Skip to main content

Tipp

Weitere Artikel dieser Ausgabe durch Wischen aufrufen

Erschienen in: European Surgery 3/2017

01.06.2017 | original article

Caudate resection for primary and metastatic liver tumors

verfasst von: PhD, FACS, FEBS Prof. Dr. Georgios C. Sotiropoulos, Petros Charalampoudis, Paraskevas Stamopoulos, Nikolaos Machairas, Eleftherios D. Spartalis, Stylianos Kykalos, Gregory Kouraklis

Erschienen in: European Surgery | Ausgabe 3/2017

Einloggen, um Zugang zu erhalten
share
TEILEN

Summary

Background

Surgical procedures involving the caudate lobe of the liver are characterized as the most demanding operations in liver surgery.

Methods

Liver resections including the caudate lobe performed at our institution by one senior hepatobiliary surgeon in a 2-year period were reviewed for the purposes of this study. Indications comprised primary and metastatic liver lesions.

Results

In a total of 60 hepatectomies, 12 patients underwent caudate lobe resection (20%). This was either isolated resection of segment I (n = 3) or combined with right, left, extended left hepatectomy or atypical resections in one, three, one, and four instances, respectively. Vascular resections/reconstructions were necessary in six cases (three cases each for portal vein and vena cava). All but one patient were directly extubated. Median hospital stay was 10.5 days. Surgical complications were classified as Dindo–Clavien grades I (n = 4), II (n = 4), IIIa (n = 1), IIIb (n = 2), and IV (n = 1).

