Long Tran Cong Duy, Dr, Viet Dang. University Medical Center – Ho Chi Minh city
Background: Laparoscopic left lateral sectionectomy is relatively simpl and can be applied popularly. We need more researches evaluating the feasibility, safety and effects of this procedure so that it can be applied routinely in HCC treatment.
Objects: Determining the short and long-term result of laparoscopic left lateral sectionectomy for HCC treatment
Method: Series report of 82 cases of laparoscopic left lateral sectionectomy for hepatocellular carcinoma treatment at University Medical Center – Ho Chi Minh city from May 2007 to January 2014.
Results: Sex ratio is 2:1. Mean age is 56.3 ± 12.8 years old (16-83). 92.7% patients have got hepatitis B or C. 100% patients’ liver function is Child Pugh A (5 points). Median tumor size is 3.9 cm (2.0 to 10.0). 28% patients are in BCLC B stage. Successful rate is 100%. Median operation time is 90 minutes (40 to 300). Median blood loss is 50 ml (0 – 500). Postoperative morbidity 2.45% (1 case of liver failure, 1 case of small intestinal perforation and need of reoperation). Perioperative mortality is 0%. Median hostipal stay is 6 days (4 – 10).
1, 2, 3, 5-year disease-free survial rate is 79.4%, 63.9%, 52.9% and 43.6% respectively.
1, 2, 3, 5-year overall survial rate is 98.4%, 80.2%, 72.7% and 72.7% respectively.
Conclusion: Laparoscopic left lateral sectionectomy for HCC is relatively simple with high successful rate, low rate of intraoperative and postoperative morbidity and acceptable long-term result. We suggest laparoscopic procedure should be applied routinely in left lateral sectionectomy for HCC.