P Senthilnathan, R Parthasarathi, S Rajapandian, Anand Vijay, V P Nalankilli, C Palanivelu, Kailash Chandra dhaker. GEM Hospital & Research Centre
Background : The aim of this study to analyze outcomes of laparoscopic hepatectomy done at our centre.
Method : It is a retrospective evaluation of prospectively maintained data from 41 consecutive patients; who underwent laparoscopic hepatectomy for various benign and malignant lesions, between January 2012 upto March 2016.
Result : Out of total 41 patients, 28 were males and 13 females with mean age of 59.3 ± 16.2 years. Cirrhosis was noted in 21.4%(n=9). Twenty five patients (61%) underwent major hepetectomy (Right hepatectomy-31.7%, left hepatectomy–29.3 %) while left lateral sectorectomy in 9 patients (21.9%). Mean blood loss was186.46± 187.22 mL with mean operating time of 242.07±77.7 minutes. Mean ICU stay was 2.58±1.68 days. Majority of resections (70.7%) were performed for malignant lesions (n=29), among which hepatocellular carcinoma accounted for 55.2% (n=16). Eight patients (19.5%) had major complications (Clavien Dindo Grade III to V). Median length of hospital stay was 9 days (range 5-21 days). Resection margins were more than 2 cm in majority(51.7%) of resections for malignancy . only 13.8% (n=4) resections for malignancy achieved less than 1 cm margin.
On multivariate analysis, CTP score (p = 0.049), operating time (p = 0.007) and Clavien-Dindo grade (p=0.049) were found to be statistically significant with hospital stay. We have 2.4% mortality Mean follow up was 20.48± 14.2 months.
Conclusion: Laparoscopic hepatectomy for benign as well as malignant pathology is feasible and safe as there was no major intraoperative adverse events, in experienced centre with skilled surgeon.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 80842
Program Number: P462
Presentation Session: Poster (Non CME)
Presentation Type: Poster