A comparison between laparoscopic hepatectomy and open hepatectomy for the treatment of hepatocellular carcinoma

VernacularTitle:腹腔镜与开腹肝切除术治疗肝癌的疗效对比
Author: Xuewei YANG ; Liangqi CAO ; Xiaofeng JIANG ; Heping PENG ; Yize HU
Publication Type:Journal Article
Keywords: Carcinoma,hepatocellular; Hepatectomy; Laparoscopy
From: Chinese Journal of General Surgery 2012;27(2):100-102
CountryChina
Language:Chinese
Abstract: Objective To investigate the efficiency and safety of laparoscopic hepatectomy (LH) and open hepatectomy (OH) in patients with hepatocellular carcinoma (HCC). Methods A total of 45 HCC cases undergoing hepatectomy from January 2008 to December 2010 in our hospital were divided into LH group ( n =21 ) and OH group ( n =24 ).Their clinical efficiency and safety were compared and analyzed. Results The amount of intraoperative blood loss and blood transfusion in LH group were significantly higher than that of OH ( respectively x2 =3.973,x2 =4.862,all P ＜ 0.05 ).LH is associated with less postoperative complications and duration of hospital stay,compared with OH ( respectively x2 =4.746,t =-2.717,all P ＜0.05).Cumulative survival rates in both groups were not statistically significant ( x2 =0.172,P ＞ 0.05 ).However tumor-free survival rate in LH was significantly higher,superior to that of OH (x2 =4.543,P ＜ 0.05). Conclusions LH and OH are all safe and effective hepatectomy for HCC.LH has the advantage of less complication and shorter hospital stay.