The comparison of oncologic and clinical outcomes of laparoscopic liver resection for hepatocellular carcinoma

Title
The comparison of oncologic and clinical outcomes of laparoscopic liver resection for hepatocellular carcinoma
Author(s)
김홍진윤성수이동식정화경김성진
Keywords
SHORT-TERM; SURGERY; HEPATECTOMY; CIRRHOSIS; DISEASE
Issue Date
201402
Publisher
KOREAN SURGICAL SOCIETY
Citation
ANNALS OF SURGICAL TREATMENT AND RESEARCH, v.86, no.2, pp.61 - 67
Abstract
Purpose: We evaluate the operative outcome and oncologic outcome of laparoscopic liver resection for hepatocellular carcinoma (HCC), and compare with open Liver resection. Methods: From January 2004 to December 2012, clinical data of 70 patients who underwent laparoscopic liver resection for HCC (laparoscopic liver resection group, lapa-group) were collected and analyzed retrospectively. Control group (open liver resection group, open-group) were retrospectively matched, and compared with lapa-group. Results: Laparoscopic major liver resections were performed in 4 patients. Laparoscopic anatomical resections and nonanatomical resections were performed in 39 patients, and 31 patients, respectively. Mean operative time was shorter in lapa-group (215.5 +/- 121.84 minutes vs. 282.30 +/- 80.34 minutes, P = 0.001), mean intraoperative transfusion rate and total amount were small in lapa-group (24.28%, 148.57 +/- 3,354.98 mL vs. 40.78%, 311.71 +/- 477.01 mL). Open conversion occurred in 6 patients (8.57%) because of bleeding, inadequate resection, invisible mass on intraoperative ultrasonography, and tumor rupture. In lapa-group and open-group, 3-year disease-free survival rates were 58.3% +/- 0.08%, and 62.6% +/- 0.06%, respectively (P = 0.773). In lapa-group and open-group 3-year overall survival rates were 65.3% +/- 0.8%, and 65.7% +/- 0.6%, respectively (P = 0.610). Conclusion: Laparoscopic liver resection for HCC is feasible and safe in a large number of patients, with reasonable operative and oncologic results.
URI
http://hdl.handle.net/YU.REPOSITORY/33179http://dx.doi.org/10.4174/astr.2014.86.2.61
ISSN
2288-6575
Appears in Collections:
의과대학 > 성형외과학교실 > Articles
의과대학 > 영상의학과학교실 > Articles
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