Laparoscopic hepatic resection for hepatocellular carcinoma

• DOI: 10.1007/bf00190161
• Publication Date: 2004-08-28T15:33:17Z
• Authors: M. Hashizume; K. Takenaka; K. Yanaga; M. Ohta; K. Kajiyama; K. Shirabe; H. Itasaka; T. Nishizaki; K. Sugimachi
• Keywords: Male; Carcinoma, Hepatocellular; Dissection; Ultrasonic Therapy; Liver Neoplasms; Hepatic Veins; Middle Aged; Laparoscopes; 3. Good health; 03 medical and health sciences; 0302 clinical medicine; Electrocoagulation; Embolism, Air; Feasibility Studies; Hepatectomy; Humans; Laparoscopy; Intraoperative Complications; Microwaves

Despite recent progress in diagnostics for hepatocellular carcinoma, the rate of resectability remains low, mainly because of the advancement of the underlying liver disease. We report a case of a 54-year-old man with a hepatocellular carcinoma and poor liver function that was treated successfully with a laparoscopic hepatic resection. Laparoscopic hepatic resection is considered to be feasible with the aid of an ultrasonic dissector and a microwave coagulator; however, close attention should be paid to the development of air embolism and hepatic vein injury.