Total laparoscopic right posterior sectionectomy for hepatocellular carcinoma.
A 57-year-old man presented with a liver mass that had been detected on physical examination. The abdominal computed tomography scan revealed a 5-cm single nodular hepatoma located in segments 6 and 7. A total laparoscopic right posterior sectionectomy was performed for this lesion. The anatomical demarcation of the posterior section was possible with selective control of a Glissonian pedicle to that section. The patient was discharged on postoperative day 13 without complications. The postoperative pathology confirmed a hepatocellular carcinoma with a 1-cm free resection margin. The patient had no evidence of recurrence at 12-month follow-up. To our knowledge, this is the first reported case of total laparoscopic right posterior sectionectomy in segments 6 and 7.
Yoon
Yoo-Seok
YS
Department of Surgery, College of Medicine, Seoul National University, Seoul, Korea.
Han
Ho-Seong
HS
Choi
Yoo Shin
YS
Jang
Jin-Young
JY
Suh
Kyung-Suk
KS
Kim
Sun-Whe
SW
Lee
Kuhn Uk
KU
Park
Yong-Hyun
YH
D006528:Carcinoma, Hepatocellular / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008113:Liver Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed