Year: 2003
Type: article
Abstract: Ablation therapies are frequently performed for small hepatocelluar carcinoma (HCC). These modalities are not indicated when the tumor is located on the surface of the liver, because there is a possibility of peritoneal dissemination of the tumor cells. We think that for these cases a laparoscopic hepatectomy is an ideal choice. This technique can be utilized in cases with severe liver chirrosis, because the laparoscopic approach is less invasive. In the present paper, we describe the important technical points of laparoscopic hepatectomy for HCC with severe cirrhosis. Indication should be limited to nodules less than 3 cm and which are located in the anterior-inferior parts of the liver. Care should be taken not to injure collateral veins in the abdominal wall. The liver parenchyma is coaluglated by microwave before dissection to reduce bleeding. For liver dissection, an ultrasonic dissector is used and larger vessels are clipped before dissection.
Source: Journal of Microwave Surgery
Institutions: Aichi Medical University, Aichi Medical University Hospital
Language: English
Subfield: Hepatology
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W2000903710