Conclusion

Surgery for tumors located in the caudate lobe is feasible and can be safely performed by experienced teams.
Literatur
1.
Zurück zum Zitat Hawkins WG, DeMatteo RP, Cohen MS, et al. Caudate hepatectomy for cancer: a single institution experience with 150 patients. J Am Coll Surg. 2005;200(3):345–52. CrossRefPubMed Hawkins WG, DeMatteo RP, Cohen MS, et al. Caudate hepatectomy for cancer: a single institution experience with 150 patients. J Am Coll Surg. 2005;200(3):345–52. CrossRefPubMed
2.
Zurück zum Zitat Colonna JO 2nd, Shaked A, Gelabert HA, Busuttil RW. Resection of the caudate lobe through “bloody gultch”. Surg Gynecol Obstet. 1993;176(4):401–2. PubMed Colonna JO 2nd, Shaked A, Gelabert HA, Busuttil RW. Resection of the caudate lobe through “bloody gultch”. Surg Gynecol Obstet. 1993;176(4):401–2. PubMed
3.
Zurück zum Zitat Elias D, Lasser PH, Desruennes E, et al. Surgical approach to segment I for malignant tumors of the liver. Surg Gynecol Obstet. 1992;175(1):17–24. PubMed Elias D, Lasser PH, Desruennes E, et al. Surgical approach to segment I for malignant tumors of the liver. Surg Gynecol Obstet. 1992;175(1):17–24. PubMed
4.
Zurück zum Zitat Nimura Y, Hayakawa N, Kamiya J, et al. Hepatic segmentectomy with caudate lobe resection for bile duct carcinoma of the hepatic hilus. World J Surg. 1990;14(4):535–43. CrossRefPubMed Nimura Y, Hayakawa N, Kamiya J, et al. Hepatic segmentectomy with caudate lobe resection for bile duct carcinoma of the hepatic hilus. World J Surg. 1990;14(4):535–43. CrossRefPubMed
5.
Zurück zum Zitat Miyagawa S, Makuuchi M, Chisuwa H, Lygidakis NJ. Resection of a large liver cell adenoma originating in the caudate lobe. Hepatogastroenterology. 1992;39(2):173–6. PubMed Miyagawa S, Makuuchi M, Chisuwa H, Lygidakis NJ. Resection of a large liver cell adenoma originating in the caudate lobe. Hepatogastroenterology. 1992;39(2):173–6. PubMed
6.
Zurück zum Zitat Chaib E, Ribeiro MA Jr., Silva Fde S, et al. Caudate lobectomy: tumor location, topographic classification, and technique using right- and left-sided approaches to the liver. Am J Surg. 2008;196(2):245–51. CrossRefPubMed Chaib E, Ribeiro MA Jr., Silva Fde S, et al. Caudate lobectomy: tumor location, topographic classification, and technique using right- and left-sided approaches to the liver. Am J Surg. 2008;196(2):245–51. CrossRefPubMed
7.
Zurück zum Zitat Dindo D, Demartines N, Clavien PA. Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg. 2004;240(2):205–13. CrossRefPubMedPubMedCentral Dindo D, Demartines N, Clavien PA. Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg. 2004;240(2):205–13. CrossRefPubMedPubMedCentral
8.
Zurück zum Zitat Chaib E, Ribeiro MA Jr., Silva Fde S, et al. Surgical approach for hepatic caudate lobectomy: Review of 401 cases. J Am Coll Surg. 2007;204(1):118–27. CrossRefPubMed Chaib E, Ribeiro MA Jr., Silva Fde S, et al. Surgical approach for hepatic caudate lobectomy: Review of 401 cases. J Am Coll Surg. 2007;204(1):118–27. CrossRefPubMed
9.
Zurück zum Zitat Murakami G, Hata F. Human liver caudate lobe and liver segment. Anat Sci Int. 2002;77(4):211–24. CrossRefPubMed Murakami G, Hata F. Human liver caudate lobe and liver segment. Anat Sci Int. 2002;77(4):211–24. CrossRefPubMed
10.
Zurück zum Zitat Makuuchi M, Yamamoto J, Takayama T, et al. Extrahepatic division of the right hepatic vein in hepatectomy. Hepatogastroenterology. 1991;38(2):176–9. PubMed Makuuchi M, Yamamoto J, Takayama T, et al. Extrahepatic division of the right hepatic vein in hepatectomy. Hepatogastroenterology. 1991;38(2):176–9. PubMed
11.
