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LAPAROSCOPIC CAUDATE LOBE RESECTION FOR HEPATOCELLULAR CARCINOMA IN CIRRHOSIS
Andrea Ruzzenente*, Simone Conci, Andrea Ciangherotti, Tommaso Campagnaro, Calogero Iacono, Alfredo Guglielmi Department of Surgery , University of Verona Medical School, Verona, Italy
The caudate lobe is located in the dorsal area of the liver behind the hepatic veins and the portal triad. Caudate lobe resection is rarely performed with laparoscopic approach due to technical complexity. In this video we describe two cases of caudate lobectomy for HCC. Case 1: A 77 years-old male with HCC of 5cm of the caudate lobe, in patient with alcohol related-cirrhosis. Case 2: A 66 years-old male with HCC of 3cm of the caudate lobe, with alcohol-related cirrhosis (Child-Pugh A6). In both cases caudate lobe resection was performed with total laparoscopic approach without complications. The laparoscopic caudate lobe resection is safe and feasible but it should be performed in selected cases
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