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01.06.2017 | original article | Ausgabe 3/2017

European Surgery 3/2017

Caudate resection for primary and metastatic liver tumors

Zeitschrift:
European Surgery > Ausgabe 3/2017
Autoren:
PhD, FACS, FEBS Prof. Dr. Georgios C. Sotiropoulos, Petros Charalampoudis, Paraskevas Stamopoulos, Nikolaos Machairas, Eleftherios D. Spartalis, Stylianos Kykalos, Gregory Kouraklis

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.

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