title: Hand-assisted laparoscopic hepatectomy for primary clear cell hepatocellular carcinoma of the liver.
abstract: We report a case of primary clear cell hepatocellular carcinoma of the liver (PCCCL) for which we performed hand-assisted laparoscopic hepatectomy. A 71-year-old female with hepatitis C infection and diabetes mellitus was admitted to our department for a hepatic tumor with gallstone. Abdominal computed tomography revealed a tumor 25 mm in diameter on the surface in segment 5 of the liver. The imaging results suggested small hepatocellular carcinoma located on the surface in segment 5 of the liver, and we performed laparoscopic surgery aiming at a minimally invasive procedure. We performed laparoscopic cholecystectomy and hand-assisted laparoscopic hepatectomy. Histopathological findings showed moderately differentiated hepatocellular carcinoma, and as the proportion of clear cells was 75%, the tumor was diagnosed as PCCCL. This is the first report of hand-assisted laparoscopic hepatectomy for PCCCL. Laparoscopic hepatectomy is a useful minimally invasive surgical procedure when the tumor is located on the surface of the liver.
authors: Department of Surgery, Social Insurance Yokohama Central Hospital, Yokohama, Japan.
authors: Kazutoshi
authors: K
authors: Kida
authors: Takatsugu
authors: T
authors: Oida
authors: Kenji
authors: K
authors: Mimatsu
authors: Hisao
authors: H
authors: Kano
authors: Atsushi
authors: A
authors: Kawasaki
authors: Nobutada
authors: N
authors: Fukino
authors: Youichi
authors: Y
authors: Kuboi