Hisoka Yamane*, Hiroyuki Nakamura, Eiji Fukuoka, Koichi Mohri, Toshihiko Yoshida, Takashi Yamagishi, Shingo Akiyama, Koichi Murata, Dai Otsubo, Akinobu Furutani, Taku Matsumoto, Hidehiro Sawa, Motofumi Tanaka, Satoshi Suzuki and Yasuhiro Fujino
Division of Gastroenterological Surgery, Hyogo Cancer Center, JapanFulltext PDF
Although laparoscopic liver resection is widely accepted as a minimally invasive surgical approach for Hepatocellular Carcinoma (HCC), repeat laparoscopic hepatectomy has not been widely adopted due to its technical difficulties. Therefore, it has been limited to highly selected patients. A 75-year-old man was admitted to our hospital with a diagnosis of HCC and underwent open central bisectionectomy. One year after surgery, abdominal Computed Tomography (CT) revealed a mass measuring 10 mm in diameter on the cut liver surface of Segment 7 (S7). Our preoperative diagnosis was recurrent HCC and the patient underwent repeat laparoscopic S7 partial hepatectomy. There was no sign of recurrence 10 months after hepatectomy. Repeat laparoscopic hepatectomy for recurrent HCC in S7 after open hepatectomy is an especially challenging, but suitable and safe procedure for selected patients. We report a case of repeat laparoscopic S7 partial hepatectomy for recurrent HCC after open central bisectionectomy.
Recurrent hepatocellular carcinoma; Repeat laparoscopic hepatectomy; Segment 7
Yamane H, Nakamura H, Fukuoka E, Mohri K, Yoshida T, Yamagishi T, et al. Repeat Laparoscopic Hepatectomy for Recurrent Hepatocellular Carcinoma after Open Central Bisectionectomy. Clin Oncol. 2021;6:1860..