Satoru Imura, Hiroki Teraoku, Yuji Saito, Shuichi Iwahashi, Tetsuya Ikemoto, Yuji Morine, Mitsuo Shimada. Tokushima University
INTRODUCTION: With progress of surgical technique and devices, laparoscopic liver resection became a realizable option for patients with liver tumor. Major liver resection such as anatomical left or right hemi-hepatectomy has also been introduced in many centers. Herein, we evaluate surgical results of laparoscopic hemi-hepatectomy for liver tumor.
PATIENTS AND METHODS: Until March 2017, 27 consecutive patients who underwent laparoscopic or laparoscope-assisted hemi-hepatectomy (left: 18, right: 9) were reviewed and the surgical data such as operation time, blood loss, postoperative complications were analyzed retrospectively.
RESULTS: Of the 18 patients underwent left hemi-hepatectomy, 6 cases were primary liver cancer, 6 cases were metastatic tumor, and 6 cases were benign tumor. Pure laparoscopic surgery was performed in 5 cases. The mean blood loss was 203 (30-995) ml, mean operating time was 315 (204-578) minutes and mean postoperative hospital stay was 18 (8-52) days. The rate of postoperative complications was 5.6% (wound infection; n=1). All right hemi-hepatectomy was performed by laparoscope-assisted method. Of the 9 patients underwent right hemi-hepatectomy, 3 cases were primary liver cancer, 3 cases were metastatic tumor, and 3 cases were benign tumor. The mean blood loss was 188 (10-600) ml, mean operating time was 382 (290-514) minutes and mean postoperative hospital stay was 19 (8-48) days. The rate of postoperative complications was 22.2% (biliary stenosis; n=2). The patients with hepatocellular carcinoma were followed up for a median of 68 (29-92) months. Recurrence occurred in 4 cases and none of them had died at the time of follow-up.
CONCLUSION: Laparoscopic hemi-hepatectomy is a safe and effective procedure for the treatment of benign and malignant liver tumors.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 86911
Program Number: P514
Presentation Session: iPoster Session (Non CME)
Presentation Type: Poster