A. Li1, M. Wu1 1Eastern Hepatobiliary Surgery Hospital,The Second Special Treatment,Shanghai, SHANGHAI, China
Introduction:
Because caudate lobe tumors are located deep in the hepatic parenchyma, beneath the confluence of the main hepatic veins and between the porta hepatis, and the inferior vena cava (IVC), resecting these tumors is complex procedure. Our aim is report our experience with resection of benign caudate lobe using the anterior transhepatic approach.
Methods:
15 patients with benign focal nodular hyperplasia (n=9) and hemangioma (n=6) tumors underwent resection between January 2006 and December 2013. Mean age of the patients was 36 years.
Results:
All 15 patients underwent total caudate lobectomy via an anterior transhepatic approach. The median diameter of the tumor was 6.7 cm. Mean operative time was 138 minutes and mean intraoperative blood loss was 560 mL. Postoperative surgical complications were seen in 2 of patients. With a follow-up of 38 months, all patients remain well.
Conclusion:
Although a technically difficult operation, resection of the caudate lobe tumors using the anterior transhepatic approach is feasible procedure and can be performed with acceptable operative risk if care is taken with consideration of some key points in techniques
