Laparoscopic resection of right lobe liver tumor Hepatobiliary surgery bravely breaks through the forbidden area of minimally invasive surgery Date：2013-6-25 Read：680 times Recently, hepatobiliary surgery of our hospital successfully performed complete laparoscopic resection of right lobe liver tumor for two patients with right liver tumor. This is another new project successfully carried out by our hepatobiliary surgery department in central and northern Jiangsu Province after the successful implementation of hepatic left lobe tumor resection, which marks that the development of minimally invasive surgery in our hepatobiliary surgery has reached the domestic advanced level. Gu Yue (pseudonym), a 23-year-old patient, was diagnosed with an occupied right lobe of the liver during a physical examination shortly before her admission to the hospital. Since Miss Gu, who was unmarried, had been worried that the surgery wound would be too large and affect the aesthetics, she was hesitant to be admitted to the hospital. After repeated communication with Prof. Chen Zhong, the chief of general surgery, she decided to undergo laparoscopic liver tumor resection. Prof. Chen Zhong formulated a thorough treatment plan and successfully completed the surgery under complete laparoscopy. After the surgery, Ms. Gu’s abdomen only had three 0.5 cm incisions and one 1 cm incision, and she was discharged from the hospital 5 days after the surgery. Chang Renan, Department of Hepatobiliary Surgery, Nantong University Hospital After the successful laparoscopic resection of right lobe of liver tumor for Ms. Gu, Prof. Chen Zhong’s treatment team performed the same type of surgery for 37-year-old patient Xue Jincheng (pseudonym). Not only did the surgery result in a complete removal of the 5 cm lesion, but the postoperative pathology showed that Mr. Xue’s tumor was a moderately differentiated hepatocellular carcinoma, and no cancer involvement was seen at the surgical incision margin, marking a successful execution of the surgery. According to Director Chen Zhong, liver surgery is regarded as one of the most difficult operations in laparotomy due to the complex anatomical structure and dense blood vessels, and the tumor removal from the right lobe of liver is even more difficult and even considered as “the forbidden area of laparoscopic liver cancer surgery”, and only a few hospitals in China can carry out this technology. The Department of Hepatobiliary Surgery of our hospital started from performing complete laparoscopic resection of the left liver, and after accumulating mature laparoscopic techniques, we have overcome the problem of complete laparoscopic resection of the right liver, which has brought a blessing to the patients with liver tumor. At present, all patients undergoing laparoscopic liver tumor resection in our hepatobiliary surgery department have achieved the technical indexes of less intraoperative bleeding, shorter portal blockage time and faster recovery of liver function after surgery, and none of them had perioperative complications, which indicates that “no forbidden area for laparoscopic liver cancer surgery” is no longer just a dream for hepatobiliary surgery. Zhong Dong