RT Journal Article
SR Electronic
T1 Strategies to Perform Curative Laparoscopic Repeat Hepatectomy for Recurrent Liver Tumors After Open Right Lobectomy
JF Anticancer Research
JO Anticancer Res
FD International Institute of Anticancer Research
SP 2171
OP 2175
DO 10.21873/anticanres.14990
VO 41
IS 4
A1 FURUKAWA, KENEI
A1 HARUKI, KOICHIRO
A1 YASUDA, JUNGO
A1 ONDA, SHINJI
A1 TANIAI, TOMOHIKO
A1 HAMURA, RYOGA
A1 SHIOZAKI, HIRONORI
A1 SHIRAI, YOSHIHIRO
A1 IIDA, TOMONORI
A1 SAKAMOTO, TARO
A1 GOCHO, TAKESHI
A1 IKEGAMI, TORU
YR 2021
UL http://ar.iiarjournals.org/content/41/4/2171.abstract
AB 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.