Three Cases of Liver Tumors Located under the Diaphragm Treated with\ Video-assisted Thoracoscopic Hepatectomy

Abstract

Health insurance coverage for laparoscopic liver resection of all cases without revascularization or reconstruction of the biliary tract started in 2016 in Japan. Since then, the number of operations has increased. Recently, it was reported that laparoscopic surgery for patients who had a past history of liver resection was acceptable.

However, tumors located under the diaphragm (for example, segments 7 and 8) are difficult to access and require considerable experience and skill for safe resection. Moreover, it is difficult to access the transabdominal route for patients who have a history of abdominal surgery. The treatment results of video-assisted thoracoscopic surgery-hepatectomy (VATS-H) for a liver tumor located under the diaphragm are presented. VATS-H was useful for a liver tumor located under the diaphragm.