Pure Laparoscopic Caudate Lobectomy for a Hepatic Hemangioma

Abstract

We performed pure laparoscopic caudate lobectomy for a case of giant hepatic hemangioma. A 56-year-old woman was referred to our hospital complaining of epigastric distress after intake of meals, appetite loss and weight loss, and was diagnosed as having a giant hepatic hemangioma measuring 10 cm in diameter in the caudate lobe with extrahepatic extension, that could not be successfully treated by transarterial embolization. Therefore, we performed pure laparoscopic caudate lobectomy using Pringle's maneuver for the giant hepatic hemangioma. The postoperative clinical course was uneventful and the patient was discharged from our hospital on postoperative day 7. Pringle's maneuver for laparoscopic hepatectomy is effective for hemangioma reduction, as it causes inflow occlusion during the hepatectomy.