Experiences of laparoscopic repeat hepatectomy for recurrent hepatic cancer after open hepatectomy
Matsukawa, H.; Shiozaki, S.; Satoh, D.; Yoshida, K.; Miyoshi, H.; Araki, H.; Idani, H.; Ojima, Y.; Harano, M.; Kanazawa, T.; Tokumoto, N.; Choda, Y.; Miyake, S.; Kato, T.; Mimura, N.; Takahashi, K.; Yamaguchi, K.; Okajima, M.; Ninomiya, M.
Gan to Kagaku Ryoho. Cancer and ChemoTherapy 41(12): 2098-2100
2014
ISSN/ISBN: 0385-0684 PMID: 25731435 Document Number: 672751
We report 3 cases of recurrent hepatic cancer in patients who underwent laparoscopic repeat hepatectomy (LRH). Case 1: A 70-year-old female with ascending colon cancer and liver metastases underwent open right colectomy followed by open S5 resection. Seven months later, the patient experienced a recurrence in the lateral segment and underwent laparoscopy-assisted ( L-A) partial resection. The adhesiolysis around the left liver was performed through a 7-cm upper median incision. Partial resection of the lateral segment was performed by hand-assisted laparoscopic surgery (HALS) using a median incision. Case 2: A 63-year-old female with metachronous liver metastases from rectal cancer underwent open S4a and S5 resection. Nineteen months later, she experienced a recurrence in S4b and underwent an L-A S4b resection. Adhesiolysis around the previous hepatic transection was performed through a small upper median incision. Mobilization of the liver was performed by HALS. A hepatic transection of S4b was also performed in the upper median incision. Case 3: An 80-year-old female with hepatocellular carcinoma (HCC) recurrence in the lateral segment after open S4 resection underwent L-A lateral segmentectomy. An adhesiolysis, mobilization of the liver, and a hepatic transection were performed by HALS and hybrid technique as described in case 2. In a patient with a history of open hepatectomy, LRH may be extensively indicated by utilizing HALS or a hybrid procedure.