Analysis of the effect of laparoscopic hepatectomy on 61 cases of primary liver cancer / 中华外科杂志

ABSTRACT

<p><b>OBJECTIVE</b>To explore the feasibility and the effect of laparoscopic hepatectomy for primary liver cancer(PLC).</p><p><b>METHODS</b>A retrospective study on 61 cases of laparoscopic hepatectomy for PLC was made between November 2002 and June 2007, among which there were 49 male and 12 female, aged from 14 to 71 years. All patients were diagnosed as PLC by type-B ultrasonic, CT or MRI, and APF.</p><p><b>RESULTS</b>Fifty-six patients were completed laparoscopically successfully. Five cases underwent conversion to open operation because of hemorrhage. The mean operative time was 60 min (30-150 min). The mean blood loss was 450 ml (100-2000 ml). The mean hepatic portal block time was 20 min (15-30 min). All the patients had excellent recovery without any postoperative surgical complications. The patients were mobilized out of the bed in 24 hours. Oral intake of food started in 1 to 3 days. The average postoperative hospital stay was 6.6 d (5-10 d).</p><p><b>CONCLUSION</b>Laparoscopic hepatectomy for PLC is safe and feasible by using hepatic portal block instrument.</p>