Laparoscopic resection for hepatocellular carcinoma: a matched-pair comparative study
| Autor: | Hélène Agostini, Panagiotis Lainas, Giuseppe Di Giuro, Dominique Franco, Jean Roudie, Hadrien Tranchart, Ibrahim Dagher |
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| Rok vydání: | 2009 |
| Předmět: |
Male
medicine.medical_specialty Surgical margin Carcinoma Hepatocellular medicine.medical_treatment Disease-Free Survival Liver disease Anesthesiology Laparotomy Ascites medicine Hepatectomy Humans Laparoscopic resection Laparoscopy Aged Retrospective Studies medicine.diagnostic_test business.industry Liver Neoplasms Middle Aged medicine.disease Surgery Survival Rate Treatment Outcome Hepatocellular carcinoma Female France medicine.symptom business Follow-Up Studies |
| Zdroj: | Surgical endoscopy. 24(5) |
| ISSN: | 1432-2218 |
| Popis: | Only a few series have demonstrated the safety of laparoscopic resection for hepatocellular carcinoma (HCC) and the benefits of this approach. Moreover, these studies reported mostly minor and nonanatomic hepatic resections. This report describes the results of a pair-matched comparative study between open and laparoscopic liver resections for HCC in a series of essentially anatomic resections. Patients were retrospectively matched in pairs for the following criteria: sex, age, American Society of Anesthesiology (ASA) score, severity of liver disease, tumor size, and type of resection. A total of 42 patients undergoing laparoscopy were compared with patients undergoing laparotomy during the same period. Surgeons from the authors’ department not trained in laparoscopy performed open resections. Operative, postoperative, and oncologic outcomes were compared. The mean duration of surgery was similar in the two groups. Significantly less bleeding was observed in the laparoscopic group (364.3 vs. 723.7 ml; p |
| Databáze: | OpenAIRE |
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