title: Surgical strategy for isolated caudate lobectomy: experience with 16 cases.
abstract: Introduction. Surgical resection is the most effective treatment for neoplasm in the caudate lobe. Isolated caudate lobectomy is still a challenge for hepatobiliary surgeons. No widely accepted surgical strategy for the procedure has been developed yet. Objective. To get a better understanding of isolated caudate lobectomy and to optimize the procedure. Materials and Methods. 16 cases of isolated caudate lobectomy were reviewed to summarize the surgical experience. Results. All the 16 cases of isolated caudate lobectomy were carried out successfully, among which left side approach was adopted in two cases (12.5%), right side approach in three cases (18.75%), and both sides approach in 11 cases (68.75%). No severe complications occurred. Conclusion. The majority of neoplasms confined to the caudate lobe can be resected safely by left and right side approach with proper anatomic surgical procedure, usually in the sequence of mobilization, outflow control, inflow control, and division of the hepatic parenchyma. Fully mobilizing the caudate lobe from the inferior vena cava (IVC) is of great importance. Division of the retrohepatic ligament and the venous ligament facilitated the procedure.
authors.affiliation: Hepatobiliary and Liver Transplantation Department, The Affiliated Qianfoshan Hospital, Shandong University, No. 16766 Jingshi Road, Jinan, Shandong 250014, China.
authors.forename: Gendong
authors.initials: G
authors.lastname: Tian
authors.affiliation: General Surgery Department, The First People's Hospital of Jinan City, No. 132 Minghu Road, Jinan, Shandong 250014, China.
authors.forename: Qiong
authors.initials: Q
authors.lastname: Chen
authors.affiliation: Hepatobiliary and Liver Transplantation Department, The Affiliated Qianfoshan Hospital, Shandong University, No. 16766 Jingshi Road, Jinan, Shandong 250014, China.
authors.forename: Yuan
authors.initials: Y
authors.lastname: Guo
authors.affiliation: Hepatobiliary and Liver Transplantation Department, The Affiliated Qianfoshan Hospital, Shandong University, No. 16766 Jingshi Road, Jinan, Shandong 250014, China.
authors.forename: Mujian
authors.initials: M
authors.lastname: Teng
authors.affiliation: Hepatobiliary and Liver Transplantation Department, The Affiliated Qianfoshan Hospital, Shandong University, No. 16766 Jingshi Road, Jinan, Shandong 250014, China.
authors.forename: Jie
authors.initials: J
authors.lastname: Li
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