[Laparoscopic resection of Spiegel lobe].

Zhonghua Yi Xue Za Zhi

Department of General Surgery, Sir Run Run Shaw Hospital, College of Medicine, Zhejiang University, Institute of Minimally Invasive Surgery, Hangzhou 310016, China.

Published: July 2009

Objective: To evaluate the feasibility and experience of laparoscopic resection for Spiegel lobe associated with left liver lobe.

Methods: Three patients underwent laparoscopic resection of Spiegel lobe associated with left liver lobe. Left hemihepatectomy or left lateral lobectomy was carried out firstly and then Spiegel lobe resected through the left-sided approach.

Results: A total of 3 cases were performed successfully. The median operative time was 197 min and the median blood loss 467 ml. The postoperative period was uneventful without hemorrhage, bile leakage, infection or abdominal effusion.

Conclusion: Laparoscopic resection of Spiegel lobe associated with left liver lobe is safe and feasible when performed in selected cases and by experienced surgeons in laparoscopic hepatectomy.

Download full-text PDF

Source

Publication Analysis

Top Keywords

resection spiegel
16
spiegel lobe
16
laparoscopic resection
12
lobe associated
12
associated left
12
left liver
12
liver lobe
8
lobe
6
spiegel
5
left
5

Similar Publications

Background: Minimally invasive technique for surgical management of colorectal metastasis is becoming the standard practice in the United States. Paracaval colorectal metastasis is a technically challenging tumor to resect due to its location. Abutment of the inferior vena cava (IVC) often requires advanced technique for vascular dissection and potential need for partial venous resection.

View Article and Find Full Text PDF

Background: Minimally invasive resection for perihilar cholangiocarcinoma is a complicated and technically demanding surgical procedure. Radical surgical resection is regarded as the best treatment for hepatic hilar cholangiocarcinoma. Right hepatectomy with caudate lobe resection is necessary as the treatment for bismuth IIIa hilar cholangiocarcinoma.

View Article and Find Full Text PDF

Background: Minimally invasive caudate lobectomy, or even paracaval caudate resection, can be associated with significant bleeding due to its abutment of inferior vena cava (IVC), portal pedicle and hepatic veins. This risk can be magnified by cirrhosis as well as response to neoadjuvant therapy (a common phenomenon after excellent response to neoadjuvant chemotherapy), leading to obliteration or even fusion of the hepato-caval space. PATIENT: A 68-year-old female with stage IVa colorectal adenocarcinoma was found to have a single liver metastasis (3.

View Article and Find Full Text PDF

Background/aim: Laparoscopic hepatectomy has become a common management strategy for liver tumors owing to its less invasive nature and enhanced visual perspective. Yet, its use in the caudate lobe poses challenges. This study evaluates the experiences of patients who underwent laparoscopic hepatectomy for hepatic tumors in the caudate lobe and aims to propose strategies for performing such procedures.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!