A comparative study of hand- assisted laparoscopic versus pure laparoscopic major hepatectomy

VernacularTitle:全腹腔镜与手助腹腔镜在困难肝切除中的临床对照研究
Author: Haoming LIN ¹ ; Guolin LI ; Ruiming CHANG ; Hai HE ; Jun MIN
Author Information

1. 中山大学孙逸仙纪念医院肝胆外科
Keywords: hepatectomy; hand-assisted laparoscopic liver surgery; purelaparoscopic liver surgery
From: Journal of Southern Medical University 2014;(11):1676-1679
CountryChina
Language:Chinese
Abstract: Objective To compare the outcomes of hand-assisted laparoscopic liver surgery (HALS) and pure laparoscopic liver surgery (PLS). Methods The clinical data were analyzed for 64 patients undergoing major hepatectomy with HALH (23 cases) and PLS (41 cases) between January, 2010 and December, 2012. Results The general data of the two groups were comparable. Compared with PLS, HALS was associated with a significantly shorter operative time (240 vs 191 min), less intraoperative blood loss (430 vs 220 ml, P<0.05), and a lower cost (P<0.05). There was no significant difference between the two groups in postoperative hospital stay, complication rates or recurrence rate of hepatocellular carcinoma. Conclusions HALS is safe for major liver resection with such advantages over PLS as causing less trauma and a lower cost.