Current status and prospect in laparoscopic central hepatectomy_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

FENG Qingbo ,  LI Jiaxin , ZENG Yong , WU Hong

Department of Liver Surgery, West China Hospital, Sichuan University, Chengdu 610041, P. R. China;

Corresponding?author：

LI Jiaxin, Email: 407723080@qq.com

Keywords：

middle liver tumor; laparoscope; central hepatectomy

DOI：

10.7507/1007-9424.202112023

Video：

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Abstract Full text Figures/Tables Video References Cited by

Tumors located in the middle lobe of liver were usually subjected to extended hemihepatectomy due to its special anatomical location and high surgical difficulty. However, the incidence of postoperative liver failure and mortality increased accordingly for patients with liver cirrhosis and poor liver function because more liver parenchyma was resected. Therefore, some researchers proposed to use central hepatectomy to treat. However, due to the higher-level technology and the higher risk, it had not been carried out routinely following decades. Later, with the rapid development of laparoscopic technology in the liver surgery and its advantages such as small trauma, rapid postoperative recovery, and the same efficacy as open liver surgery, the reports on laparoscopic central hepatectomy (LCH) at home and abroad had been increasing year by year. Especially, with the standardization of LCH, the development of LCH will be promoted. LCH might become the mainstream of surgical treatment of middle liver tumors in the future.

Citation： FENG Qingbo, LI Jiaxin, ZENG Yong, WU Hong. Current status and prospect in laparoscopic central hepatectomy. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2022, 29(4): 421-425. doi: 10.7507/1007-9424.202112023 Copy

