Laparoscopic versus open major hepatectomy for hepatocellular carcinoma: a matched pair analysis

Komatsu, Shohei; Brustia, Raffaele; Goumard, Claire; Perdigao, Fabiano; Soubrane, Olivier; Scatton, Olivier

doi:10.1007/s00464-015-4422-4

Cited by 107 publications

(80 citation statements)

References 34 publications

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“…Through the preliminary search, 990 articles are obtained. After reading titles and abstracts and full texts and removing duplicate documents, 47 articles were included in our study, which involved 5889 patients (Fig. ).…”

Section: Resultsmentioning

confidence: 99%

Meta‐analysis of laparoscopic versus open liver resection for hepatocellular carcinoma

Jiang

Yan

Zhang

2018

Hepatology Research

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Section: Resultsmentioning

confidence: 99%

Meta‐analysis of laparoscopic versus open liver resection for hepatocellular carcinoma

Jiang

Yan

Zhang

2018

Hepatology Research

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“…In a study of major LLR and the conventional open approach (OLR), Komatsu et al 90. investigated 38 matched patients with HCC in each group and found that the 3‐year survival rate of 73.4% in the LLR group did not significantly differ from the rate in the OLR group.…”

Section: Indications and Oncological Outcomesmentioning

confidence: 99%

Evolution and revolution of laparoscopic liver resection in Japan

Kaneko

Otsuka

Kubota

et al. 2017

Annals of Gastroent Surgery

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Due to important technological developments and improved endoscopic techniques, laparoscopic liver resection (LLR) is now considered the approach of choice and is increasingly performed worldwide. Recent systematic reviews and meta‐analyses of observational data reported that LLR was associated with less bleeding, fewer complications, and no oncological disadvantage; however, no prospective randomized trials have been conducted. LLR will continue to evolve as a surgical approach that improves patient's quality of life. LLR will not totally supplant open liver surgery, and major LLR remains to be technically challenging procedure. The success of LLR depends on individual learning curves and adherence to surgical indications. A recent study proposed a scoring system for stepwise application of LLR, which was based on experience at high‐volume Japanese centers. A cluster of deaths after major LLR was sensationally reported by the Japanese media in 2014. In response, the Japanese Society of Hepato‐Biliary‐Pancreatic Surgery conducted emergency data collection on operative mortality. The results demonstrated that mortality was not higher than that for open procedures except for hemi‐hepatectomy with biliary reconstruction. An online prospective registry system for LLR was established in 2015 to be transparent for patients who might potentially undergo treatment with this newly developed, technically demanding surgical procedure.

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“…On the other hand, the evidence for laparoscopic major hepatectomy for HCC is less strong as this surgery remains a technically challenging procedure, particularly in patients with liver cirrhosis [50]. Worldwide, the number of surgeons who can perform this procedure proficiently is relatively small, when compared with open liver resection [51].…”

Section: Evidence On Laparoscopic Liver Resection For Hccmentioning

confidence: 99%

The Asia Pacific Consensus Statement on Laparoscopic Liver Resection for Hepatocellular Carcinoma: A Report from the 7th Asia-Pacific Primary Liver Cancer Expert Meeting Held in Hong Kong

et al. 2017

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Background: Laparoscopic liver resection has been gaining momentum, and it has become an accepted practice after the two international consensus conferences where experts worked up guidelines to standardize this approach and improve its safety. However, most laparoscopic hepatectomies were performed in patients with liver metastases. The concurrent presence of liver cirrhosis with hepatocellular carcinoma (HCC) poses a great challenge to clinicians trying to establish a routine use of laparoscopic liver resection for HCC. Summary: The first Asia Pacific consensus meeting on laparoscopic liver resection for HCC was held in July 2016 in Hong Kong. A group of expert liver surgeons with experience in both open and laparoscopic hepatectomy for HCC convened to formulate recommendations on the role and perspective of laparoscopic liver resection for primary liver cancer. The recommendations consolidate the most recent evidence pertaining to laparoscopic hepatectomy together with the latest thinking of practicing clinicians involved in laparoscopic hepatectomy, and give detailed guidance on how to deploy the treatment effectively for patients in need. Key Message: The panel of experts gathered evidence and produced recommendations providing guidance on the safe practice of laparoscopic hepatectomy for patients with HCC and cirrhosis. The inherent advantage of the laparoscopic approach may result in less blood loss if the procedure is performed in experienced centers. The laparoscopic approach to minor hepatectomy, particularly left lateral sectionectomy, is a preferred practice for HCC at experienced centers. Laparoscopic major liver resection for HCC remains a technically challenging operation, and it should be carried out in centers of excellence. There is emerging evidence that laparoscopic liver resection produces a better oncological outcome for HCC when compared with radiofrequency ablation, particularly when the lesions are peripherally located. Augmented features in laparoscopic liver resection, including indocyanine green fluorescence, 3D laparoscopy, and robot, will become important tools of surgical treatment in the near future. A combination of all of these features will enhance the experience of the surgeons, which may translate into better surgical outcomes. This is the first consensus workforce on laparoscopic liver resection for HCC, which is a unique condition that occurs in the Asia Pacific region.

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Laparoscopic versus open major hepatectomy for hepatocellular carcinoma: a matched pair analysis

Abstract: This study shows the feasibility of LMH for HCC compared to open hepatectomy in regard to both short- and long-term outcomes. LMH offers many advantages commonly attributed to laparoscopy and is well suited for HCC with cirrhosis when performed by experienced surgeons.

Cited by 107 publications

References 34 publications

Meta‐analysis of laparoscopic versus open liver resection for hepatocellular carcinoma

Meta‐analysis of laparoscopic versus open liver resection for hepatocellular carcinoma

Evolution and revolution of laparoscopic liver resection in Japan

The Asia Pacific Consensus Statement on Laparoscopic Liver Resection for Hepatocellular Carcinoma: A Report from the 7th Asia-Pacific Primary Liver Cancer Expert Meeting Held in Hong Kong

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