Published in:
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.