ＨＣＣに対するＨＡＬＳ法による肝Ｓ４ａ切除術

概要

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A 70-year old female was referred to department of surgery because of a liver tumor which was identified by CT scans. Both CT scans and MRI of the liver revealed small HCC in the S<SUB>4a</SUB> of the liver. Because she has been suffered from chronic renal failure and liver cirrhosis with type C chronic hepatitis, a hand-assisted laparoscopic surgery (HALS) was selected for minimal invasive therapy.Under HALS a hepatectomy of S<SUB>4a</SUB> of the liver was performed and enough range of the surgical procedures and some essential management, such as the maneuver of the liver for control of bleeding were ensured. Then the operation was accomplished safely without any complications. Laparoscopic hepatectomy seems to be useful for small tumors on some limited sites especially under HALS.