Laparoscopic liver resection allows quicker recovery of liver function after hepatectomy for hepatocellular carcinoma

VernacularTitle:腹腔镜与开腹肝切除术对肝细胞癌患者术后肝功能的影响
Author: Hui HOU ; Dachen ZHOU ; Xiao CUI ; Chunli WU ; Lei WANG ; Shubo PAN ; Liang HE ; Xiaoping GENG
Keywords: Carcinoma,hepatocellular; Laparoscopes; Hepatectomy
From: Chinese Journal of General Surgery 2017;32(8):698-701
CountryChina
Language:Chinese
Abstract: Objective To compare the perioperative outcomes of laparoscopic liver resection (LLR) versus open liver resection (OLR) for hepatocellular carcinoma (HCC).Methods A total of 89 HCC patients undergoing liver resection between January 2012 and November 2016 were enrolled.Nonparametric tests were employed to compare the clinicalpathological characters and preoperative outcomes.Results No significant difference was observed in clinicalpathological features and postoperative morbidity.LLR group had shorter hospital stay (Z =4.642,P ＜0.01),lower serum ALT level in 1st,3rd and 5 day (Z =2.157,3.089,2.384,all P ＜0.05) and AST level in 1st-and 3rd-day postoperatively (Z =2.688,2.566,all P ＜0.05).The growth rate in serum total protein (TP) and albumin (ALB) postoperatively is higher for LLR group (y =2.348 4x + 51.696 vs.y =0.902 9 + 35.532),(y =1.539 9x + 29.68 vs.y =0.732 9x + 30.406).Conclusion LLR allows quicker liver function recovery and shortens patients' postoperative hospital stay.