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Chinese Journal of Operative Procedures of General Surgery(Electronic Edition) ›› 2026, Vol. 20 ›› Issue (04): 323-323. doi: 10.3877/cma.j.issn.1674-3946.2026.04.005

• Specialist Operation Broadcast • Previous Articles    

Laparoscopic total caudate lobe resection

Muyan Li1, Shugeng Zhang1, Lianxin Liu2,()   

  1. 1 Department of Liver Transplantation, First Affiliated Hospital of University of Science and Technology of China, Hefei Anhui Province 230000, China
    2 Department of Hepatobiliary Surgery, First Affiliated Hospital of University of Science and Technology of China, Hefei Anhui Province 230000, China
  • Online:2026-08-26 Published:2026-06-30
  • Contact: Lianxin Liu
  • Supported by:
    Anhui Province Outstanding Young Researcher Project of Universities(2022AH020077)

Abstract:

laparoscopic liver resection has been widely adopted over the past decades, performing a laparoscopic isolated total caudate lobectomy for hepatocellular carcinoma (HCC) remains technically challenging, particularly in patients with underlying liver cirrhosis. With the accumulation of long-term follow-up data, the clinical advantages of laparoscopic liver resection have become increasingly evident. Compared with conventional open surgery, overall survival rates are comparable, while multiple studies have demonstrated that laparoscopic approaches can reduce intraoperative blood loss and shorten postoperative hospital stay. However, due to the deep anatomical location of the caudate lobe and its proximity to the inferior vena cava (IVC) and hepatic veins, laparoscopic caudate lobectomy remains a complex and high-risk procedure. In this report, we present a video demonstration of an isolated laparoscopic total caudate lobectomy performed in a cirrhotic patient, utilizing an anterior approach, with the tumor located adjacent to the caval portion of the caudate lobe.

Key words: Carcinoma, Hepatocellular, Hepatectomy, Laparoscopes, Caudate Lobectomy

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