Total laparoscopic hepatectomy versus open hepatectomy in treatment of hepatocellular carcinoma in the left lateral lobe: a case- matched analysis

Xiong Yong; Wang HeBin; Liu DeQin; Chen JianXun; Liu JianPing; Sun ChangQin

doi:10.3969/j.issn.1001-5256.2016.04.026

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Apr. 2016

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Article Navigation > Journal of Clinical Hepatology > 2016 > 32(4): 735-738

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Total laparoscopic hepatectomy versus open hepatectomy in treatment of hepatocellular carcinoma in the left lateral lobe: a case- matched analysis

DOI: 10.3969/j.issn.1001-5256.2016.04.026

Division of Hepatobiliary Pancreatic Surgery, Panzhihua Central Hospital

Published Date: 2016-04-20

Abstract

Abstract

Objective To investigate the safety,feasibility,and efficacy of total laparoscopic hepatectomy in the treatment of hepatocellular carcinoma( HCC) in the left lateral lobe. Methods A case- matched analysis was performed between 25 patients with HCC in the left lateral lobe confirmed by postoperative pathological examination,who were admitted to Panzhihua Central Hospital and underwent total laparoscopic left lobe resection( LLLR) from April 2012 to April 2015,and 25 patients with HCC who underwent open left lobe resection( OLLR)during the same period. The t- test was used for comparison of continuous data between the two groups,and the chi- square test or Fisher's exact test was used for comparison of catagorical data between the two groups; the Kaplan- Meier method was used for survival analysis,and the log- rank test was used for comparison of survival curves. Results The time of operation,number of patients undergoing intraoperative blood transfusion,and number of patients with R0 resection margin showed no significant differences between the LLLR group and the OLLR group,but intraoperative blood loss( 216. 4 ± 15. 39 ml vs 273. 2 ± 16. 65 ml),mean hospital stay( 6. 92 ± 0. 29 min vs 10. 32 ±0. 52 min),and postoperative complications( 5 cases vs 12 cases) showed significant differences between the two groups( all P < 0. 05).The 1- and 3- year overall survival rates and progression- free survival showed no significant differences between the LLLR group and the OLLR group. Conclusion LLLR and OLLR have similar long- term efficacy in the treatment of HCC in the left lateral lobe,and LLLR has advantages in the aspects of intraoperative blood loss,postoperative complications,and length of hospital stay.
- carcinoma,hepatocellular,
- laparoscopy,
- hepatectomy,
- comparative study

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[1] JEMAL A,BRAY F,CENTER MM,et al.Global cancer statistics[J].CA Cancer J Clin,2011,61(2):69-90.

[2]FALCONE RE,WANAMAKER SR,BARNES F,et al.Laparoscopic vs.open wedge biopsy of the liver[J].J Laparoendosc Surg,1993,3(4):325-329.

[3]KANAZAWA A,TSUKAMOTO T,SHIMIZU S,et al.Laparoscopic hepatectomy for liver cancer[J].Dig Dis,2015,33(5):691-698.

[4]LAU B,FRANKEN C,LEE D,et al.Short-term outcomes of laparoscopic versus open formal anatomical hepatectomy:a case matched control study[J].Am Surg,2015,81(10):1097-1100.

[5]DINDO D,DEMARTINES N,CLAVIEN PA.Classification of surgical complications:a new proposal with evaluation in a cohort of6336 patients and results of a survey[J].Ann Surg,2004,240(2):205-213.

[6]MARTIN RC,MBAH NA,KOOBY D,et al.Laparoscopic versus open hepatic resection for hepatocellular carcinoma:improvement in outcomes and similar cost[J].World J Surg,2015,39(6):1519-1526.

[7]HAN HS,SHEHTAA,YOON YS,et al.Laparoscopic versus open liver resection for hepatocellular carcinoma:case-matched study with propensity score matching[J].J Hepatol,2015,63(3):643-650.

[8]LEE JJ,CONNEELY JB,SMOOT RT,et al.Laparoscopic versus open liver resection for hepatocellular carcinoma at a North-American Centre:a 2-to-1 matched pair analysis[J].HPB(Oxford),2015,17(4):304-310.

[9]ZHOU F,LUO ZQ,HUANG MW,et al.Case-matched analysis of total laparoscopic anatomic versus open hepatectomy for hepatocellular carcinoma in the left lobe[J].Chin J Clin Oncol,2012,39(4):230-233.(in Chinese)周凡,罗志强,黄明文,等.完全腹腔镜与开腹解剖性肝切除治疗左叶肝细胞癌的病例配对研究[J].中国肿瘤临床,2012,39(4):230-233.

[10]CHEUNG TT,POON RT,DAI WC,et al.Pure laparoscopic versus open left lateral sectionectomy for hepatocellular carcinoma:a single-center experience[J].World J Surg,2015,87(10):175-181.

[11]AHN KS,KANG KJ,LIM YH,et al.A propensity score-matched case-control comparative study of laparoscopic and open liver resection for hepatocellular carcinoma[J].J Laparoendosc Adv Surg Tech,2014,24(12):872-879.

[12]LYU SC,SHI XJ,WANG HG,et al.An exploration to the standard operation plan of laparoscopic hepatic left lobectomy[J].Chin JLaparoscopic Surgery,2011,4(2):95-98.(in Chinese)吕少诚,史宪杰,王宏光,等.腹腔镜肝左外叶切除规范化手术方案的探讨[J].中华腔镜外科杂志,2011,4(2):95-98.

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Total laparoscopic hepatectomy versus open hepatectomy in treatment of hepatocellular carcinoma in the left lateral lobe: a case- matched analysis

DOI: 10.3969/j.issn.1001-5256.2016.04.026

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Total laparoscopic hepatectomy versus open hepatectomy in treatment of hepatocellular carcinoma in the left lateral lobe: a case- matched analysis

DOI: 10.3969/j.issn.1001-5256.2016.04.026

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