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Published in: Annals of Surgical Oncology 5/2024

27-01-2024 | Cholangiocarcinoma | Hepatobiliary Tumors

Laparoscopic Left Hepatectomy for Intrahepatic Cholangiocarcinoma

Authors: Yu-Shi Dai, MD, Wei Gao, MD, Hai-Jie Hu, MD, Yan-Wen Jin, MD, Fu-Yu Li, MD

Published in: Annals of Surgical Oncology | Issue 5/2024

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Abstract

Background

Minimally invasive surgery for intrahepatic cholangiocarcinoma (ICC) remains challenging, especially in advanced patients.

Patient and Method

A 66-year-old male was diagnosed with stage II ICC after a comprehensive evaluation and was scheduled for laparoscopic exploration and left hepatectomy.

Results

The pure laparoscopic left hepatectomy was completed in 240 min, employing a no-touch en bloc technique and lymphadenectomy skeletonization. The patient was discharged 6 days after the operation without any complications and received gemcitabine and cisplatin treatment postoperatively. There was no recurrence during 14 months of follow-up.

Conclusions

Our experience demonstrates that when utilizing the no-touch en bloc technique, standardized lymphadenectomy through skeletonization, and effective control of bleeding, surgeons with extensive expertise in laparoscopic hepatectomy can achieve results comparable to open surgery.
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Literature
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Metadata
Title
Laparoscopic Left Hepatectomy for Intrahepatic Cholangiocarcinoma
Authors
Yu-Shi Dai, MD
Wei Gao, MD
Hai-Jie Hu, MD
Yan-Wen Jin, MD
Fu-Yu Li, MD
Publication date
27-01-2024
Publisher
Springer International Publishing
Published in
Annals of Surgical Oncology / Issue 5/2024
Print ISSN: 1068-9265
Electronic ISSN: 1534-4681
DOI
https://doi.org/10.1245/s10434-024-14905-w

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