Detailed Abstract
[Video Exhibition - Video]
[LV VE6] Pure laparoscopic right posterior sectionetomy for HCC
Hwui-Dong CHO, Ki-Hun KIM, Dong-Hwan JUNG, Gil-Chun PARK, Sung-Gyu LEE
Division of HepatobiliarySurgery and Liver Transplantation, Department of Surgery, Ulsan University and Asan Medical Center, Korea, Korea
Introduction : The laparoscopic poster sectionectomy is the major challenge for the laparoscopic liver surgeons. Because the right posterior segment lies deep in the abdominal cavity, it is not easy to access.
Methods : The patient was 61 years old man and diagnosed with 2 cm sized HCC on segment 7. Pringle maneuver was performed during the hepatic parenchymal transection using laparoscopic Bull-dog. During the hepatic transection, the Cavitron Ultrasonic Surgical Aspirator(CUSA) was used. Small hepatic vein branches and small glissonean pedicles were sealed and divided with a THUNDERBEAT™ (Olympus). iDriveTM Ultra Powered Stapling device (Medtronic) was used for division of major glissonean pedicle and large hepatic veins. The specimen was placed in endo-bag and extracted through Pfannestiel incision
Results : There was no specific events during operation and no complication after surgery. The operation time was 250 min, and the estimated blood loss was less than 200 ml. On postoperative day 3, computed tomographic scan showed no pathological findings. The patient was discharged on postoperative day 6 without complications.
Conclusions : We argue that the laparoscopic posterior sectionectomy is safe and feasible for HCC.
Methods : The patient was 61 years old man and diagnosed with 2 cm sized HCC on segment 7. Pringle maneuver was performed during the hepatic parenchymal transection using laparoscopic Bull-dog. During the hepatic transection, the Cavitron Ultrasonic Surgical Aspirator(CUSA) was used. Small hepatic vein branches and small glissonean pedicles were sealed and divided with a THUNDERBEAT™ (Olympus). iDriveTM Ultra Powered Stapling device (Medtronic) was used for division of major glissonean pedicle and large hepatic veins. The specimen was placed in endo-bag and extracted through Pfannestiel incision
Results : There was no specific events during operation and no complication after surgery. The operation time was 250 min, and the estimated blood loss was less than 200 ml. On postoperative day 3, computed tomographic scan showed no pathological findings. The patient was discharged on postoperative day 6 without complications.
Conclusions : We argue that the laparoscopic posterior sectionectomy is safe and feasible for HCC.
SESSION
Video Exhibition
Lobby(2F) 1/1/1970 9:00 AM - 9:00 AM