative blood loss was 896.15 (250 - 2 000) ml and the mean portal triad clamping time was 25.4 (10 - 83) min. The postoperative course was uneventful for all the cases, and the mean hospital stay was 12 (9 - 22) days.


CONCLUSIONS
Although being complicated anatomically, resection of the hepatic caudate lobe including the paracaval portion is feasible with a high safety.
Eastern Hepatobiliary Hospital, Second Military Medical University, Shanghai 200438, China.
Yi
Y
Wang
Han
H
Chen
Mengchao
M
Wu
Xiaoqing
X
Jian
Gongtian
G
Wei
Yanfu
Y
Sun
D000368:Aged; D005240:Feasibility Studies; D005260:Female; D006498:Hepatectomy; D006801:Humans; D008113:Liver Neoplasms / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D014682:Vena Cava, Inferior