Laparoscopic liver resection for treating recurrent hepatocellular carcinoma

• DOI: 10.1007/s00534-012-0592-9
• Publication Date: 2013-02-12T03:42:44Z
• Authors: Akishige Kanazawa; Tadashi Tsukamoto; Sadatoshi Shimizu; Shintaro Kodai; Satoshi Yamamoto; Sadaaki Yamazoe; Go Ohira; Takayoshi Nakajima
• Keywords: Aged, 80 and over; Male; Reoperation; Carcinoma, Hepatocellular; Incidence; Liver Neoplasms; Blood Loss, Surgical; Length of Stay; Middle Aged; 3. Good health; 03 medical and health sciences; Postoperative Complications; Treatment Outcome; 0302 clinical medicine; Japan; Risk Factors; Hepatectomy; Humans; Female; Laparoscopy; Neoplasm Recurrence, Local; Aged; Retrospective Studies

Abstract Background It is still unknown whether laparoscopic liver resection suitable for recurrent hepatocellular carcinoma (HCC) after previous curative hepatic resection. Method The perioperative outcomes of 40 patients treated with second surgery HCC by partial hepatectomy were studied retrospectively. was performed under laparotomy in 20 (laparotomy group) and laparoscopy (laparoscopy group). Results Intraoperative blood loss ( p < 0.0001) the incidence postoperative complications = 0.0004) lower group than group. rates surgical site infection intractable ascites significantly higher 0.0202, 0.0436, respectively). proportion classified as Clavien grade IIIa 0.0033). duration hospital stay shorter 0.0001). Conclusions Postoperative morbidity has been decreased introduction As a result, shorter.