Hand-Assisted Laparoscopic Hepatectomy for Primary Clear Cell Hepatocellular Carcinoma of the Liver

• Published in: Case reports in gastroenterology Vol. 6; no. 2; pp. 328 - 332
• Main Authors: Kida, Kazutoshi, Oida, Takatsugu, Mimatsu, Kenji, Kano, Hisao, Kawasaki, Atsushi, Fukino, Nobutada, Kuboi, Youichi
• Format: Journal Article
• Language: English
• Published: Basel, Switzerland S. Karger AG 01.05.2012; Karger Publishers
• Subjects: Hand-assisted laparoscopic hepatectomy; Hepatocellular carcinoma; Primary clear cell hepatocellular carcinoma; Published: May 2012; Hand-assisted laparoscopic hepatectomy; Hepatocellular carcinoma; Primary clear cell hepatocellular carcinoma
• ISSN: 1662-0631; 1662-0631
• DOI: 10.1159/000339460

We report a case of primary clear cell hepatocellular carcinoma of the liver (PCCCL) for which we performed hand-assisted laparoscopic hepatectomy. A 71-year-old female with hepatitis C infection and diabetes mellitus was admitted to our department for a hepatic tumor with gallstone. Abdominal computed tomography revealed a tumor 25 mm in diameter on the surface in segment 5 of the liver. The imaging results suggested small hepatocellular carcinoma located on the surface in segment 5 of the liver, and we performed laparoscopic surgery aiming at a minimally invasive procedure. We performed laparoscopic cholecystectomy and hand-assisted laparoscopic hepatectomy. Histopathological findings showed moderately differentiated hepatocellular carcinoma, and as the proportion of clear cells was 75%, the tumor was diagnosed as PCCCL. This is the first report of hand-assisted laparoscopic hepatectomy for PCCCL. Laparoscopic hepatectomy is a useful minimally invasive surgical procedure when the tumor is located on the surface of the liver.