J Korean Surg Soc.  2011 Jan;80(1):51-55. 10.4174/jkss.2011.80.1.51.

Laparoscopic Liver Resection for Hepatocellular Carcinoma

• Kim KJ
• Jeong CY
• Jeong SH
• Ju YT
• Jung EJ
• Lee YJ
• Choi SK
• Ha WS
• Park ST
• Hong SC

• KMID: 2096619
• DOI: http://doi.org/10.4174/jkss.2011.80.1.51

Abstract

PURPOSE
With the advancement of laparoscopic instruments and accumulation of surgical technique, laparoscopic liver resection is currently performed for various benign and malignant liver diseases. However, controversies still remain over laparoscopic liver resection for malignant liver diseases including HCC and its oncologic safety is yet to be established. This study aims at determining the safety, feasibility and short-term oncologic outcomes of laparoscopic liver resection performed for HCC.
METHODS
From July 2008 to March 2010, laparoscopic liver resection was performed at our hospital on a total of 45 patients with various benign and malignant liver diseases. Among these 45 patients, 16 patients diagnosed with HCC were reviewed retrospectively.
RESULTS
The mean age of the patients was 59.25, comprising 11 male patients (68.8%) and 5 female patients (31.2%). The location of tumor was left lateral in 7 cases, 4 cases in segment 6, 2 cases in segment 7, 2 cases in segment 5, 1 case in segment 4 and 1 case in caudate lobe. Wedge resection was performed in 11 cases, left hemi hepatectomy in 2 cases, left lateral sectionectomy in 2 cases, caudate lobectomy in 1 case. The mean operative time was 248.75 minutes. The mean hospital stay was 13.8 days, and there were no post-operative recurrences during the post-operative follow-up period.
CONCLUSION
When performed by expert surgeons in selected patients, laparoscopic liver resection for HCC is a feasible and safe procedure.

Keyword

Hepatocellular carcinoma; Liver resection; Laparoscopy

MeSH Terms

Carcinoma, Hepatocellular
Female
Follow-Up Studies
Hepatectomy
Humans
Laparoscopy
Length of Stay
Liver
Liver Diseases
Male
Operative Time
Recurrence

Reference

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