MINIMALLY INVASIVE HEPATIC RESECTION USING LAPAROSCOPIC SURGERY AND MINITHORACOTOMY

To our knowledge, we introduce a new technique to treat a patient with hepatocellular carcinoma having a main tumor and a small satellite no dule in segments IV and VI, respectively. The liver was laparoscopical ly mobilized; the dissection line was adequately exposed through a 12- cm anterior thoracic incision. Segment VI was resected without hilar d issection or parenchymal compression. The satellite nodule was coagula ted with microwaves. The patient had an uneventful postoperative recov ery. This technique potentially alleviates postoperative adhesion and allows a minimally invasive surgery.