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Case Rep Gastroenterol. 2012 May;6(2):328-32. doi: 10.1159/000339460. Epub 2012 May 30.

Hand-assisted laparoscopic hepatectomy for primary clear cell hepatocellular carcinoma of the liver.

Case reports in gastroenterology

Kazutoshi Kida, Takatsugu Oida, Kenji Mimatsu, Hisao Kano, Atsushi Kawasaki, Nobutada Fukino, Youichi Kuboi

Affiliations

  1. Department of Surgery, Social Insurance Yokohama Central Hospital, Yokohama, Japan.

PMID: 22754494 PMCID: PMC3383238 DOI: 10.1159/000339460

Abstract

We report a case of primary clear cell hepatocellular carcinoma of the liver (PCCCL) for which we performed hand-assisted laparoscopic hepatectomy. A 71-year-old female with hepatitis C infection and diabetes mellitus was admitted to our department for a hepatic tumor with gallstone. Abdominal computed tomography revealed a tumor 25 mm in diameter on the surface in segment 5 of the liver. The imaging results suggested small hepatocellular carcinoma located on the surface in segment 5 of the liver, and we performed laparoscopic surgery aiming at a minimally invasive procedure. We performed laparoscopic cholecystectomy and hand-assisted laparoscopic hepatectomy. Histopathological findings showed moderately differentiated hepatocellular carcinoma, and as the proportion of clear cells was 75%, the tumor was diagnosed as PCCCL. This is the first report of hand-assisted laparoscopic hepatectomy for PCCCL. Laparoscopic hepatectomy is a useful minimally invasive surgical procedure when the tumor is located on the surface of the liver.

Keywords: Hand-assisted laparoscopic hepatectomy; Hepatocellular carcinoma; Primary clear cell hepatocellular carcinoma

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