{"title":"Resection of the paracaval portion of the caudate lobe of the liver through complete right approach: advantages of a laparoscopic perspective.","authors":"Ya Yang, Jiahong Liang, Xingru Wang, Jianwei Li","doi":"10.1007/s13304-025-02134-z","DOIUrl":null,"url":null,"abstract":"<p><p>The lesions in the paracaval portion are situated in deep locations and adjacent to vital blood vessels. Existing reports regarding the resection of the paracaval portion through a complete right laparoscopic approach are limited. We present a case of a hepatic mass resection in the paracaval portion using a complete right laparoscopic approach. This study documents detailed surgical procedures and postoperative outcomes. The operative time was 160 min, with an intraoperative blood loss of 100 mL. The patient was discharged on postoperative day 5 without experiencing any complications. The postoperative pathological result indicated a hepatic hemangioma. In conclusion, the complete right laparoscopic approach for paracaval portion resection is a safe and effective technique. However, it poses challenges and should be performed in specialized centers equipped with advanced laparoscopic technology.</p>","PeriodicalId":23391,"journal":{"name":"Updates in Surgery","volume":" ","pages":"455-458"},"PeriodicalIF":2.4000,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Updates in Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s13304-025-02134-z","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/3/3 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0
Abstract
The lesions in the paracaval portion are situated in deep locations and adjacent to vital blood vessels. Existing reports regarding the resection of the paracaval portion through a complete right laparoscopic approach are limited. We present a case of a hepatic mass resection in the paracaval portion using a complete right laparoscopic approach. This study documents detailed surgical procedures and postoperative outcomes. The operative time was 160 min, with an intraoperative blood loss of 100 mL. The patient was discharged on postoperative day 5 without experiencing any complications. The postoperative pathological result indicated a hepatic hemangioma. In conclusion, the complete right laparoscopic approach for paracaval portion resection is a safe and effective technique. However, it poses challenges and should be performed in specialized centers equipped with advanced laparoscopic technology.
期刊介绍：
Updates in Surgery (UPIS) has been founded in 2010 as the official journal of the Italian Society of Surgery. It’s an international, English-language, peer-reviewed journal dedicated to the surgical sciences. Its main goal is to offer a valuable update on the most recent developments of those surgical techniques that are rapidly evolving, forcing the community of surgeons to a rigorous debate and a continuous refinement of standards of care. In this respect position papers on the mostly debated surgical approaches and accreditation criteria have been published and are welcome for the future.
Beside its focus on general surgery, the journal draws particular attention to cutting edge topics and emerging surgical fields that are publishing in monothematic issues guest edited by well-known experts.
Updates in Surgery has been considering various types of papers: editorials, comprehensive reviews, original studies and technical notes related to specific surgical procedures and techniques on liver, colorectal, gastric, pancreatic, robotic and bariatric surgery.
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