1.	Fong Y, Sun RL, Jarnagin W, et al. An analysis of 412 cases of hepatocellular carcinoma at a Western center. Ann Surg, 1999, 229(6): 790-799.
2.	吳孟超, 張曉華, 胡宏楷, 等. 用中肝葉切除術治療中肝葉腫瘤. 解放軍醫學雜志, 1965, 2(4): 363-368.
3.	李敬東, 張立鑫. 腹腔鏡中肝切除的技術探討. 中華腔鏡外科雜志(電子版), 2018, 11(3): 144-145.
4.	鄭樹國. 腹腔鏡解剖性肝中葉切除術. 中國普外基礎與臨床雜志, 2014, 21(8): 929-931.
5.	Chan J, Perini M, Fink M, et al. The outcomes of central hepatectomy versus extended hepatectomy: a systematic review and meta-analysis. HPB (Oxford), 2018, 20(6): 487-496.
6.	Chen XP, Qiu FZ, Lau WY, et al. Mesohepatectomy for hepatocellular carcinoma: a study of 256 patients. Int J Colorectal Dis, 2008, 23(5): 543-546.
7.	賈長庫, 陳有科, 韓霖, 等. 交替半肝入肝血流阻斷解剖性肝中葉切除. 中國普通外科雜志, 2015, 24(1): 121-126.
8.	王峰杰, 甄作均, 陳煥偉. Glisson蒂橫斷式肝中葉切除治療合并肝硬化的肝細胞癌安全性及療效. 中華肝臟外科手術學電子雜志, 2018, 7(6): 465-468.
9.	何忠野, 華向東, 尚海, 等. 精準肝中葉切除20例臨床研究. 腫瘤學雜志, 2017, 23(11): 1011-1015.
10.	葉青, 何軍明, 彭建新, 等. 腹腔鏡解剖性順時針四切面肝中葉切除的策略與技巧. 中華肝臟外科手術學電子雜志, 2020, 9(2): 164-167.
11.	Feng Q, Wu X. Laparoscopic cholecystectomy for double gallbladder. Hepatobiliary Surg Nutr, 2020, 9(1): 121. doi: 10.21037/hbsn.2019.11.23.
12.	李國新, 王達, 胡彥鋒, 等. 腹腔鏡全胃切除術. 中華普外科手術學雜志(電子版), 2021, 8(4): 36-36.
13.	吳寶強, 孫冬林, 江勇, 等. 腹腔鏡脾部分切除術治療脾臟良性腫瘤的臨床療效. 中華消化外科雜志, 2014, 13(12): 977-978.
14.	李永彬, 彭兵. 腹腔鏡胰十二指腸切除術的現狀與思考. 中國普外基礎與臨床雜志, 2021, 28(9): 1121-1124.
15.	Feng Q, Jiang C, Feng X, et al. Robotic versus laparoscopic distal pancreatectomy for pancreatic ductal adenocarcinoma: a systematic review and meta-analysis. Front Oncol, 2021, 11: 752236. doi: 10.3389/fonc.2021.752236.
16.	余德才, 吳星宇. Glisson鞘肝蒂解剖聯合肝靜脈優先的腹腔鏡肝中葉切除: 兩例報告(附視頻). 中華肝臟外科手術學電子雜志, 2018, 7(5): 431-432.
17.	Reich H, McGlynn F, DeCaprio J, et al. Laparoscopic excision of benign liver lesions. Obstet Gynecol, 1991, 78(5 Pt 2): 956-958.
18.	Gumbs AA, Gayet B. Totally laparoscopic central hepatectomy. J Gastrointest Surg, 2008, 12(7): 1153. doi: 10.1007/s11605-007-0353-2.
19.	Yoon YS, Han HS, Cho JY, et al. Totally laparoscopic central bisectionectomy for hepatocellular carcinoma. J Laparoendosc Adv Surg Tech A, 2009, 19(5): 653-656.
20.	Rotellar F, Martí-Cruchaga P, Zozaya G, et al. Standardized laparoscopic central hepatectomy based on hilar caudal view and root approach of the right hepatic vein. J Hepatobiliary Pancreat Sci, 2020, 27(1): E7-E8. doi: 10.1002/jhbp.669.
21.	Li W, Han J, Xie G, et al. Laparoscopic versus open mesohepatectomy for patients with centrally located hepatocellular carcinoma: a propensity score matched analysis. Surg Endosc, 2019, 33(9): 2916-2926.
22.	彭俊楊, 楊培, 曾新桃, 等. 腹腔鏡肝中葉切除術治療原發性肝癌21例報告. 腹腔鏡外科雜志, 2020, 25(5): 352-355.
23.	Cho CW, Rhu J, Kwon CHD, et al. Short-term outcomes of totally laparoscopic central hepatectomy and right anterior sectionectomy for centrally located tumors: a case-matched study with propensity score matching. World J Surg, 2017, 41(11): 2838-2846.
24.	張中林, 張瀟, 李錕, 等. 吲哚菁綠熒光顯像引導在腹腔鏡肝中葉切除術中的應用. 腹部外科, 2019, 32(1): 13-16, 封2.
25.	Chen R, Wang Z, Zhu W, et al. Laparoscopic in situ anatomical mesohepatectomy for solitary massive hcc using combined intrafascial and extrafascial approaches with indocyanine green navigation (with video). Ann Surg Oncol. 2021 Oct 13. doi: 10.1245/s10434-021-10886-2.
26.	Machado MA, Kalil AN. Glissonian approach for laparoscopic mesohepatectomy. Surg Endosc, 2011, 25(6): 2020-2022.
27.	Kim WJ, Kim KH, Kim SH, et al. Laparoscopic versus open liver resection for centrally located hepatocellular carcinoma in patients with cirrhosis: a propensity score-matching analysis. Surg Laparosc Endosc Percutan Tech, 2018, 28(6): 394-400.
28.	Chin KM, Linn YL, Cheong CK, et al. Minimally invasive versus open right anterior sectionectomy and central hepatectomy for central liver malignancies: a propensity-score-matched analysis. ANZ J Surg, 2021, 91(4): E174-E182. doi: 10.1111/ans.16719.
29.	成劍, 胡琦嶸, 張宇華, 等. 吲哚菁綠熒光導航腹腔鏡肝中葉切除術2例療效分析. 中國實用外科雜志, 2019, 39(10): 1096-1098.
30.	陳煥偉, 王峰杰, 鄧斐文, 等. 全腹腔鏡解剖性肝中葉(Ⅳ、Ⅴ、Ⅷ)切除一例. 中華腔鏡外科雜志(電子版), 2017, 10(2): 112-113.
31.	許軍, 關英輝, 趙磊, 等. 腹腔鏡肝中葉切除術. 中華普通外科雜志, 2011, 26(10): 875-876.
32.	朱斯維, 尹新民, 姚立波, 等. 腹腔鏡治療中央型肝腫瘤的探討(附40例報告). 中華外科雜志, 2019, 57(7): 517-522.
33.	曹君, 陳亞進. 腹腔鏡下定構流程化解剖性肝中葉切除治療肝細胞癌的臨床效果. 中華外科雜志, 2021, 59(10): 836-841.
34.	王劍一, 楊達鈞, 何軍明. 全腹腔鏡“順時針四切面法”解剖性肝中葉切除治療肝癌一例. 中華肝臟外科手術學電子雜志, 2020, 9(4): 395-396.
35.	Camerlo A, Vanbrugghe C, Cohen F, et al. Robotic resection of a central liver solitary fibrous tumor (with video). J Gastrointest Surg, 2020, 24(12): 2903. doi: 10.1007/s11605-020-04734-z.
36.	Camerlo A, Delayre T, Fara R. Robotic central hepatectomy for hepatocarcinoma by glissonean approach (with video). Surg Oncol, 2021, 36: 82-83.
37.	Sucandy I, Jabbar F, Syblis C, et al. Robotic central hepatectomy for the treatment of gallbladder carcinoma. outcomes of minimally invasive approach. Am Surg, 2021, 31348211047457. doi: 10.1177/00031348211047457.
38.	高順良, 白雪莉, 張勻, 等. 肝中葉切除術的技術要點. 中華肝臟外科手術學電子雜志, 2013, 2(1): 58-59.
39.	Takács I, Furka A, Kovács G, et al. Mesohepatectomy without hilar dissection in the treatment of malignant focal liver diseases. Hepatogastroenterology, 2007, 54(73): 201-205.
40.	劉袁君, 吳泓, 曾勇, 等. 經“肝臟四扇門”入路在腹腔鏡解剖性肝切除術中的應用價值. 中華消化外科雜志, 2020, 19(8): 876-881.

