Laparoscopic hepatectomy for recurrent hepatocellular carcinoma after previous open hepatectomy / 中华外科杂志
Chinese Journal of Surgery
;
(12): 405-408, 2014.
Article
in Chinese
| WPRIM
| ID: wpr-314692
ABSTRACT
<p><b>OBJECTIVE</b>To evaluate the feasibility, safety and long-term outcomes of laparoscopic repeat hepatectomy for recurrent hepatocellular carcinoma (HCC) following previous resection.</p><p><b>METHODS</b>Between January 2003 and January 2011, 14 patients with recurrent HCC were carefully selected to undergo repeat laparoscopic hepatectomy, among which 9 patients were male, 5 patients were female, and the average age was 54 years. Prior to re-resection, all patients had undergone at least one open hepatectomy for HCC. The perioperative and long-term outcomes of these patients were retrospectively analyzed.</p><p><b>RESULTS</b>Repeat laparoscopic hepatectomy for these 14 patients were successfully performed without major perioperative complications. The mean operative time, intraoperative blood loss and hospital stay were (124 ± 82) minutes, (112 ± 43) ml and (7 ± 4) days, respectively. The mean follow-up period was 23 months (range 14 to 42 months). At the time of follow-up, 11 patients were still alive, among which 3 patients developed recurrent disease and 8 patients remained disease free. One patient died of liver dysfunction at 21 months, and another 2 patients died of tumor recurrence at 17, 31 months, respectively.</p><p><b>CONCLUSION</b>Laparoscopic surgery for recurrent HCC remains a viable option for repeat hepatectomy in selected patients who have undergone open hepatectomy.</p>
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
General Surgery
/
Retrospective Studies
/
Follow-Up Studies
/
Laparoscopy
/
Carcinoma, Hepatocellular
/
Hepatectomy
/
Laparotomy
/
Liver Neoplasms
/
Methods
/
Neoplasm Recurrence, Local
Type of study:
Observational study
/
Prognostic study
Limits:
Adult
/
Aged
/
Female
/
Humans
/
Male
Language:
Chinese
Journal:
Chinese Journal of Surgery
Year:
2014
Type:
Article
Similar
MEDLINE
...
LILACS
LIS