To investigate the feasibility of laparoscopic resection of hepatic caudate lobe tumors.

A patient with hepatic caudate lobe hemangioma admitted to Jilin Province Qianwei Hospital in Aug. 2023 was summarized and analyzed. Preoperative autologous blood was collected, surgical plan was designed (left approach of laparoscopic caudate lobectomy), alternative surgical plan (left approach of laparoscopic caudate lobectomy combined with left hemihepatectomy, right approach or combined approach), and emergency response measures during the operation (control of central venous pressure and hepatic portal occlusion), and perioperative management was optimized.

Laparoscopic resection of hepatic caudate lobe hemangioma was completed successfully. The resection time was about 50 min and the intraoperative bleeding was about 80 ml. On the first day after surgery, gastric tube and urinary tube were removed and drinking water was provided. On the second day, the central venous tube was removed, exhaust, liquid feeding were carried out. On the third day, one abdominal drainage tube was removed, half liquid feeding was carried out, and exhaust defecation was performed. On the 5th day, another abdominal drainage tube was removed and discharged. ALT, AST and CRP increased slightly after operation, and recovered quickly after anti-inflammatory and liver protection therapy. There were no serious complications such as bleeding, biliary fistula and liver failure.

Comprehensive preoperative evaluation, design of surgical plan and countermeasures, well exposure of surgical field, accurate identification of anatomic relationship and fine treatment of peripheral vascular system of hepatic caudate lobe tumor are the keys to successful laparoscopic resection of hepatic caudate lobe tumor.