Zurück zum Zitat Chaib E, Ribeiro MA Jr., Souza YE, D’Albuquerque LA. Anterior hepatic transection for caudate lobectomy. Clinics (Sao Paulo). 2009;64(11):1121–5. CrossRef Chaib E, Ribeiro MA Jr., Souza YE, D’Albuquerque LA. Anterior hepatic transection for caudate lobectomy. Clinics (Sao Paulo). 2009;64(11):1121–5. CrossRef
12.
Zurück zum Zitat Morise Z, Yamafuji K, Asami A, et al. Hepatectomy following transarterial chemotherapy for a metastasis in the caudate lobe. Hepatogastroenterology. 2004;51(56):583–5. PubMed Morise Z, Yamafuji K, Asami A, et al. Hepatectomy following transarterial chemotherapy for a metastasis in the caudate lobe. Hepatogastroenterology. 2004;51(56):583–5. PubMed
13.
Zurück zum Zitat Yamamoto H, Nagino M, Kamiya J, et al. Surgical treatment for colorectal liver metastases involving the paracaval portion of the caudate lobe. Surgery. 2005;137(1):26–32. CrossRefPubMed Yamamoto H, Nagino M, Kamiya J, et al. Surgical treatment for colorectal liver metastases involving the paracaval portion of the caudate lobe. Surgery. 2005;137(1):26–32. CrossRefPubMed
14.
Zurück zum Zitat Lopez-Andujar R, Montalva E, Bruna M, et al. Step-by-step isolated resection of segment 1 of the liver using the hanging maneuver. Am J Surg. 2009;198(3):e42–8. CrossRefPubMed Lopez-Andujar R, Montalva E, Bruna M, et al. Step-by-step isolated resection of segment 1 of the liver using the hanging maneuver. Am J Surg. 2009;198(3):e42–8. CrossRefPubMed
15.
Zurück zum Zitat Peng SY, Liu YB, Wang JW, et al. Retrograde resection of caudate lobe of liver. J Am Coll Surg. 2008;206(6):1232–8. CrossRefPubMed Peng SY, Liu YB, Wang JW, et al. Retrograde resection of caudate lobe of liver. J Am Coll Surg. 2008;206(6):1232–8. CrossRefPubMed
16.
Zurück zum Zitat Fukada T, Kimura F, Takayasiki T, et al. Anterior transhepatic approach for hepatocellular carcinoma located in deep positions of segment VIII. Hepatogastroenterology. 2007;54(74):536–8. PubMed Fukada T, Kimura F, Takayasiki T, et al. Anterior transhepatic approach for hepatocellular carcinoma located in deep positions of segment VIII. Hepatogastroenterology. 2007;54(74):536–8. PubMed
17.
Zurück zum Zitat Tono T, Ohzato H, Fukunaga M, et al. Surgical treatment of hepatic caudate lobe metastases originating from colorectal primaries. Int Surg. 2000;85(3):237–42. PubMed Tono T, Ohzato H, Fukunaga M, et al. Surgical treatment of hepatic caudate lobe metastases originating from colorectal primaries. Int Surg. 2000;85(3):237–42. PubMed
18.
Zurück zum Zitat Nagasue N, Kohno H, Yamanoi A, et al. Resection of the caudate lobe of the liver for primary and recurrent hepatocellular carcinomas. J Am Coll Surg. 1997;184(1):1–8. PubMed Nagasue N, Kohno H, Yamanoi A, et al. Resection of the caudate lobe of the liver for primary and recurrent hepatocellular carcinomas. J Am Coll Surg. 1997;184(1):1–8. PubMed
19.
Zurück zum Zitat Hu JX, Miao XY, Zhong DW, et al. Anterior approach for complete isolated caudate lobectomy. Hepatogastroenterology. 2005;52(66):1641–4. PubMed Hu JX, Miao XY, Zhong DW, et al. Anterior approach for complete isolated caudate lobectomy. Hepatogastroenterology. 2005;52(66):1641–4. PubMed
20.
Zurück zum Zitat Fan J, Wu ZQ, Tang ZY, et al. Complete resection of the caudate lobe of the liver with tumor: technique and experience. Hepatogastroenterology. 2001;48(39):808–11. PubMed Fan J, Wu ZQ, Tang ZY, et al. Complete resection of the caudate lobe of the liver with tumor: technique and experience. Hepatogastroenterology. 2001;48(39):808–11. PubMed
21.
Zurück zum Zitat Tanaka S, Shimada M, Shirabe K, et al. Surgical outcome of patients with hepatocellular carcinoma originating in the caudate lobe. Am J Surg. 2005;190(3):451–5. CrossRefPubMed Tanaka S, Shimada M, Shirabe K, et al. Surgical outcome of patients with hepatocellular carcinoma originating in the caudate lobe. Am J Surg. 2005;190(3):451–5. CrossRefPubMed
