Efficacy evaluation of laparoscopic surgery in the treatment of 128 patients with liver cancer
10.3760/cma.j.issn.1673-9752.2010.01.014
- VernacularTitle:腹腔镜手术治疗肝癌128例的疗效评析
- Author:
Shuguo ZHENG
;
Jianwei LI
;
Jian CHEN
;
Yudong FAN
;
Zhongfang JIE
;
Kuansheng MA
;
Shuguang WANG
;
Ping BIE
- Publication Type:Journal Article
- Keywords:
Liver neoplasms;
Laparoscopes;
Hepatectomy;
Catheter ablation,radiofrequency
- From:
Chinese Journal of Digestive Surgery
2010;9(1):35-37
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the value of laparoscopy in the treatment of liver cancer.Methods The clinical data of 128 liver cancer patients who received laparoscopic surgery at Southwest Hospital from March 2007 to October 2009 were retrospectively analyzed.Of all patients,116 were with primary liver cancer,and 12 with metastatic liver cancer.There were 107 patients who received laparoscopie bepatectomy,15 received laparoscopic radiofrequency ablation(RFA)and 6 received laparoscopic ligation of the right branch of portal vein.Results Of the 107 patients who received laparoscopic bepatectomy,7 were converted to open surgery,and 5 were converted to hand-assisted laparoscopic hepatectomy.Anatomical hepatectomy was performed on 88 patients,including left lateral lobectomy on 21,left hemihepatectomy on 15,extended left hemihepatectomy on 2,medial lobectomy on 1,right hemihepatectomy on 11,right posterior lobeetomy on 9 and hepatic segmentectomy on 29.Combined hepatic resection was performed on 4 patients,and nonanatomical hepatectomy on 15.The mean oporatire time and blood loss were(228±92)minutes and(393±213)ml,with no operative mortality.The mean postoperative hospital stay was(8±4)days,and the incidence of complications was 15%(16/107).A total of 126 patients were followed up for 1-42 months,12 patients with laparoscopic hepatectomy died within 16 months,with the mean survival time of(118±7)weeks and the mean tumor free survival time of(105±7)weeks;2 patients with laparoscopic RFA died within 11 months:2 patients with laparoseopie ligation of the right branch of portal vein received two-stage radical resection.Conclusion Laparoscopic surgery is safe and feasible with the advantages of minimal operative trauma and quick recovery of patients when it is applied to the treatment of liver cancer.
