YAO Libo , LI Yunfeng , YIN Xinmin , WU Yifei , ZHU Siwei , LIU Yi , LIAO Chunhong , CAI Rongyao , CAI Chengzhi
  • Department of Hepatobiliary and Pancreas Minimally Invasive Surgery, The First Affiliated Hospital of Hu’nan Normal University/Hunan Provincial People’s Hospital, Changsha 410005, P. R. China;
YIN Xinmin, Email: 13319587618@163.com
central hepatic tumor; laparoscopic hepatectomy; division of median hepatic fissure; indocyanine green fluorescence navigation
10.7507/1007-9424.202012079
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Objective To investigate the safety and feasibility of fluorescent guided laparoscopic central hepatic tumor resection via anterior transhepatic approach. Method We retrospectively analyzed the clinical data of three patients who underwent fluorescent guided laparoscopic central hepatic tumor resection via anterior transhepatic approach in Department of Hepatobiliary and Pancreas Minimally Invasive Surgery of Hunan Provincial People’s Hospital from April 2017 to April 2020.Results All the three patients completed the operation pure laparoscopically. Pathology results showed one case of hepatocellular carcinoma and two cases of focal nodular hyperplasia, the tumor size range from 4–7 cm. The operation time was 240–320 min, and the blood loss was 150–500 mL. There was no intraoperative blood transfusion. The postoperative hospital stay was 10–30 days. Postoperative bile leakage occurred in one patient, which was cured by laparoscopic hepatectomy. Three patients were followed up for 8, 36, and 25 months, respectively, and all the patients survived and there was no tumor recurrence up to november 2020.Conclusions Laparoscopic resection of central hepatic tumor is difficult and risky. Anterior transhepatic approach can maximize the preservation of liver parenchyma. In hepatobiliary and pancreatic centers with high volume of laparoscopic hepatectomy, this method is safe and feasible after strict patient selection, accurate preoperative evaluation, and fine intraoperative skills. Indocyanine green fluorescence navigation technology is helpful to accurately locate tumor during operation.

Citation： YAO Libo, LI Yunfeng, YIN Xinmin, WU Yifei, ZHU Siwei, LIU Yi, LIAO Chunhong, CAI Rongyao, CAI Chengzhi. Fluorescent guided laparoscopic central hepatic tumor resection via anterior transhepatic approach. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2021, 28(2): 141-145. doi: 10.7507/1007-9424.202012079 Copy

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