title: Laparoscopy-assisted right hepatectomy in a case of Fasciola hepatica.
abstract: Laparoscopic hepatectomy provides the usual advantages of a minimally invasive surgery. This study presents a case of Fasciola hepatica infection that was successfully treated with laparoscopic hepatectomy. The patient was referred because of persistent fever and right hypochondralgia with a huge mass occupying the right lobe of the liver, which was detected by imaging analysis. Serologic tests indicated an F. hepatica infection. The patient underwent a laparoscopic resection because the anthelmintic agent, triclabendazole was not effective. During the surgical technique, 5 trocars were inserted. After liver mobilization, the Glissonian pedicles and right hepatic veins were safely taped. A Penrose drain was placed behind the liver for a liver-hanging maneuver. A liver parenchymal transection was performed through an 8 cm handport site using a dissecting sealer (TissueLink Medical) after precoagulating its superficial layer by microtaze. Glissonian pedicles and the right hepatic vein were divided using an endolinear stapler (endcutter 45, Ethicon). Finally, the resected specimen was extracted from the handport. The surgical time was 450 minutes and the surgical blood loss was 370 mL. The patient was discharged 10 days after the surgery with an uneventful postoperative course. The laparoscopy-assisted hepatectomy in this case was beneficial for the patient's quality of life as a minimally invasive operation with a high degree of safety.
authors.affiliation: Department of Surgery, Nagasaki Rosai Hospital, Setogoshi, Nagasaki, Japan. yujongs@gmail.com
authors.forename: Yujo
authors.initials: Y
authors.lastname: Kawashita
authors.forename: Toru
authors.initials: T
authors.lastname: Iwata
authors.forename: Kengo
authors.initials: K
authors.lastname: Kanetaka
authors.forename: Shinichiro
authors.initials: S
authors.lastname: Ono
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Kawahara
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Fujisawa
authors.forename: Toshiaki
authors.initials: T
authors.lastname: Yoshida
authors.forename: Shinichi
authors.initials: S
authors.lastname: Miyahara
authors.forename: Shozo
authors.initials: S
authors.lastname: Eto
authors.forename: Takashi
authors.initials: T
authors.lastname: Kanematsu
mesh_terms: D000368:Aged; D000818:Animals; D005210:Fasciola hepatica / Q000469:parasitology*; D005211:Fascioliasis / Q000097:blood / Q000469:parasitology / Q000601:surgery*; D005260:Female; D006498:Hepatectomy / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D007249:Inflammation; D010535:Laparoscopy / Q000295:instrumentation / Q000379:methods*