Repeat laparoscopic anatomical liver resection in a hepatocellular carcinoma patient:a case report

作     者：Kazuharu Igarashi Kohei Mishima Takahiro Ozaki Go Wakabayashi 

作者机构：Department of SurgeryAgeo Central General HospitalAgeoSaitama 362-8588Japan Department of General-Pediatric Hepatobiliary Pancreatic SurgeryKitasato University School of MedicineSagamiharaKanagawa 252-0374Japan 

出 版 物：《Hepatoma Research》 (肝癌研究（英文版）)

年 卷 期：2022年第8卷第1期

页      面：248-253页

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：Repeat laparoscopic anatomical liver resection HCC Glissonean approach subsegmentectomy cone unit resection 

摘      要：Anatomical resection(AR)has been reported to achieve better long-term outcomes than non-anatomical resection for the treatment of hepatocellular carcinoma(HCC).The surgical feasibility and oncological significance of laparoscopic AR(LAR),especially“subsegment resection,“cone unit resection,and repeat LAR for HCC,remain unproven.We present a 67-year-old patient with alcoholic liver cirrhosis and HCC who underwent full LAR three times,focusing on the technical aspects of the Glissonean approach.Repeating LAR for recurrent HCC could be a safe and feasible procedure.However,HCC recurred in the neighboring segment twice,even though pathological vascular invasion and marginal remnants were not confirmed.We should investigate the oncological significance and advancements in subsegmentectomy and cone unit resection,in the future.