Abstract
To reduce the operative insult of hepatectomy, right transdiaphragmatic approach was adopted in 2 cases of hepatocellular carcinoma with liver cirrhosis and 1 case of metachronous hepatic metastasis from carcinoma of the papilla of Vater. Operations were carried out uneventfully and postoperative course was satisfactory. Analyses of liver function tests and arterial ketone body ratio affirmed the minimal operative insult of this approach. It is assessed that this approach is useful for the resection small hepatic tumor near by the diaphragma in patients with poor hepatic functional reserve.
