Totally laparoscopic caudate lobe resection: technical aspects and literature review

Surg Laparosc Endosc Percutan Tech. 2014 Dec;24(6):e233-6. doi: 10.1097/01.sle.0000442525.26905.6d.


The particular anatomic location of the hepatic caudate lobe between the hilar plate and inferior vena cava means that it is still considered unsuitable for laparoscopic measures and a difficult site even for conventional surgery. Here we describe the first case to be reported in the literature of caudate lobe resection for a single metastasis from breast adenocarcinoma that was completed using an exclusively laparoscopic procedure and a simplified scheme involving the placement of 4 trocars, without any need for conversion or the Pringle maneuver. The patient was 31 years old with a history of radical right mastectomy and chemotherapy. The patient's postoperative course was uneventful and she was discharged 4 days after the surgery. Twelve months on, she is currently alive and disease free.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Breast Neoplasms*
  • Carcinoma, Ductal, Breast / secondary
  • Carcinoma, Ductal, Breast / surgery*
  • Female
  • Hepatectomy / methods*
  • Humans
  • Laparoscopy / methods*
  • Liver Neoplasms / secondary
  • Liver Neoplasms / surgery*
  • Mastectomy, Radical / methods
  • Pneumoperitoneum, Artificial / methods
  • Treatment Outcome
  • Vena Cava, Inferior / surgery