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Isetani et al. Hepatoma Res 2017;3:170-7 Hepatoma Research
DOI: 10.20517/2394-5079.2017.17
www.hrjournal.net
Original Article Open Access

Laparoscopic liver resection with lymph

node dissection for gallbladder tumors

suspected to be T1b/T2 carcinoma

Masashi Isetani , Zenichi Morise , Akihiko Horiguchi 1
2
1
1 Department of Surgery, Fujita Health University Banbuntane Houtokukai Hospital, Nagoya, Aichi 454-8509, Japan.
2 Department of Surgery, Fujita Health University School of Medicine, Toyoake, Aichi 470-1192, Japan.

Correspondence to: Dr. Zenichi Morise, Department of Surgery, Fujita Health University School of Medicine, 1-98 Dengakugakubo Kutsukakecho,
Toyoake, Aichi 470-1192, Japan. E-mail: zmorise@fujita-hu.ac.jp
How to cite this article: Isetani M, Morise Z, Horiguchi A. Laparoscopic liver resection with lymph node dissection for gallbladder tumors suspected
to be T1b/T2 carcinoma. Hepatoma Res 2017;3:170-7.
ABSTRACT
Article history: Aim: The short-term perioperative results of laparoscopic treatment of gallbladder (GB)
Received: 02-05-2017 carcinoma were evaluated to determine whether this technique can be a feasible treatment
Accepted: 21-07-2017 option. Methods: Ten patients with fundus/body GB tumors (GBTs) underwent laparoscopic
Published: 09-08-2017 liver resection (LLR) and lymph node dissection. Additionally, 124 patients underwent
LLR for liver tumors. These 124 LLRs included 79 partial resections (PRs), 11 left lateral
Key words: sectionectomies (LLSs), 25 anatomical resections (ARs), and 9 small ARs (SARs). The
Gallbladder carcinoma, operation time (OT), intraoperative blood loss (BL), and postoperative length of hospital
laparoscopic surgery, stay (LOS) were compared between the GBT and various LLR groups. Results: The median
laparoscopic liver resection, (range) OT in the GBT, PR, LLS, AR, and SAR groups was 298 (186-488), 245 (84-700), 328
lymph node dissection (150-682), 458 (224-848), and 352 (274-696) min, respectively. The BL was 109 (10-500), 50
(0/uncountable-3,270), 100 (10-516), 375 (25-3,569), and 705 (35-1,920) mL, respectively.
The LOS was 16 (8-105), 15 (5-254), 13 (11-52), 22 (8-44), and 15 (8-44) days, respectively.
The OT and BL were significantly different between the GBT and AR groups. Conclusion:
Laparoscopic surgery could be a good treatment option for GBTs suspected to be T1b/T2 GB
carcinoma in the GB body/fundus without cystic duct invasion.

INTRODUCTION and more complicated limited or modified anatomical
LLRs. LLR has recently become widely accepted as
[4]
Since the development of laparoscopic liver resection a less invasive treatment for liver tumors with specific
(LLR) in the early 1990s, [1-3] this technique has advantages such as less intraoperative bleeding and a
rapidly expanded from partial LLR of the easily shorter postoperative length of hospital stay (LOS). [5,6]
accessible anterolateral segments [segment 2 (S2), Partial resection (PR) of the anterolateral segments is
S3, S4b, S5, and S6] to left lateral sectionectomy currently considered a standard procedure. [5]
(LLS), hemihepatectomy, other sectionectomies,
segmentectomies and resections of S7, S8, and S1, Few reports have described intended laparoscopic

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