1. Fong Y, Sun RL, Jarnagin W, et al. An analysis of 412 cases of hepatocellular carcinoma at a Western center. Ann Surg, 1999, 229(6): 790-799.
2. 吳孟超, 張曉華, 胡宏楷, 等. 用中肝葉切除術治療中肝葉腫瘤. 解放軍醫學雜志, 1965, 2(4): 363-368.
3. 李敬東, 張立鑫. 腹腔鏡中肝切除的技術探討. 中華腔鏡外科雜志(電子版), 2018, 11(3): 144-145.
4. 鄭樹國. 腹腔鏡解剖性肝中葉切除術. 中國普外基礎與臨床雜志, 2014, 21(8): 929-931.
5. Chan J, Perini M, Fink M, et al. The outcomes of central hepatectomy versus extended hepatectomy: a systematic review and meta-analysis. HPB (Oxford), 2018, 20(6): 487-496.
6. Chen XP, Qiu FZ, Lau WY, et al. Mesohepatectomy for hepatocellular carcinoma: a study of 256 patients. Int J Colorectal Dis, 2008, 23(5): 543-546.
7. 賈長庫, 陳有科, 韓霖, 等. 交替半肝入肝血流阻斷解剖性肝中葉切除. 中國普通外科雜志, 2015, 24(1): 121-126.
8. 王峰杰, 甄作均, 陳煥偉. Glisson蒂橫斷式肝中葉切除治療合并肝硬化的肝細胞癌安全性及療效. 中華肝臟外科手術學電子雜志, 2018, 7(6): 465-468.
9. 何忠野, 華向東, 尚海, 等. 精準肝中葉切除20例臨床研究. 腫瘤學雜志, 2017, 23(11): 1011-1015.
10. 葉青, 何軍明, 彭建新, 等. 腹腔鏡解剖性順時針四切面肝中葉切除的策略與技巧. 中華肝臟外科手術學電子雜志, 2020, 9(2): 164-167.
11. Feng Q, Wu X. Laparoscopic cholecystectomy for double gallbladder. Hepatobiliary Surg Nutr, 2020, 9(1): 121. doi: 10.21037/hbsn.2019.11.23.
12. 李國新, 王達, 胡彥鋒, 等. 腹腔鏡全胃切除術. 中華普外科手術學雜志(電子版), 2021, 8(4): 36-36.
13. 吳寶強, 孫冬林, 江勇, 等. 腹腔鏡脾部分切除術治療脾臟良性腫瘤的臨床療效. 中華消化外科雜志, 2014, 13(12): 977-978.
14. 李永彬, 彭兵. 腹腔鏡胰十二指腸切除術的現狀與思考. 中國普外基礎與臨床雜志, 2021, 28(9): 1121-1124.
15. Feng Q, Jiang C, Feng X, et al. Robotic versus laparoscopic distal pancreatectomy for pancreatic ductal adenocarcinoma: a systematic review and meta-analysis. Front Oncol, 2021, 11: 752236. doi: 10.3389/fonc.2021.752236.
16. 余德才, 吳星宇. Glisson鞘肝蒂解剖聯合肝靜脈優先的腹腔鏡肝中葉切除: 兩例報告(附視頻). 中華肝臟外科手術學電子雜志, 2018, 7(5): 431-432.
17. Reich H, McGlynn F, DeCaprio J, et al. Laparoscopic excision of benign liver lesions. Obstet Gynecol, 1991, 78(5 Pt 2): 956-958.
18. Gumbs AA, Gayet B. Totally laparoscopic central hepatectomy. J Gastrointest Surg, 2008, 12(7): 1153. doi: 10.1007/s11605-007-0353-2.
19. Yoon YS, Han HS, Cho JY, et al. Totally laparoscopic central bisectionectomy for hepatocellular carcinoma. J Laparoendosc Adv Surg Tech A, 2009, 19(5): 653-656.
20. Rotellar F, Martí-Cruchaga P, Zozaya G, et al. Standardized laparoscopic central hepatectomy based on hilar caudal view and root approach of the right hepatic vein. J Hepatobiliary Pancreat Sci, 2020, 27(1): E7-E8. doi: 10.1002/jhbp.669.
21. Li W, Han J, Xie G, et al. Laparoscopic versus open mesohepatectomy for patients with centrally located hepatocellular carcinoma: a propensity score matched analysis. Surg Endosc, 2019, 33(9): 2916-2926.
22. 彭俊楊, 楊培, 曾新桃, 等. 腹腔鏡肝中葉切除術治療原發性肝癌21例報告. 腹腔鏡外科雜志, 2020, 25(5): 352-355.
23. Cho CW, Rhu J, Kwon CHD, et al. Short-term outcomes of totally laparoscopic central hepatectomy and right anterior sectionectomy for centrally located tumors: a case-matched study with propensity score matching. World J Surg, 2017, 41(11): 2838-2846.
24. 張中林, 張瀟, 李錕, 等. 吲哚菁綠熒光顯像引導在腹腔鏡肝中葉切除術中的應用. 腹部外科, 2019, 32(1): 13-16, 封2.
25. Chen R, Wang Z, Zhu W, et al. Laparoscopic in situ anatomical mesohepatectomy for solitary massive hcc using combined intrafascial and extrafascial approaches with indocyanine green navigation (with video). Ann Surg Oncol. 2021 Oct 13. doi: 10.1245/s10434-021-10886-2.
26. Machado MA, Kalil AN. Glissonian approach for laparoscopic mesohepatectomy. Surg Endosc, 2011, 25(6): 2020-2022.
27. Kim WJ, Kim KH, Kim SH, et al. Laparoscopic versus open liver resection for centrally located hepatocellular carcinoma in patients with cirrhosis: a propensity score-matching analysis. Surg Laparosc Endosc Percutan Tech, 2018, 28(6): 394-400.
28. Chin KM, Linn YL, Cheong CK, et al. Minimally invasive versus open right anterior sectionectomy and central hepatectomy for central liver malignancies: a propensity-score-matched analysis. ANZ J Surg, 2021, 91(4): E174-E182. doi: 10.1111/ans.16719.
29. 成劍, 胡琦嶸, 張宇華, 等. 吲哚菁綠熒光導航腹腔鏡肝中葉切除術2例療效分析. 中國實用外科雜志, 2019, 39(10): 1096-1098.
30. 陳煥偉, 王峰杰, 鄧斐文, 等. 全腹腔鏡解剖性肝中葉(Ⅳ、Ⅴ、Ⅷ)切除一例. 中華腔鏡外科雜志(電子版), 2017, 10(2): 112-113.
31. 許軍, 關英輝, 趙磊, 等. 腹腔鏡肝中葉切除術. 中華普通外科雜志, 2011, 26(10): 875-876.
32. 朱斯維, 尹新民, 姚立波, 等. 腹腔鏡治療中央型肝腫瘤的探討(附40例報告). 中華外科雜志, 2019, 57(7): 517-522.
33. 曹君, 陳亞進. 腹腔鏡下定構流程化解剖性肝中葉切除治療肝細胞癌的臨床效果. 中華外科雜志, 2021, 59(10): 836-841.
34. 王劍一, 楊達鈞, 何軍明. 全腹腔鏡“順時針四切面法”解剖性肝中葉切除治療肝癌一例. 中華肝臟外科手術學電子雜志, 2020, 9(4): 395-396.
35. Camerlo A, Vanbrugghe C, Cohen F, et al. Robotic resection of a central liver solitary fibrous tumor (with video). J Gastrointest Surg, 2020, 24(12): 2903. doi: 10.1007/s11605-020-04734-z.
36. Camerlo A, Delayre T, Fara R. Robotic central hepatectomy for hepatocarcinoma by glissonean approach (with video). Surg Oncol, 2021, 36: 82-83.
37. Sucandy I, Jabbar F, Syblis C, et al. Robotic central hepatectomy for the treatment of gallbladder carcinoma. outcomes of minimally invasive approach. Am Surg, 2021, 31348211047457. doi: 10.1177/00031348211047457.
38. 高順良, 白雪莉, 張勻, 等. 肝中葉切除術的技術要點. 中華肝臟外科手術學電子雜志, 2013, 2(1): 58-59.
39. Takács I, Furka A, Kovács G, et al. Mesohepatectomy without hilar dissection in the treatment of malignant focal liver diseases. Hepatogastroenterology, 2007, 54(73): 201-205.
40. 劉袁君, 吳泓, 曾勇, 等. 經“肝臟四扇門”入路在腹腔鏡解剖性肝切除術中的應用價值. 中華消化外科雜志, 2020, 19(8): 876-881.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Current status and prospect in laparoscopic central hepatectomy

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