Work

Laparoscopic resection of the hepatic caudate lobe: enhancing surgical precision with inferior vena cava-centric approach

Year: 2026

Type: article

Abstract: Hepatic caudate lobe tumor resection is challenging due to anatomical depth. This study presents a laparoscopic technique for caudate hemangioma, using the inferior vena cava (IVC) as a guide to improve safety and feasibility. A 34-year-old male with incidentally detected caudate hemangioma underwent surgery. Preoperative evaluations (normal blood tests, ICG R15 3.0%, Child-Pugh A) confirmed good liver function. Computed tomography/magnetic resonance imaging confirmed the diagnosis, and surgery was planned with IVC dissection. The surgery lasted 191 minutes, with only 40 ml of blood loss and no intraoperative or postoperative complications. Histopathological examination confirmed a diagnosis of cavernous hemangioma. The patient achieved an uneventful recovery, with the drainage tube removed on postoperative Day 3 and hospital discharge completed on postoperative Day 4. Laparoscopic resection is safe for caudate hemangioma with proper preoperative assessment and experience. IVC guidance minimizes blood loss, shortens operative time, and ensures favourable recovery.

Source: Journal of Surgical Case Reports

DOI: 10.1093/jscr/rjag116

Authors: Haoyang Huang, Dingwei Xu, Jie Huang

Institutions: Kunming Medical University, Second Affiliated Hospital of Kunming Medical College

Language: English

Topic: Hepatocellular Carcinoma Treatment and Prognosis

Subfield: Hepatology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,000