Abstract
The hepatic caudate lobe (S1), or Spiegel lobe, has been widely considered a “nonlaparoscopic” segment due to its particular anatomical location between the hilar plate and inferior vena cava, which technically restricts the use of a conventional laparoscopic approach when treating segment 1 primitive and metastatic lesions. Since the early 2000s, the increasing detail in understanding liver segmental anatomy, improved preoperative imaging and intraoperative anesthesiologic management, as well as improvements in laparoscopic surgical skills and equipment, have allowed a significant increase in the adoption of minimally invasive procedures. Initially confined to wedge resections and segmentectomies of the anterior liver (laparoscopic segments), more advanced minimally invasive liver resections, such as in left and right sections, are now extensively performed and attain acceptable morbidity and mortality rates, with 3- and 5-year survival rates reported for hepa- tocellular carcinoma (HCC) and colorectal metastases comparable with those of open procedures [1]. Even though extremely rare, isolated laparoscopic resection of hepatic segment 1 (S1) has also been reported in the context of technically dyshomogeneous series. With the exception of a couple of reports, there is substantial lack, however, of a systematic technical description of the procedure.
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© 2013 Springer-Verlag Italia
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Cillo, U., Boetto, R., Vitale, A., Neri, D. (2013). Segment 1: Laparoscopic Approach. In: Calise, F., Casciola, L. (eds) Minimally Invasive Surgery of the Liver. Updates in Surgery. Springer, Milano. https://doi.org/10.1007/978-88-470-2664-3_26
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DOI: https://doi.org/10.1007/978-88-470-2664-3_26
Publisher Name: Springer, Milano
Print ISBN: 978-88-470-2663-6
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