title: Impact of Laparoscopic Versus Open Hepatectomy on Perioperative Clinical Outcomes of Patients with Primary Hepatic Carcinoma.
abstract: OBJECTIVE
  To compare the perioperative outcomes of patients with primary hepatic carcinoma treated with laparoscopic hepatectomy (LH) with those treated with open hepatectomy (OH).
  
  
  METHODS
  From January 2010 to August 2014, 100 patients with primary hepatic carcinoma were randomly divided into the LH group and OH group respectively, 50 patients in each group. And the incision length, blood loss, operative time, postoperative liver function, anus exhaust time, complications, length of postoperative hospital stay, and cost measures were compared.
  
  
  RESULTS
  LH could achieve shorter incision length, less blood loss, more rapid recovery in liver function and gastrointestinal function, and shorter postoperative hospital stay length compared with OH for primary hepatic carcinoma patients (all P<0.05). However, LH could not significantly shorten operative time, and reduce postoperative complications and hospitalization cost (all P>0.05).
  
  
  CONCLUSIONS
  Compared with OH, LH could improve perioperative outcomes of primary hepatic carcinoma patients.
authors.affiliation: Department of General Surgery, Ningbo No. 2 Hospital, Ningbo 315010, Zhejiang, China.
authors.forename: Hai-tao
authors.initials: HT
authors.lastname: Jiang
authors.affiliation: Department of Hepatobiliary Surgery, the Affiliated Hospital of Qingdao University, Qingdao, Shandong 266003, China.
authors.forename: Jing-yu
authors.initials: JY
authors.lastname: Cao
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006498:Hepatectomy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D007902:Length of Stay; D008113:Liver Neoplasms / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000517:prevention & control