Laparoscopic hepatectomy in a morbidly obese patient with liver cirrhosis: A case report

Machairas,Nikolaos; Kostakis,Ioannis  D.; Mantas,Dimitrios; Sotiropoulos,Georgios   C.

doi:10.3892/mco.2016.1109

February-2017 Volume 6 Issue 2

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February-2017 Volume 6 Issue 2

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Case Report

Laparoscopic hepatectomy in a morbidly obese patient with liver cirrhosis: A case report

Authors:
- Nikolaos Machairas
- Ioannis D. Kostakis
- Dimitrios Mantas
- Georgios C. Sotiropoulos
View Affiliations / Copyright

Affiliations: 2nd Department of Propedeutic Surgery, University of Athens Medical School, General Hospital Laiko, 11527 Athens, Greece
Pages: 233-234
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Published online on: December 13, 2016

https://doi.org/10.3892/mco.2016.1109
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Abstract

Cirrhotic patients constitute a high‑risk population, and present a major challenge for the performance of minimally invasive laparoscopic resections due to difficulties in parenchymal transection. The present study describes the case of a 71‑year‑old morbidly obese male patient who was referred to our department with a hepatic mass identified on routine abdominal ultrasound. Abdominal computer tomography and magnetic resonance imaging confirmed a mass in segments V‑VI of the liver, highly suspicious for HCC. The patient's past medical history additionally included non‑alcoholic steatohepatitis, diabetes mellitus and arterial hypertension and myocardial infarction. The patient's body mass index was 45 kg/m2, and the American Society of Anesthesiologists' classification of preoperative risk was 3. The patient underwent laparoscopic resection of segments V‑VI and cholecystectomy. Two years postoperatively, the patient remains disease‑free and in excellent condition. To the best of our knowledge, this is the first report on laparoscopic liver resection for such a morbidly obese patient in the context of advanced liver cirrhosis.

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Journals

International Journal of Molecular Medicine

International Journal of Oncology

Molecular Medicine Reports

Oncology Reports

Experimental and Therapeutic Medicine

Oncology Letters

Biomedical Reports

Molecular and Clinical Oncology

World Academy of Sciences Journal

International Journal of Functional Nutrition

International Journal of Epigenetics

Medicine International

Laparoscopic hepatectomy in a morbidly obese patient with liver cirrhosis: A case report

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