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KMID : 0371320110800010051
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Journal of the Korean Surgical Society
2011 Volume.80 No. 1 p.51 ~ p.55
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Laparoscopic Liver Resection for Hepatocellular Carcinoma
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Kim Ka-Jeong
Jeong Chi-Young
Jeong Sang-Ho
Ju Young-Tae
Jung Eun-Jung
Lee Young-Joon
Choi Sang-Kyung
Ha Woo-Song
Park Soon-Tae
Hong Soon-Chan
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Abstract
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Purpose: With the advancement of laparoscopic instruments and accumulation of surgical technique, laparoscopic liver resection is currently performed for various benign and malignant liver diseases. However, controversies still remain over laparoscopic liver resection for malignant liver diseases including HCC and its oncologic safety is yet to be established. This study aims at determining the safety, feasibility and short-term oncologic outcomes of laparoscopic liver resection performed for HCC.
Methods: From July 2008 to March 2010, laparoscopic liver resection was performed at our hospital on a total of 45 patients with various benign and malignant liver diseases. Among these 45 patients, 16 patients diagnosed with HCC were reviewed retrospectively.
Results: The mean age of the patients was 59.25, comprising 11 male patients (68.8%) and 5 female patients (31.2%). The location of tumor was left lateral in 7 cases, 4 cases in segment 6, 2 cases in segment 7, 2 cases in segment 5, 1 case in segment 4 and 1 case in caudate lobe. Wedge resection was performed in 11 cases, left hemi hepatectomy in 2 cases, left lateral sectionectomy in 2 cases, caudate lobectomy in 1 case. The mean operative time was 248.75 minutes. The mean hospital stay was 13.8 days, and there were no post-operative recurrences during the post-operative follow-up period.
Conclusion: When performed by expert surgeons in selected patients, laparoscopic liver resection for HCC is a feasible and safe procedure.
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KEYWORD
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Hepatocellular carcinoma, Liver resection, Laparoscopy
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