Resecciones Hepáticas Laparoscópicas por Hepatocarcinoma: Resultados Perioperatorios y Oncológicos / Outcomes of Laparoscopic Liver Resection for Hepatocellular Carcinoma: A Single-Center Experience
Rev. méd. Chile
; 151(4): 446-452, abr. 2023. tab, ilus
Article
in Es
| LILACS
| ID: biblio-1560200
Responsible library:
CL126.2
ABSTRACT
BACKGROUND:
Hepatocellular carcinoma (HCC) is the sixth most common cancer in the world. Surgery is the treatment of choice in stages 0 and A in the Barcelona Clinic Liver Cancer classification. A minimally invasive technique in this scenario has the advantage of reducing postoperative pain, blood loss, and hospital stay. We present our experience and outcomes in laparoscopic liver resection in HCC.METHODS:
Retrospective descriptive analysis from all patients who underwent laparoscopic liver resection for HCC in our center between August 2006 and December 2020.RESULTS:
Laparoscopic liver resection for HCC was performed in 20 patients. The median age was 70 years, and the male gender was 75%. Sixteen patients had chronic liver disease, and 87.5% were Child A. The most common liver resection was the non-anatomical (45%). 30-day morbidity was 15%, without the need for reintervention. We had no 30-day mortality and postoperative liver failure. Negative margins were achieved in 90% of patients. Median disease-free survival and overall survival were 25 and 40.5 months, respectively.CONCLUSION:
Laparoscopic liver resection for the treatment of HCC in our series is safe, with no 30-day mortality, low incidence of complications, no postoperative liver failure, and suitable medium- and long-term oncologicalresults:
Key words
Full text:
1
Collection:
01-internacional
Database:
LILACS
Main subject:
Laparoscopy
/
Carcinoma, Hepatocellular
/
Hepatectomy
/
Liver Neoplasms
Limits:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
Language:
Es
Journal:
Rev. méd. Chile
Journal subject:
MEDICINA
Year:
2023
Document type:
Article
Affiliation country:
Chile
Country of publication:
Chile