Peng Yuming,Yin Qiang,Sheng Xinyi,et al.Three-dimensional laparoscopic resection of caudate lobe hepatic tumor via an anterior approach in children[J].Journal of Clinical Pediatric Surgery,,19():1007-1011.[doi:10.3969/j.issn.1671-6353.2020.11.009]
Three-dimensional laparoscopic resection of caudate lobe hepatic tumor via an anterior approach in children
- Keywords:
- Laparoscopes; Liver Neoplasms/SU; Child
- CLC:
- 726.1;R735.7
- Abstract:
- Objective To explore the safety and efficacy of three-dimensional (3D) laparoscopic resection of caudate lobe hepatic tumor in children.Methods The clinical data were analyzed retrospectively for a 2-year-old girl with caudate lobe hepatic tumor at Hunan Children’s Hospital in December 2019.Her body weight was 12 kg and the tumore had a size of 60 mm×41 mm×50 mm.Via an anterior approach,3D laparoscopic resection was employed for splitting the median hepatic fissure through Cantlie line.Results During operation,right half of hepatic blood flow was blocked for 15 min and whole hepatic blood flow blocked thrice for 15 min each.The volume of intraoperative blood loss was 200 mL and 1 unit of red blood cell transfused.She received conventional treatments of anti-infection,anti-acid,hepatic protection and nutritional supports.At Day 8 post-operation,abdominal enhanced computed tomography (CT) showed low-density opacity under middle hepatic vein,minimal effusion in hepatorenal space,unobstructed portal vein blood flow and no dilatation of intrahepatic bile duct.Pathological examination showed nodular hyperplasia.At Day 13 after operation,she was discharged smoothly.Conclusion For pediatric caudate lobe hepatic tumor,3D laparoscopic resection is both safe and mini-invasive.It is also feasible for tumors involving vena cava and compressing hepatic vein.
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Memo
收稿日期:2020-02-13。
基金项目:湖南省卫健委科研项目（编号：20200458）
通讯作者:尹强,Email:qiangyin@hotmail.com