title: [Hepatocellular carcinoma originated in the caudate lobe. Surgical strategy for resection. A propos of a case].
abstract: BACKGROUND
  Hepatocellular carcinoma originating from the caudate lobe has a worse prognosis than other hepatocellular carcinoma in another segment of the liver. An isolated caudate lobe resection of the liver represents a significant technical challenge. Caudate lobe resection can be performed along with a lobectomy or as an isolated liver resection. There are very few reports about isolated caudate lobe liver resection. We report a case of successful isolated resection of hepatocellular carcinoma in the caudate lobe with excellent long-term survival.
  
  
  METHODS
  A 74 years old female with 8cm mass lesion in the caudate lobe without clinical or biochemical evidence of liver cirrhosis, serum alpha-fetoprotein 3.7 U/l, and negative hepatitis serology was evaluated for surgery. Complete resection of the lesion in 270minutes with Pringle maneuver for 13minutes was satisfactorily performed. Patient was discharged ten days after surgery without complications. Patient is currently asymptomatic, without deterioration of liver function and 48 month tumor free survival after the procedure.
  
  
  CONCLUSIONS
  Isolated caudate lobe resection is an uncommon but technically possible procedure. In order to achieve a successful resection, one must have a detailed knowledge of complete liver anatomy. Tumor free margins must be obtained to provide long survival for these patients who have a malignancy in this anatomic location.
authors.affiliation: Departamento de Cirugía, Instituto Mexicano del Seguro Social Unidad Médica de Alta Especialidad 189 Adolfo Ruiz Cortines, Veracruz, México. Electronic address: martinez.gustavo@transplantver.com.mx.
authors.forename: Gustavo
authors.initials: G
authors.lastname: Martínez-Mier
authors.affiliation: Departamento de Cirugía, Instituto Mexicano del Seguro Social Unidad Médica de Alta Especialidad 189 Adolfo Ruiz Cortines, Veracruz, México.
authors.forename: Sergio
authors.initials: S
authors.lastname: Esquivel-Torres
authors.affiliation: Departamento de Anestesia, Instituto Mexicano del Seguro Social Unidad Médica de Alta Especialidad 189 Adolfo Ruiz Cortines, Veracruz, México.
authors.forename: José Francisco
authors.initials: JF
authors.lastname: Calzada-Grijalva
authors.affiliation: Departamento de Patología, Instituto Mexicano del Seguro Social Unidad Médica de Alta Especialidad 189 Adolfo Ruiz Cortines, Veracruz, México.
authors.forename: Peter
authors.initials: P
authors.lastname: Grube-Pagola
mesh_terms: D000368:Aged; D006528:Carcinoma, Hepatocellular / Q000000981:diagnostic imaging / Q000601:surgery*; D017707:Erythrocyte Transfusion; D005260:Female; D006498:Hepatectomy / Q000379:methods*; D006801:Humans; D008113:Liver Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D019106:Postoperative Hemorrhage / Q000628:therapy; D012074:Remission Induction; D014057:Tomography, X-Ray Computed
keywords: Caudate lobe; Hepatocarcinoma; Hepatocellular carcinoma; Hígado; Liver; Lóbulo caudado; Resección; Resection