Pure Laparoscopic Versus Open Right Hepatectomy for Hepatocellular Carcinoma in Patients With Cirrhosis

Yoon, Young‐In; Kim, Ki‐Hun; Kang, Sung-Hwa; Kim, Wan-Joon; Shin, Min‐Ho; Lee, Sangkyung; Jung, Dong‐Hwan; Park, Gil‐Chun; Ahn, Chul‐Soo; Moon, Deok‐Bog; Ha, Tae‐Yong; Song, Gi‐Won; Hwang, Shin; Lee, Sung‐Gyu

doi:10.1097/sla.0000000000002072

Cited by 167 publications

(102 citation statements)

References 35 publications

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“…The long-term effect is the major controversy on laparoscopic liver resection for liver malignancies and many retrospective or casematched studies had been carried out (36)(37)(38)(39)(40)(41)(42). According to current experience, there is no difference of survival time between laparoscopic liver resection and open liver resection, but the final conclusion should base on data from multi-center and randomized case-controlled clinical trials.…”

Section: Outcomes Of Laparoscopic Liver Resectionmentioning

confidence: 99%

Laparoscopic liver resection: the current status and the future

Cai

2018

Hepatobiliary Surg. Nutr.

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Section: Outcomes Of Laparoscopic Liver Resectionmentioning

confidence: 99%

Laparoscopic liver resection: the current status and the future

Cai

2018

Hepatobiliary Surg. Nutr.

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“…While right and left hepatectomies can be equally performed by open or laparoscopic resection [67], more complex right-sided resections are clearly more demanding by the laparoscopic approach and require advanced expertise. In the case of anterior and posterior sectionectomies, extrahepatic control of the sectional pedicles using the Takasaki technique are increasingly used by the laparoscopic approach, allowing anatomical resection by ischemic delineation [68, 69].…”

Section: Resultsmentioning

confidence: 99%

Open Liver Resection, Laparoscopic Liver Resection, and Percutaneous Thermal Ablation for Patients with Solitary Small Hepatocellular Carcinoma (≤30 mm): Review of the Literature and Proposal for a Therapeutic Strategy

Viganò¹,

Laurenzi²,

Solbiati³

et al. 2018

Dig Surg

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Background: Patients with a single hepatocellular carcinoma (HCC) ≤3 cm and preserved liver function have the highest likelihood to be cured if treated. The most adequate treatment methods are yet a matter that is debated. Methods: We reviewed the literature about open anatomic resection (AR), laparoscopic liver resection (LLR), and percutaneous thermal ablation (PTA). Results: PTA is effective as resection for HCC < 2 cm, when they are neither subcapsular nor perivascular. PTA in HCC of 2–3 cm is under evaluation. AR with the removal of the tumor-bearing portal territory is recommended for HCC > 2 cm, except for subcapsular ones. In comparison with open surgery, LRR has better short-term outcomes and non-inferior long-term outcomes. LLR is standardized for superficial limited resections and for left-sided AR. Conclusions: According to the available evidences, the following therapeutic proposal can be advanced. Laparoscopic limited resection is the standard for any subcapsular HCC. PTA is the first-line treatment for deep-located HCC < 2 cm, except for those in contact with Glissonean pedicles. Laparoscopic AR is the standard for deep-located HCC of 2–3 cm of the left liver, while open AR is the standard for deep-located HCC of 2–3 cm in the right liver. HCC in contact with Glissonean pedicles should be scheduled for resection (open or laparoscopic) independent of their size. Liver transplantation is reserved to otherwise untreatable patients or as a salvage procedure at recurrence.

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“…This condition was indeed an advantageous tool to counter balance the notorious bleeding tendency in patients with liver cirrhosis (3)(4)(5).…”

Section: Am Writing In Response To Professor Taizo Hibi's Editorialmentioning

confidence: 99%

Laparoscopic liver resection in patients with liver cirrhosis—the path towards standard of care

Cheung

2018

Hepatobiliary Surg. Nutr.

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Pure Laparoscopic Versus Open Right Hepatectomy for Hepatocellular Carcinoma in Patients With Cirrhosis

Abstract: Even in patients with cirrhosis, pure LRH is not less safe than the traditional open approach. The oncological outcomes of HCC were also comparable between the two groups. In selected patients, pure LRH for HCC appears to represent a viable alternative to ORH.

Cited by 167 publications

References 35 publications

Laparoscopic liver resection: the current status and the future

Laparoscopic liver resection: the current status and the future

Open Liver Resection, Laparoscopic Liver Resection, and Percutaneous Thermal Ablation for Patients with Solitary Small Hepatocellular Carcinoma (≤30 mm): Review of the Literature and Proposal for a Therapeutic Strategy

Laparoscopic liver resection in patients with liver cirrhosis—the path towards standard of care

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