미상엽에 위치한 간전이 병변에 대해 시행된 복강경 간절제술

• Published in: Annals of surgical treatment and research Vol. 73; no. 4; pp. 340 - 343
• Main Authors: 윤유석(Yoo-Seok Yoon), 한호성(Ho-Seong Han), 신상현(Sang-Hyun Shin), 조재영(Jai Young Cho), 장진영(Jin-Young Jang), 서경석(Kyung-Suk Suh), 김선회(Sun-Whe Kim), 이건욱(Kuhn Uk Lee), 박용현(Yong-Hyun Park)
• Format: Journal Article
• Language: Korean
• Published: 대한외과학회 01.10.2007
• Subjects: 일반외과학; Caudate lobectomy; 간절제술; Laparoscopy; 미상엽 절제술; 복강경; Hepatectomy
• ISSN: 2288-6575; 2288-6796

Isolated resection of the caudate lobe of the liver is a technically demanding operation because of its unique anatomical location. Moreover the laparoscopic approach for this operative procedure has been rarely attempted. We report on a total laparoscopic liver resection of the caudate lobe including Spiegel lobe and most of paracaval portion that was performed in a 63-year-old male with a colorectal liver metastasis. The operative procedure was performed using five trocars with the patient placed in the lithotomy position. The operative time was 170 minutes. Blood loss was 350 ml and no perioperaive transfusion was needed. The patient was discharged on postoperative day 4 without any significant complications. This case shows that total laparoscopic liver resection of the caudate lobe is a feasible operation and that laparoscopic approach may be a useful option for the lesion located in Spiegel lobe in selected cases. (J Korean Surg Soc 2007;73:340-343) KCI Citation Count: 1