Laparoscopic versus open left hemihepatectomy for hepatocellular carcinoma: a propensity score matching analysis
| Autor: | Gao Liu, Jialei Weng, Chenhao Zhou, Ning Ren, Yong Yi |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Cancer Research
medicine.medical_specialty business.industry Laparoscopic left hemihepatectomy (LLH) medicine.disease hepatocellular carcinoma (HCC) Oncology Hepatocellular carcinoma Propensity score matching Left Hemihepatectomy Medicine Original Article Radiology Nuclear Medicine and imaging Radiology perioperative outcomes business |
| Zdroj: | Translational Cancer Research |
| ISSN: | 2219-6803 2218-676X |
| DOI: | 10.21037/tcr-20-1573 |
| Popis: | Background Despite the increasing application of laparoscopic hepatectomy (LH) for hepatocellular carcinoma (HCC), laparoscopic left hemihepatectomy (LLH) remains a relatively rare surgery and comparison of perioperative and oncological outcomes between LLH and open left hemihepatectomy (OLH) is lacking. Methods A total of 276 HCC patients who underwent either LLH or OLH between January 2008 and November 2019 were enrolled in this retrospective observational study and a 1:2 propensity score matching (PSM) was performed between LLH and OLH groups. Results Patients in LLH group had smaller tumor size (P=0.001) and earlier TNM staging (P=0.022) before matching. Despite the similar transfusion rate after matching, patients undergoing LLH (n=27) experienced less intraoperative blood loss (100.0 versus 200.0 mL; P=0.034) and application of hepatic portal occlusion (11.1% versus 63.5%; P |
| Databáze: | OpenAIRE |
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