Laparoscopic hepatectomy for hepatocellular carcinoma / 中华外科杂志
Chinese Journal of Surgery
;
(12): 1774-1776, 2008.
Article
in Chinese
| WPRIM
| ID: wpr-275950
ABSTRACT
<p><b>OBJECTIVE</b>To discuss the value of laparoscopic hepatectomy (LH) for hepatocellular carcinoma (HCC).</p><p><b>METHODS</b>From April 2002 to December 2007, 123 cases of HCC, included 82 males and 41 females, with a mean age of 53.8 years (range 31 - 69 years) underwent LH.</p><p><b>RESULTS</b>Ninety-three cases underwent total laparoscopic hepatectomies (included regular hepatectomies in 52 cases). Twenty-six cases underwent laparoscopy assisted hepatectomies (included regular hepatectomies in 12 cases). Four cases converted to open hepatectomies because of massive bleeding of hepatic vein. The operative time was (205.5 +/- 92.5) min (range 115 - 290 min). The median intraoperative blood loss was 250 ml (rang 100 - 1500 ml). The postoperative hospital stay was (5.8 +/- 1.6) days (range 3 - 15 days). The biggest size of the resections was 18 cm x 16 cm x 12 cm. One patient died of gas embolism during the operation. Biliary fistula occurred in 5 cases and ascites in 8 cases postoperatively, which were cured for several days. By 4 - 61 months of follow up, recurrence in liver occurred in 5 cases. There was no peritoneum and port metastasis.</p><p><b>CONCLUSION</b>LH is a safe and feasible method for the treatment of HCC.</p>
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
General Surgery
/
Retrospective Studies
/
Follow-Up Studies
/
Treatment Outcome
/
Laparoscopy
/
Carcinoma, Hepatocellular
/
Hepatectomy
/
Liver Neoplasms
/
Methods
Type of study:
Observational study
/
Prognostic study
Limits:
Adult
/
Aged
/
Female
/
Humans
/
Male
Language:
Chinese
Journal:
Chinese Journal of Surgery
Year:
2008
Type:
Article
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