Lessons learned from 100 initial cases of laparoscopic liver surgery.
10.4174/jkss.2011.80.5.334
- Author:
Mi Ri LEE
1
;
Young Hoon KIM
;
Young Hoon ROH
;
Sung Yong OH
;
Jin Han CHO
;
Jong Hoon LEE
;
Sung Wook LEE
;
Myung Hwan ROH
;
Jin Sook JEONG
;
Sang Young HAN
;
Ghap Joong JUNG
Author Information
1. Department of Surgery, Dong-A University College of Medicine, Busan, Korea. yhkim1@dau.ac.kr
- Publication Type:Original Article
- Keywords:
Laparoscopic liver resection;
Hepatic cyst;
Hapatocellular carcinoma;
Resection margin
- MeSH:
Argon;
Blood Transfusion;
Carcinoma, Hepatocellular;
Chimera;
Hand-Assisted Laparoscopy;
Humans;
Laparoscopy;
Liver;
Retrospective Studies;
Seeds;
Survival Rate
- From:Journal of the Korean Surgical Society
2011;80(5):334-341
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: Laparoscopic liver resection (LLR) is now widely accepted and is being increasingly performed. The present study describes our experience with LLR at a single center over an eight-year period. METHODS: This retrospective study enrolled 100 patients between October 2002 and February 2010. Forty-six benign lesions and 54 malignant lesions were included. The LLR performed included 58 pure laparoscopy procedures, 18 hand-assisted laparoscopy procedures and 24 hybrid technique procedures. RESULTS: The mean age of the patients was 57 years; among these patients, 31 were over 65 years of age. The mean operation time was 220 minutes. The overall morbidity was 11% and the mortality was zero. Among the 20 patients with simple hepatic cysts, 50% unexpectedly recurred. Among the 41 patients with hepatocellular carcinoma, 21 patients (51%) underwent preoperative radiofrequency ablation therapy or transarterial chemoembolization. During parenchymal-transection, 11 received blood transfusion. The width of the resection margins was under 0.5 cm in 11 cases (27%); 0.5 to 1 cm in 22 cases (54%) and over 1 cm in eight cases (12%). There was no port site seeding, but argon beam coagulation-induced tumor dissemination was observed in two cases. The overall two-year survival rate was 75%. CONCLUSION: This study suggests that the applications for LLR can be gradually expanded when assuring that the safety and curability of LLR are equivalent to that of open liver resection.
