Pure laparoscopic surgery for repeat hepatectomy

Shin Nakahira, MD, Yutaka Takeda, MD, Naoyoshi Hashimoto, MD, Katsunori Matsushita, MD, Hiroki Kusama, MD, Hiroshi Kawashima, MD, Yosuke Mukai, MD, Michiko Hamanaka, MD, Atsushi Takeno, MD, Hideki Sakisaka, MD, Rei Suzuki, MD, Hirokazu Taniguchi, MD, Takeshi Kato, MD, Shigeyuki Tamura, MD

Dept. of Digestive Surgery, Kansai Rosai Hospital

In this study, we evaluate the capability of pure laparoscopic surgery for repeat hepatectomy. From June 2010 through March 2012, 68 cases of primary hepatectomy (hepatocellular carcinoma 48, liver metastasis 11) and 9 cases of re-hepatectomy patients (all cases were hepatocellular carcinoma) were underwent pure laparoscopic hepatectomy. As for the liver function in primary hepatectomy and re-hepatectomy, liver damage (modified Child-Pugh classification in Japan) A/B was 43/16 and 4/5, median ICG R15 was 16 (4- 42) % and 29 (10-35) %, respectively. As for operative variables in primary hepatectomy and re-hepatectomy, the median operative duration was 299 (39-794) minutes, 242 (157-475) minutes, the median amount of bleeding was 30 (small amount-3,500) cc, 10 (small amount-140) cc, and the median post-operative hospital stay was 10 (6-60) days and 9 (6-23) days, respectively. Primary hepatectomy and re-hepatectomy represented equal clinical outcomes, although re-hepatectomy patients had lower hepatic function compared with primary hepatectomy patients.


Session: Poster Presentation

Program Number: P361

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