Masayasu Aikawa, Kenichiro Takase, Yukihiro Watanabe, Katsuya Okada, Kojun Okamoto, Shinichi Sakuramoto, Shigeki Yamaguchi, Isamu Koyama. Saitama medical university, international medical center
Introduction: The laparoscopic liver resection (LLR) has become widespread because it is less invasive. However, the evidence of its less invasiveness has not been reported in multiple resections for hepatomas. We investigated the less invasiveness and safety of LLR in multiple resections in comparison with those of the laparoscopic and open approaches.
Methods: Between 2008 and 2018, of 340 patients who underwent LLR for whole hepatoma in our facility, 36 underwent LLR for dual-site hepatoma. Before definitive induction of the LLR, 30 patients underwent open liver resection (OLR) for dual-site hepatoma. The patients’ background, characteristics, and perioperative outcomes were compared between LLR and OLR for dual-site hepatoma.
Results: No significant differences in the patients’ background were found between the two groups except for the type of hepatoma. The operative durations were prolonged in the LLR group as compared with those in the OLR group. The blood loss volumes, pain score, and hospital stay in the LLR group were lower than those in the OLR group. A postoperative complication higher than grade III according to the Clavien-Dindo classification did not occur in any of the patients in the LLR group but occurred in 3 patients in the OLR group.
Conclusion: OLR requires an extended wound for resection of multi-site lesions in hepatoma. In contrast, LLR makes it possible to resect multi-site lesions by the addition of a few laparoscopic ports. LLR may be useful, particularly for resection of multi-site lesions.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 94914
Program Number: P251
Presentation Session: Poster Session (Non CME)
Presentation Type: Poster