title: Totally laparoscopic caudate lobe resection: technical aspects and literature review.
abstract: The particular anatomic location of the hepatic caudate lobe between the hilar plate and inferior vena cava means that it is still considered unsuitable for laparoscopic measures and a difficult site even for conventional surgery. Here we describe the first case to be reported in the literature of caudate lobe resection for a single metastasis from breast adenocarcinoma that was completed using an exclusively laparoscopic procedure and a simplified scheme involving the placement of 4 trocars, without any need for conversion or the Pringle maneuver. The patient was 31 years old with a history of radical right mastectomy and chemotherapy. The patient's postoperative course was uneventful and she was discharged 4 days after the surgery. Twelve months on, she is currently alive and disease free.
authors.affiliation: *General Surgery and Organ Transplantation, Hepatobiliary Surgery and Liver Transplant Unit †Department of Anesthesiology, Azienda Università di Padova, Padova ‡Department of Surgery, HPB and Advanced Minimally Invasive Surgery, Policlinico di Abano Terme, Italy.
authors.forename: Enrico
authors.initials: E
authors.lastname: Gringeri
authors.forename: Riccardo
authors.initials: R
authors.lastname: Boetto
authors.forename: Domenico
authors.initials: D
authors.lastname: Bassi
authors.forename: Francesco E
authors.initials: FE
authors.lastname: D'Amico
authors.forename: Marina
authors.initials: M
authors.lastname: Polacco
authors.forename: Maurizio
authors.initials: M
authors.lastname: Romano
authors.forename: Stefania
authors.initials: S
authors.lastname: Barbieri
authors.forename: Paolo
authors.initials: P
authors.lastname: Feltracco
authors.forename: Marcello
authors.initials: M
authors.lastname: Spampinato
authors.forename: Giacomo
authors.initials: G
authors.lastname: Zanus
authors.forename: Umberto
authors.initials: U
authors.lastname: Cillo
mesh_terms: D000328:Adult; D001943:Breast Neoplasms; D018270:Carcinoma, Ductal, Breast / Q000556:secondary / Q000601:surgery*; D005260:Female; D006498:Hepatectomy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008113:Liver Neoplasms / Q000556:secondary / Q000601:surgery*; D015409:Mastectomy, Radical / Q000379:methods; D011028:Pneumoperitoneum, Artificial / Q000379:methods; D016896:Treatment Outcome; D014682:Vena Cava, Inferior / Q000601:surgery