[Evaluation of laparoscopic hepatectomy for hepatocellular carcinoma with cirrhosis].
Laparoscopic hepatectomy has been reported as a safe and effective approach for the treatment of hepatocellular carcinoma ( HCC). However, few studies have reported survival outcomes after laparoscopic hepatectomy in HCC patients with cirrhosis. In the present study, we evaluated the surgical outcomes and disease-free survival in these cases. Between June 2010 and March 2013, 35 HCC patients with cirrhosis underwent laparoscopic hepatectomy. Operative variables for laparoscopic vs open hepatectomy were as follows: operative times, 268.3 vs 183.3 minutes (p=0.0043); blood loss volume, 151.0 vs 1,106.1 g (p<.001); 1-year disease-free survival rate, 73.1 vs 71.6%; and 2-year disease-free survival rate, 39.9% vs 28.6% (p=0.568), respectively. Laparoscopic hepatectomy is feasible and safe in selected patients with liver cirrhosis, with similar outcomes in disease-free survival when compared with open hepatectomy.
Dept. of Surgery, Kansai Rosai Hospital.
Yoshiteru
Y
Katsura
Yutaka
Y
Takeda
Shin
S
Nakahira
Tomo
T
Ishida
Yasufumi
Y
Sato
Yoshihiro
Y
Morimoto
Hiroki
H
Kusama
Katsunori
K
Matsushita
Tadayoshi
T
Hashimoto
Kei
K
Kimura
Yoshiaki
Y
Ohmura
Kanae
K
Nitta
Yoshinori
Y
Kagawa
Masatsugu
M
Okishiro
Atsushi
A
Takeno
Hideki
H
Sakisaka
Hirokazu
H
Taniguchi
Chiyomi
C
Egawa
Takeshi
T
Kato
Shigeyuki
S
Tamura
D000368:Aged; D000369:Aged, 80 and over; D006528:Carcinoma, Hepatocellular / Q000209:etiology / Q000601:surgery*; D005260:Female; D006498:Hepatectomy; D006509:Hepatitis B / Q000150:complications*; D006801:Humans; D010535:Laparoscopy; D008103:Liver Cirrhosis / Q000209:etiology / Q000601:surgery*; D008113:Liver Neoplasms / Q000209:etiology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome