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Research ArticleClinical Studies

Strategies to Perform Curative Laparoscopic Repeat Hepatectomy for Recurrent Liver Tumors After Open Right Lobectomy

KENEI FURUKAWA, KOICHIRO HARUKI, JUNGO YASUDA, SHINJI ONDA, TOMOHIKO TANIAI, RYOGA HAMURA, HIRONORI SHIOZAKI, YOSHIHIRO SHIRAI, TOMONORI IIDA, TARO SAKAMOTO, TAKESHI GOCHO and TORU IKEGAMI
Anticancer Research April 2021, 41 (4) 2171-2175; DOI: https://doi.org/10.21873/anticanres.14990
KENEI FURUKAWA
Division of Hepatobiliary and Pancreas Surgery, Department of Surgery, The Jikei University School of Medicine, Tokyo, Japan
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KOICHIRO HARUKI
Division of Hepatobiliary and Pancreas Surgery, Department of Surgery, The Jikei University School of Medicine, Tokyo, Japan
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JUNGO YASUDA
Division of Hepatobiliary and Pancreas Surgery, Department of Surgery, The Jikei University School of Medicine, Tokyo, Japan
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SHINJI ONDA
Division of Hepatobiliary and Pancreas Surgery, Department of Surgery, The Jikei University School of Medicine, Tokyo, Japan
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TOMOHIKO TANIAI
Division of Hepatobiliary and Pancreas Surgery, Department of Surgery, The Jikei University School of Medicine, Tokyo, Japan
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RYOGA HAMURA
Division of Hepatobiliary and Pancreas Surgery, Department of Surgery, The Jikei University School of Medicine, Tokyo, Japan
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HIRONORI SHIOZAKI
Division of Hepatobiliary and Pancreas Surgery, Department of Surgery, The Jikei University School of Medicine, Tokyo, Japan
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YOSHIHIRO SHIRAI
Division of Hepatobiliary and Pancreas Surgery, Department of Surgery, The Jikei University School of Medicine, Tokyo, Japan
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TOMONORI IIDA
Division of Hepatobiliary and Pancreas Surgery, Department of Surgery, The Jikei University School of Medicine, Tokyo, Japan
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TARO SAKAMOTO
Division of Hepatobiliary and Pancreas Surgery, Department of Surgery, The Jikei University School of Medicine, Tokyo, Japan
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TAKESHI GOCHO
Division of Hepatobiliary and Pancreas Surgery, Department of Surgery, The Jikei University School of Medicine, Tokyo, Japan
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TORU IKEGAMI
Division of Hepatobiliary and Pancreas Surgery, Department of Surgery, The Jikei University School of Medicine, Tokyo, Japan
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  • For correspondence: toruikegamijikei@jikei.ac.jp
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Abstract

Background: Although indications of laparoscopic hepatectomy have been expanded, the laparoscopic approach after right hepatic lobectomy has a very high burden. The purpose of this study was to evaluate patients undergoing laparoscopic repeat hepatectomy for recurrent hepatic tumors after open right lobectomy. Patients and Methods: Five cases of laparoscopic repeat hepatectomy for recurrent hepatic tumors after open right lobectomy were included in the study. Results: All the tumors in segment 3 were intraoperatively detected and curatively resected by partial hepatectomy. The tumors in segment 2 could not be detected intraoperatively due to hypertrophic liver deformity and adhesion. They were curatively resected by anatomical subsegmental approach. Conclusion: For recurrent tumors located in segment 2 after right lobectomy, anatomical subsegmental approach should be preferred, not only from an oncological standpoint, but also for securing curative laparoscopic resection and overcoming anatomical difficulties.

Key Words:
  • Laparoscopic repeat hepatectomy
  • recurrent hepatic tumor
  • right lobectomy
  • Received February 9, 2021.
  • Revision received March 4, 2021.
  • Accepted March 8, 2021.
  • Copyright © 2021 International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved.
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Anticancer Research: 41 (4)
Anticancer Research
Vol. 41, Issue 4
April 2021
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Strategies to Perform Curative Laparoscopic Repeat Hepatectomy for Recurrent Liver Tumors After Open Right Lobectomy
KENEI FURUKAWA, KOICHIRO HARUKI, JUNGO YASUDA, SHINJI ONDA, TOMOHIKO TANIAI, RYOGA HAMURA, HIRONORI SHIOZAKI, YOSHIHIRO SHIRAI, TOMONORI IIDA, TARO SAKAMOTO, TAKESHI GOCHO, TORU IKEGAMI
Anticancer Research Apr 2021, 41 (4) 2171-2175; DOI: 10.21873/anticanres.14990

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Strategies to Perform Curative Laparoscopic Repeat Hepatectomy for Recurrent Liver Tumors After Open Right Lobectomy
KENEI FURUKAWA, KOICHIRO HARUKI, JUNGO YASUDA, SHINJI ONDA, TOMOHIKO TANIAI, RYOGA HAMURA, HIRONORI SHIOZAKI, YOSHIHIRO SHIRAI, TOMONORI IIDA, TARO SAKAMOTO, TAKESHI GOCHO, TORU IKEGAMI
Anticancer Research Apr 2021, 41 (4) 2171-2175; DOI: 10.21873/anticanres.14990
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Keywords

  • Laparoscopic repeat hepatectomy
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  • right lobectomy
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