Comparative study of laparoscopic and open left hepatectomy for hepatocellular carcinoma
10.3877/cma.j.issn.2095-3232.2018.06.011
- VernacularTitle:腹腔镜与开腹左半肝切除治疗肝细胞癌临床对比研究
- Author:
Rongdang FU
1
,
2
;
Jieyuan LI
;
Fengjie WANG
;
Feiwen DENG
;
Qiucheng LEI
;
Jianyuan HU
;
Huanwei CHEN
Author Information
1. 528000 佛山市第一人民医院肝脏胰腺外科
2. 510630广州,中山大学附属第三医院感染科
- Keywords:
Carcinoma,hepatocellular;
Hepatectomy;
Laparoscopes
- From:
Chinese Journal of Hepatic Surgery（Electronic Edition）
2018;7(6):477-481
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the safety and efficacy of laparoscopic and open left hepatectomy for hepatocellular carcinoma (HCC).Methods Clinical data of 31 patients with HCC who underwent left hepatectomy in the First People's Hospital of Foshan from June 2011 to December 2017 were retrospectively analyzed.Among 31 patients,24 cases were male and 7 female,aged from 11 to 78 years with a median age of 58 years.Patients were divided into laparoscopic left hepatectomy group (laparoscopic group,n=17) and open left hepatectomy group (open group,n=14).The informed consents of all patients were obtained and the local ethical committee approval was received.In laparoscopic group,two-step Endo-GIA laparoscopic left hepatectomy was performed,and conventional hepatectomy was performed in open group.The postoperative length of hospital stay was compared by t test.The intraoperative blood loss was compared by rank-sum test.The incidence of postoperative complications was compared by Chisquare test.Results All patients underwent operation successfully without perioperative death.The median intraoperative blood loss in laparoscopic group was 100(50-500) ml,significantly less than 325(50-900) ml in open group (Z=-2.180,P＜0.05).The postoperative length of hospital stay in laparoscopic group was (8.4±2.3) d,significantly shorter than (10.9±2.5) d in the open group (t=-2.869,P＜0.05).5 cases developed postoperative pleural effusion in laparoscopic group,and 5 in open group,where no significant difference was observed (x2=0.140,P＞0.05).Conclusions Laparoscopic left hepatectomy is safe for HCC and has similar efficacy as open surgery,the intraoperative blood loss is less comparatively and postoperative recovery time is shorter,which can serve as a standard surgical approach in clinical practice.
