Purpose: The aim of this study was to determine whether liver resection treated by usinglaparoscopy is equally safe for patients who have benign liver mass, hepatolithiasis,hepatocellular carcinoma (HCC), or metastatic liver cancer.
Methods: We performed our study in 32 patients with the following conditions: 17 patients withIHD stones, 7 with HCC, 1 with cholangiocardnoma, and 7 patients who had colon cancerwith liver metastasis. On a retrospective bases, these patients were investigated for clinicalhistory, type of operation, time for the operation, hospital stay, and post operativecomplications.
ResuHs: The target age range was from 371o 80 years and the mean age was 61.2 yearsold. The percentage of patients over 60 years old was 68.7%. According to their past history,8 patients had expenenced an upper abdominal operation, In our study there were 9 cases ofleft hepatectomy (28.1%), 9 cases of left lateral segmentectomy (28.1%), 2 cases ofsectionectomy, and 12 cases of wedgeresection. The average operation time was 364:!: 148mins, the average bleeding amount was 417 ec, and the average hospital stay was 13.2 days.There were 8 cases (25%) of postoperative complications developed (2 bile leak, 1intrabdominal abscess, 1 acute renal failure, 2 wound infection). AII cases were improved withconservative management. And there was one case of remnant IHD stone, which hadsurgical treat and one patient had peritoneal carcinomatosis, who had laparoscopic liverresection for HCC.
Conclusion: Our study showed that laparoscopic liver resection has advantages; it is lesspainful, causes a small operative scar, a the short period of hospital stay and has cosmeticbenefits, In the future, laparoscopic liver resection could be an important option for thetreatment of hepatolithiasis and HCC through improved surgical instrument and skill ofoperation.
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