Laparoscopic major liver resection in Korea: a multicenter study

Title
Laparoscopic major liver resection in Korea: a multicenter study
Author(s)
김홍진윤성수황대욱[황대욱]한호성[한호성]윤유석[윤유석]조재영[조재영]권유진[권유진]김지훈[김지훈]박준성[박준성]윤동섭[윤동섭]최인석[최인석]안건수[안건수]김영훈[김영훈]강구정[강구정]김영훈[김영훈]노영훈[노영훈]추청우[추청우]김현철[김현철]강창무[강창무]최기홍[최기홍]최진섭[최진섭]김경식[김경식]이우정[이우정]민성기[민성기]이현국[이현국]송인상[송인상]천강식[천강식]조은호[조은호]한성식[한성식]박상재[박상재]
Keywords
HEPATOCELLULAR-CARCINOMA; POSTEROSUPERIOR SEGMENTS; ANATOMIC RESECTION; HEPATECTOMY; SURGERY; TUMORS; LESIONS; TERM
Issue Date
201302
Publisher
SPRINGER JAPAN KK
Citation
JOURNAL OF HEPATO-BILIARY-PANCREATIC SCIENCES, v.20, no.2, pp.125 - 130
Abstract
We report our experience with laparoscopic major liver resection in Korea based on a multicenter retrospective study. Data from 1,009 laparoscopic liver resections conducted from 2001 to 2011 were retrospectively collected. Twelve tertiary medical centers with specialized hepatic surgeons participated in this study. Among 1,009 laparoscopic liver resections, major liver resections were performed in 265 patients as treatment for hepatocellular carcinoma, metastatic tumor, intrahepatic duct stone, and other conditions. The most frequently performed procedure was left hemihepatectomy (165 patients), followed by right hemihepatectomy (53 patients). Pure laparoscopic procedure was performed in 190 patients including 19 robotic liver resections. Hand-assisted laparoscopic liver resection was performed in three patients and laparoscopy-assisted liver resection in 55 patients. Open conversion was performed in 17 patients (6.4 %). Mean operative time and estimated blood loss in laparoscopic major liver resection was 399.3 +/- A 169.8 min and 836.0 +/- A 1223.7 ml, respectively. Intraoperative transfusion was required in 65 patients (24.5 %). Mean postoperative length of stay was 12.3 +/- A 7.9 days. Postoperative complications were detected in 53 patients (20.0 %), and in-hospital mortality occurred in two patients (0.75 %). Mean number and mean maximal size of resected tumors was 1.22 +/- A 1.54 and 40.0 +/- A 27.8 mm, respectively. R0 resection was achieved in 120 patients with hepatic tumor, but R1 resection was performed in eight patients. Mean distance of safe resection margin was 14.6 +/- A 15.8 mm. Laparoscopic major liver resection has become a reliable option for treatment of liver disease in Korea.
URI
http://hdl.handle.net/YU.REPOSITORY/26517http://dx.doi.org/10.1007/s00534-012-0555-1
ISSN
1868-6974
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의과대학 > 성형외과학교실 > Articles
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