Cic edizioni internazionali
Il Giornale di Chirurgia

Le resezioni del lobo caudato: note di tecnica e risultati chirurgici

Articolo, 152
Tag this article
Abstract
Full text PDF
Background: Caudate lobe resection is a complex surgical procedure
that requires a high level of technical skills and a deep knowledge
of liver surgical anatomy.
Materials and methods: From 1998 to 2008, 16 patients (8 females,
8 males), median age 60 years (44-77) underwent caudate lobe
resection for 10 colorectal metastases; 4 hepatocarcinomas (HCC); 2
cholangiocarcinomas. Surgical procedures: 4 left hepatectomies with
caudate lobectomy; 8 right hepatectomies with caudate lobectomy; 4
isolated caudate lobectomy. Pringle maneuver and a combined approach
from right to left have been always used. In the 4 isolated caudate
lobectomy, the control of supra and infrahepatic vena cava was accomplished
by tourniquet occlusion.
Results: Surgical procedure were R0 in 15 cases and R1 in one case.
The median operative time was 320 min (± 20 min); estimated intraoperative
bleeding was 900 ml (± 150 ml); morbility rate was 18,7%
(1 anastomotic biliary fistula, 1 biliopleuric fistula; one acute kidney
failure). Mortality rate was 6,25% (1 emoperitoneum). The median
postoperative stay was 17,8 days (range 5-42). Median survival was
20,5, 36,1 and 7,3 months for colorectal metastases, HCC and cholangiocarcinomas,
respectively.
Discussion: Isolated or associated caudectomy is a feasible surgical
technique. However, isolated resection of caudate lobe is more complex
and technical demanding due to its deep location and close relationships
with hepatic hilar structures and the inferior vena cava. Therefore,
a deep knowledge of caudate lobe surgical anatomy and a combined
from right to left approach are strongly required.

Vol. XLI (No. 1) 2020 January - February

  1. Laparoscopic Roux-en-Y gastric bypass in the treatment of obesity: evidence based update through randomized clinical trials and meta-analyses
    Morales-Maza J., Rodriguez-Quintero J.H., Sanchez-Morales G.E., Sanchez Garcia-Ramos E., Romero-Velez G., Aguilar-Frasco J.L., Pimienta-Ibarra A.S., Alvarez-Bautista F.E., Leon P., Hernandez-Acevedo J.D., Del Angel-Millan G., Sierra M.
  2. Retroperitoneal sarcomas: from diagnosis to treatment. Case series and review of the literature
    Mantas D., Garmpis N., Polychroni D., Garmpi A., Damaskos C., Liakea A., Sypsa G., Kouskos E.
  3. The discriminative properties of erythrocyte anisocytosis in patients with resectable malignant pancreatic masses compared with an age and gender matched control group
    Akturk O.M., Çakir M.
  4. Diagnostic and therapeutic role of laparoscopy in perforated peptic ulcer in the elderly patients
    Giordano A., Prosperi P., Alemanno G., Bergamini C., Bruscino A., Valeri A.
  5. The role of laparoscopic surgery in isolated adrenal metastasis: our personal experience
    Frattolillo G., Paradiso G., Scarano Catanzaro V., Giordano L., Avantifiori R., D'Ermo G., Letizia C., De Toma G.
  6. Advances in bioengineering of complex tissues: state of the art of mucosae decellularization protocols
    Rizzo M.I., Contardi C., Esposito M., Zama M.
  7. An analysis of missed cases with surgical emergencies admitted in non-surgical departments. Case series and а review of the literature
    Popivanov G., Cirocchi R., Popov G., Stefanovski P., Andonova R., Kjossev K., Tonchev P., Tabakov M., Penkov M., Ivanov P., Mutafchiyski V.
  8. The evolution of robotic arm-assisted arthroplasty in Greece
    Koutserimpas C., Dretakis K.
  9. Current role of open surgery in adrenal tumors
    Chiappini A., Frattolillo G., Paradiso G., De Gori A., Scarano Catanzaro V., Avantifiori R., Fiori E., De Toma G.
  10. Preoperative fasting - “nihil per os” a difficult myth to break down: a randomized controlled study
    Panebianco A., Laforgia R., Volpi A., Punzo C., Vacca G., Minafra M., Di Salvo M., Pezzolla A.
  11. Sentinel lymph node biopsy with intraoperative touch imprint cytology (TIC) in breast cancer: experience of a mild-volume center
    Marano A., Sodano B., Vitiello C., Martini A.M., Baldassarre F., Siciliano A., Iannaci G.
  12. Spontaneous transdiaphragmatic intercostal hernia: clinical considerations and management
    Lonardo M.T., Frezzotti F., Collalti M., Natili A., Metere A.
  13. Systemic immune response after open tension-free inguinal hernia repair under different anesthetic alternatives: a prospective comparative study
    Symeonidis D., Diamantis A., Baloyiannis I., Tzovaras G., Tepetes K.
  14. Minilaparotomic incision for haemorrhagic corpus luteum: a case report
    Leanza V., Mininni C., Di Grazia F.M., Genovese F., Carbonaro A., Leanza G., Palumbo M.
  15. Conservative management of streptococcal necrotizing periorbital fasciitis following primary VZV infection
    Kontou E., Bontzos G., Triantafyllou D., Garnavou-Xirou C., Ragkousis A., Xirou T.
  16. Relief of hemorrhoid symptoms: pilot study of a new topical ally
    Gaj F., Bianchi F.P., Passannanti D., Tedesco D.
  17. Topical use of tranexamic acid in primary total knee arthroplasty: a comparative study
    Besiris G.TH., Koutserimpas C., Karamitros A., Karaiskos I., Tsakalou D., Raptis K., Kourelis K., Paxinos O., Kotsirakis A., Vlasis K.
  18. Insights in clinical examination and diagnosis of Athletic Pubalgia
    Koutserimpas C., Ioannidis A., Konstantinidis M.K., Makris M.C., Antonakopoulos F., Mazarakis A., Papagelopoulos P.J., Vlasis K., Konstantinidis M.K.
Last Viewed articles: la lista degli ultimi x visitati.
  1. Le resezioni del lobo caudato: note di tecnica e risultati chirurgici
    Montemurro S., Caliandro C., Cartanese C., De Luca R., Ruggieri E., Rucci A., Sciscio V.
credits