Comparison of surgical outcomes for laparoscopic liver resection of large hepatocellular carcinomas: A retrospective observation from single-center experience

Chiang, Meng Hsuan; Tsai, Kuei-Yen; Chen, Hsin An; Wang, Wan Yu; Huang, Ming Te

doi:10.1016/j.asjsur.2021.03.027

Cited by 5 publications

(2 citation statements)

References 14 publications

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“…Laparoscopic liver surgery has demonstrated advantages over open surgery, with shorter hospital stay, and a lower incidence of postoperative complications [ 10 , 11 ]. On long-term follow-up, the focus of published reports was on overall survival and disease-free survival, which are comparable [ 12 - 14 ]. However, IH following liver surgery remains a significant long-term complication with its impact on life quality.…”

Section: Discussionmentioning

confidence: 99%

Incidence of incisional hernia following liver surgery for colorectal liver metastases. Does the laparoscopic approach reduce the risk? A comparative study

Hassan,

Arujunan,

Mohamed

et al. 2024

Ann Hepatobiliary Pancreat Surg

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Backgrounds/Aims No reports to compare incisional hernia (IH) incidence between laparoscopic and open colorectal liver metastases (CRLM) resections have previously been made. This is the first comparative study. Methods Single-center retrospective review of patients who underwent CRLM surgery between January 2011 and December 2018. IH relating to liver surgery was confirmed by computed tomography. Patients were divided into laparoscopic liver resection (LLR) and open liver resection (OLR) groups. Data collection included age, sex, presence of diabetes mellitus, steroid intake, history of previous hernia or liver resection, subcutaneous and peri-renal fat thickness, preoperative creatinine and albumin, American Society of Anesthesiologists (ASA) score, major liver resection, surgical site infection, synchronous presentation, and preoperative chemotherapy. Results Two hundred and forty-seven patients were included with a mean follow-up period of 41 ± 29 months (mean ± standard deviation). Eighty seven (35%) patients had LLR and 160 patients had OLR. No significant difference in the incidence of IH between LLR and OLR was found at 1 and 3 years, respectively ([10%, 19%] vs. [10%, 19%], . = 0.95). On multivariate analysis, previous hernia history (hazard ratio [HR], 2.22; 95% confidence interval [CI], 1.56–4.86) and subcutaneous fat thickness (HR, 2.22; 95% CI, 1.19–4.13) were independent risk factors. Length of hospital stay was shorter in LLR (6 ± 4 days vs. 10 ± 8 days, . < 0.001), in comparison to OLR. Conclusions In CRLM, no difference in the incidence of IH between LLR and OLR was found. Previous hernia and subcutaneous fat thickness were risk factors. Further studies are needed to assess modifiable risk factors to develop IH in LLR.

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Section: Discussionmentioning

confidence: 99%

Incidence of incisional hernia following liver surgery for colorectal liver metastases. Does the laparoscopic approach reduce the risk? A comparative study

Hassan,

Arujunan,

Mohamed

et al. 2024

Ann Hepatobiliary Pancreat Surg

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“…The same conclusion is also reached in other smaller retrospective studies, but in consideration of lager size of tumor longer operation time is predictable, however further study for long-term survival was absent and need to validate all these conclusion (24).After consideration, LLR is safe to large HCC patients. What cannot be ignored is lager tumor and different location may make surgeon hard to approach the area flexibly, such as around the caudate lobe and caval ligament (23,25).Therefore, although LLR is applicable to large HCC, surgeons expertise is also limited its application.…”

Section: Small Hcc and Large Hccmentioning

confidence: 99%

Laparoscopic Hepatectomy for Hepatocellular Carcinoma

Qiu¹

2023

HSET

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With the evolving of times, treatment strategies for laparoscopic hepatectomy are constantly evolving. However the result and indication of laparoscopic liver resection(LLR) is still controversial. This review assess the efficacy and outcomes of LLR through preoperative and postoperative factors. Most of article manifest that LLR is associated with the better improvement of operation. Nonetheless many difficulties are complicated and need to be captured.

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Short- and long-term outcomes of laparoscopic versus open liver resection for large hepatocellular carcinoma: a propensity score study

Zhang

Liang²,

Diao³

et al. 2022

Surg Today

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Comparison of surgical outcomes for laparoscopic liver resection of large hepatocellular carcinomas: A retrospective observation from single-center experience

Cited by 5 publications

References 14 publications

Incidence of incisional hernia following liver surgery for colorectal liver metastases. Does the laparoscopic approach reduce the risk? A comparative study

Incidence of incisional hernia following liver surgery for colorectal liver metastases. Does the laparoscopic approach reduce the risk? A comparative study

Laparoscopic Hepatectomy for Hepatocellular Carcinoma

Short- and long-term outcomes of laparoscopic versus open liver resection for large hepatocellular carcinoma: a propensity score study

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