title: An evaluation of the safety of pure laparoscopic hepatectomy in patients with liver cirrhosis: investigations including serum albumin and ascites.
abstract: OBJECTIVE
  The purpose of this study was to investigate scientific advantages and safety of pure laparoscopic hepatectomy in patients with severe damaged liver and cirrhosis.
  
  
  METHODS
  Three cohorts were evaluated: group I, patients with severe liver damage or cirrhosis (f3-4) who underwent laparoscopic-assisted hepatectomy (n=8); group II, patients with severe liver damage or cirrhosis (f3-4) who underwent pure laparoscopic hepatectomy (n=10); group III, patients with normal liver (f0) who underwent pure laparoscopic hepatectomy (control, n=7). A comparison of operative time, blood loss, serum albumin, C-reactive protein, duration of hospitalization, duration of postoperative indispensable hospitalization, and the duration of ascites drainage was made between the 3 cohorts.
  
  
  RESULTS
  All parameters except for operative time and C-reactive protein investigated were significantly worse in group I compared with the other 2 groups.
  
  
  CONCLUSIONS
  In conclusion, pure laparoscopic hepatectomy might be safe for patients with damaged liver and cirrhosis.
authors: Division of Transplantation, Reconstruction and Endoscopic Surgery, Graduate School of Medicine, Tohoku University, Sendai, Japan.
authors: Shigehito
authors: S
authors: Miyagi
authors: Chikashi
authors: C
authors: Nakanishi
authors: Yasuyuki
authors: Y
authors: Hara
authors: Takashi
authors: T
authors: Kamei
authors: Naoki
authors: N
authors: Kawagishi
authors: Noriaki
authors: N
authors: Ohuchi
mesh_terms: D000368:Aged; D001201:Ascites / Q000150:complications*; D016063:Blood Loss, Surgical; D002097:C-Reactive Protein / Q000032:analysis; D005260:Female; D006498:Hepatectomy; D006801:Humans; D010535:Laparoscopy; D007902:Length of Stay; D008103:Liver Cirrhosis / Q000150:complications*; D008113:Liver Neoplasms / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D012709:Serum Albumin / Q000032:analysis*
chemical_list: D012709:Serum Albumin; D002097:C-Reactive Protein