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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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.	吴孟超, 张晓华, 胡宏楷, 等. 用中肝叶切除术治疗中肝叶肿瘤. 解放军医学杂志, 1965, 2(4): 363-368.
3.	李敬东, 张立鑫. 腹腔镜中肝切除的技术探讨. 中华腔镜外科杂志(电子版), 2018, 11(3): 144-145.
4.	郑树国. 腹腔镜解剖性肝中叶切除术. 中国普外基础与临床杂志, 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.	贾长库, 陈有科, 韩霖, 等. 交替半肝入肝血流阻断解剖性肝中叶切除. 中国普通外科杂志, 2015, 24(1): 121-126.
8.	王峰杰, 甄作均, 陈焕伟. Glisson蒂横断式肝中叶切除治疗合并肝硬化的肝细胞癌安全性及疗效. 中华肝脏外科手术学电子杂志, 2018, 7(6): 465-468.
9.	何忠野, 华向东, 尚海, 等. 精准肝中叶切除20例临床研究. 肿瘤学杂志, 2017, 23(11): 1011-1015.
10.	叶青, 何军明, 彭建新, 等. 腹腔镜解剖性顺时针四切面肝中叶切除的策略与技巧. 中华肝脏外科手术学电子杂志, 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.	李国新, 王达, 胡彦锋, 等. 腹腔镜全胃切除术. 中华普外科手术学杂志(电子版), 2021, 8(4): 36-36.
13.	吴宝强, 孙冬林, 江勇, 等. 腹腔镜脾部分切除术治疗脾脏良性肿瘤的临床疗效. 中华消化外科杂志, 2014, 13(12): 977-978.
14.	李永彬, 彭兵. 腹腔镜胰十二指肠切除术的现状与思考. 中国普外基础与临床杂志, 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, 吴星宇. Glisson鞘肝蒂解剖联合肝静脉优先的腹腔镜肝中叶切除: 两例报告(附视频). 中华肝脏外科手术学电子杂志, 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.	彭俊杨, 杨培, 曾新桃, 等. 腹腔镜肝中叶切除术治疗原发性肝癌21例报告. 腹腔镜外科杂志, 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.	张中林, 张潇, 李锟, 等. 吲哚菁绿荧光显像引导在腹腔镜肝中叶切除术中的应用. 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.	成剑, 胡琦嵘, 张宇华, 等. 吲哚菁绿荧光导航腹腔镜肝中叶切除术2例疗效分析. 中国实用外科杂志, 2019, 39(10): 1096-1098.
30.	陈焕伟, 王峰杰, 邓斐文, 等. 全腹腔镜解剖性肝中叶(Ⅳ、Ⅴ、Ⅷ)切除一例. 中华腔镜外科杂志(电子版), 2017, 10(2): 112-113.
31.	许军, 关英辉, 赵磊, 等. 腹腔镜肝中叶切除术. 中华普通外科杂志, 2011, 26(10): 875-876.
32.	朱斯维, 尹新民, 姚立波, 等. 腹腔镜治疗中央型肝肿瘤的探讨(附40例报告). 中华外科杂志, 2019, 57(7): 517-522.
33.	曹君, 陈亚进. 腹腔镜下定构流程化解剖性肝中叶切除治疗肝细胞癌的临床效果. 中华外科杂志, 2021, 59(10): 836-841.
34.	王剑一, 杨达钧, 何军明. 全腹腔镜“顺时针四切面法”解剖性肝中叶切除治疗肝癌一例. 中华肝脏外科手术学电子杂志, 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.	高顺良, 白雪莉, 张匀, 等. 肝中叶切除术的技术要点. 中华肝脏外科手术学电子杂志, 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.	刘袁君, 吴泓, 曾勇, 等. 经“肝脏四扇门”入路在腹腔镜解剖性肝切除术中的应用价值. 中华消化外科杂志, 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. 吴孟超, 张晓华, 胡宏楷, 等. 用中肝叶切除术治疗中肝叶肿瘤. 解放军医学杂志, 1965, 2(4): 363-368.
3. 李敬东, 张立鑫. 腹腔镜中肝切除的技术探讨. 中华腔镜外科杂志(电子版), 2018, 11(3): 144-145.
4. 郑树国. 腹腔镜解剖性肝中叶切除术. 中国普外基础与临床杂志, 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. 贾长库, 陈有科, 韩霖, 等. 交替半肝入肝血流阻断解剖性肝中叶切除. 中国普通外科杂志, 2015, 24(1): 121-126.
8. 王峰杰, 甄作均, 陈焕伟. Glisson蒂横断式肝中叶切除治疗合并肝硬化的肝细胞癌安全性及疗效. 中华肝脏外科手术学电子杂志, 2018, 7(6): 465-468.
9. 何忠野, 华向东, 尚海, 等. 精准肝中叶切除20例临床研究. 肿瘤学杂志, 2017, 23(11): 1011-1015.
10. 叶青, 何军明, 彭建新, 等. 腹腔镜解剖性顺时针四切面肝中叶切除的策略与技巧. 中华肝脏外科手术学电子杂志, 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. 李国新, 王达, 胡彦锋, 等. 腹腔镜全胃切除术. 中华普外科手术学杂志(电子版), 2021, 8(4): 36-36.
13. 吴宝强, 孙冬林, 江勇, 等. 腹腔镜脾部分切除术治疗脾脏良性肿瘤的临床疗效. 中华消化外科杂志, 2014, 13(12): 977-978.
14. 李永彬, 彭兵. 腹腔镜胰十二指肠切除术的现状与思考. 中国普外基础与临床杂志, 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, 吴星宇. Glisson鞘肝蒂解剖联合肝静脉优先的腹腔镜肝中叶切除: 两例报告(附视频). 中华肝脏外科手术学电子杂志, 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. 彭俊杨, 杨培, 曾新桃, 等. 腹腔镜肝中叶切除术治疗原发性肝癌21例报告. 腹腔镜外科杂志, 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. 张中林, 张潇, 李锟, 等. 吲哚菁绿荧光显像引导在腹腔镜肝中叶切除术中的应用. 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. 成剑, 胡琦嵘, 张宇华, 等. 吲哚菁绿荧光导航腹腔镜肝中叶切除术2例疗效分析. 中国实用外科杂志, 2019, 39(10): 1096-1098.
30. 陈焕伟, 王峰杰, 邓斐文, 等. 全腹腔镜解剖性肝中叶(Ⅳ、Ⅴ、Ⅷ)切除一例. 中华腔镜外科杂志(电子版), 2017, 10(2): 112-113.
31. 许军, 关英辉, 赵磊, 等. 腹腔镜肝中叶切除术. 中华普通外科杂志, 2011, 26(10): 875-876.
32. 朱斯维, 尹新民, 姚立波, 等. 腹腔镜治疗中央型肝肿瘤的探讨(附40例报告). 中华外科杂志, 2019, 57(7): 517-522.
33. 曹君, 陈亚进. 腹腔镜下定构流程化解剖性肝中叶切除治疗肝细胞癌的临床效果. 中华外科杂志, 2021, 59(10): 836-841.
34. 王剑一, 杨达钧, 何军明. 全腹腔镜“顺时针四切面法”解剖性肝中叶切除治疗肝癌一例. 中华肝脏外科手术学电子杂志, 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. 高顺良, 白雪莉, 张匀, 等. 肝中叶切除术的技术要点. 中华肝脏外科手术学电子杂志, 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. 刘袁君, 吴泓, 曾勇, 等. 经“肝脏四扇门”入路在腹腔镜解剖性肝切除术中的应用价值. 中华消化外科杂志, 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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