22.
Zurück zum Zitat Ikegami T, Ezaki T, Ishida T, et al. Limited hepatic resection for hepatocellular carcinoma in the caudate lobe. World J Surg. 2004;28(7):697–701. CrossRefPubMed Ikegami T, Ezaki T, Ishida T, et al. Limited hepatic resection for hepatocellular carcinoma in the caudate lobe. World J Surg. 2004;28(7):697–701. CrossRefPubMed
23.
Zurück zum Zitat Yamamoto T, Kubo S, Shuto T, et al. Surgical strategy for hepatocellular carcinoma originating in the caudate lobe. Surgery. 2004;135(6):595–603. CrossRefPubMed Yamamoto T, Kubo S, Shuto T, et al. Surgical strategy for hepatocellular carcinoma originating in the caudate lobe. Surgery. 2004;135(6):595–603. CrossRefPubMed
24.
Zurück zum Zitat Sakamoto Y, Nara S, Hata S, et al. Prognosis of patients undergoing hepatectomy for solitary hepatocellular carcinoma originating in the caudate lobe. Surgery. 2011;150(5):959–67. CrossRefPubMed Sakamoto Y, Nara S, Hata S, et al. Prognosis of patients undergoing hepatectomy for solitary hepatocellular carcinoma originating in the caudate lobe. Surgery. 2011;150(5):959–67. CrossRefPubMed
25.
Zurück zum Zitat Malago M, Frilling A, Li J, et al. Cholangiocellular carcinoma – the role of caudate lobe resection and mesohepatectomy. HPB (Oxford). 2008;10(3):179–82. CrossRef Malago M, Frilling A, Li J, et al. Cholangiocellular carcinoma – the role of caudate lobe resection and mesohepatectomy. HPB (Oxford). 2008;10(3):179–82. CrossRef
26.
27.
Zurück zum Zitat Kondo S, Hirano S, Ambo Y, et al. Forty consecutive resections of hilar cholangiocarcinoma with no postoperative mortality and no positive ductal margins: results of a prospective study. Ann Surg. 2004;240(1):95–101. CrossRefPubMedPubMedCentral Kondo S, Hirano S, Ambo Y, et al. Forty consecutive resections of hilar cholangiocarcinoma with no postoperative mortality and no positive ductal margins: results of a prospective study. Ann Surg. 2004;240(1):95–101. CrossRefPubMedPubMedCentral
28.
Zurück zum Zitat Kaiser GM, Paul A, Sgourakis G, et al. Novel prognostic scoring system after surgery for Klatskin tumor. Am Surg. 2013;79(1):90–5. PubMed Kaiser GM, Paul A, Sgourakis G, et al. Novel prognostic scoring system after surgery for Klatskin tumor. Am Surg. 2013;79(1):90–5. PubMed
29.
Zurück zum Zitat Xu LN, Huang ZQ. Resection of hepatic caudate lobe hemangioma: experience with 11 patients. Hepatobiliary Pancreat Dis Int. 2010;9(5):487–91. PubMed Xu LN, Huang ZQ. Resection of hepatic caudate lobe hemangioma: experience with 11 patients. Hepatobiliary Pancreat Dis Int. 2010;9(5):487–91. PubMed
30.
Zurück zum Zitat Wahab AM, Lawal AR, El Hanafy E, et al. Caudate lobe resection: an Egyptian center experience. Langenbecks Arch Surg. 2009;394(6):1057–63. CrossRefPubMed Wahab AM, Lawal AR, El Hanafy E, et al. Caudate lobe resection: an Egyptian center experience. Langenbecks Arch Surg. 2009;394(6):1057–63. CrossRefPubMed
31.
Zurück zum Zitat van Gulik T, Lang H. Isolated resection of segment 1 of the liver. Dig Surg. 2005;22(3):143–6. CrossRefPubMed van Gulik T, Lang H. Isolated resection of segment 1 of the liver. Dig Surg. 2005;22(3):143–6. CrossRefPubMed
Metadaten
Titel
Caudate resection for primary and metastatic liver tumors
verfasst von
PhD, FACS, FEBS Prof. Dr. Georgios C. Sotiropoulos
Petros Charalampoudis
Paraskevas Stamopoulos
Nikolaos Machairas
Eleftherios D. Spartalis
Stylianos Kykalos
Gregory Kouraklis
Publikationsdatum
01.06.2017
Verlag
Springer Vienna
Erschienen in
European Surgery / Ausgabe 3/2017
Print ISSN: 1682-8631
Elektronische ISSN: 1682-4016
DOI
https://doi.org/10.1007/s10353-017-0466-0

Weitere Artikel der Ausgabe 3/2017

European Surgery 3/2017 Zur Ausgabe