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Liver resection for hepatocellular carcinoma: case-matched analysis of laparoscopic versus open resection / 대한외과학회지
Journal of the Korean Surgical Society ; : 412-419, 2011.
Artigo em Inglês | WPRIM | ID: wpr-50872
ABSTRACT

PURPOSE:

To analyze the outcomes of laparoscopic liver resection compared with open liver resection in patients with hepatocellular carcinoma (HCC).

METHODS:

Between July 2005 and December 2009, 26 consecutive patients with HCC underwent a pure laparoscopic liver resection, and data from this group (laparoscopic liver resection group, L-group) were compared with a retrospective control group of 29 patients who underwent open liver resection for HCC (open liver resection group, O-group) during the same period. The two groups were matched in terms of demographic data, tumor size, degree of liver cirrhosis, American Society of Anesthesiology score, type of resection, and tumor location.

RESULTS:

Median operation time and the amount of intraoperative packed red blood cell transfusion in the L-group were 147.5 minutes and 0.35 units, respectively. The L-group revealed a shorter operation time (147.5 vs. 220.0 minutes, P = 0.031) than the O-group. No difference in perioperative morbidity or mortality rates was observed (3.8, 0 vs. 24.1%, 0%; P = 0.054, non-specific, respectively); the L-group was associated with a shorter hospital stay than the O-group (11.08 vs. 16.07 days, P = 0.034). After a mean follow-up of 23.9 months (range, 0.7 to 59.4 months), the 1-year disease-free survival rate was 84.6% in the L-group and 82.8% in the O-group (P = 0.673).

CONCLUSION:

Laparoscopic liver resection for HCC is feasible and safe in selected patients and can produce good surgical results with a shorter postoperative hospital stay and similar outcomes in terms of perioperative morbidity, mortality, and disease-free survival than open resection.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Estudos Retrospectivos / Seguimentos / Laparoscopia / Transfusão de Eritrócitos / Carcinoma Hepatocelular / Intervalo Livre de Doença / Anestesiologia / Tempo de Internação / Fígado / Cirrose Hepática Tipo de estudo: Estudo observacional / Estudo prognóstico / Fatores de risco Limite: Humanos Idioma: Inglês Revista: Journal of the Korean Surgical Society Ano de publicação: 2011 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Estudos Retrospectivos / Seguimentos / Laparoscopia / Transfusão de Eritrócitos / Carcinoma Hepatocelular / Intervalo Livre de Doença / Anestesiologia / Tempo de Internação / Fígado / Cirrose Hepática Tipo de estudo: Estudo observacional / Estudo prognóstico / Fatores de risco Limite: Humanos Idioma: Inglês Revista: Journal of the Korean Surgical Society Ano de publicação: 2011 Tipo de documento: Artigo