[ XXXX originated in the caudate lobe. Surgical strategy for resection. A propos of a case].

@entity1 @entity66 @entity5 @entity1575 @entity157 @entity99
BACKGROUND: @entity157 originating from the caudate lobe has a worse prognosis than other @entity157 in another segment of the liver. An isolated caudate lobe resection of the liver represents a significant technical challenge. Caudate lobe resection can be performed along with a lobectomy or as an isolated liver resection. There are very few reports about isolated caudate lobe liver resection. We report a case of successful isolated resection of @entity157 in the caudate lobe with excellent long-term survival. CLINICAL CASE: A 74 years old female with 8cm @entity66 in the caudate lobe without clinical or biochemical evidence of @entity1575 , serum alpha-fetoprotein 3.7 U/l, and negative @entity99 serology was evaluated for surgery. Complete resection of the lesion in 270minutes with Pringle maneuver for 13minutes was satisfactorily performed. @entity1 was discharged ten days after surgery without complications. @entity1 is currently asymptomatic, without deterioration of liver function and 48 month @entity5 free survival after the procedure. CONCLUSION: Isolated caudate lobe resection is an uncommon but technically possible procedure. In order to achieve a successful resection, one must have a detailed knowledge of complete liver anatomy. @entity5 free margins must be obtained to provide long survival for these @entity1 who have a @entity5 in this anatomic location.
