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KMID : 0870420090130040221
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Korean Journal of Hepato-Biliary-Pancreatic Surgery
2009 Volume.13 No. 4 p.221 ~ p.226
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Outcome of Laparoscopic Liver Resection for Hepatocellular Carcinoma
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Hong Geun
Han Ho-Seong
Yoon Yoo-Seok
Cho Jai-Young
Ahn Keun-Soo
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Abstract
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Purpose: Although laparoscopic liver resection has become popular and it has shown good surgical safety and feasibility, the oncologic safety is still not established. Therefore, we analyzed the mid-term survival and disease free survival rates after laparoscopic liver resection for HCC to establish the oncologic safety.
Methods: Between September 2003 and August 2008, 64 patients with hepatocellular carcinoma underwent laparoscopic liver resection. The clinical data of these patients was analyzed by the Kaplan-Meier method.
Results: There were 19 major hepatic resections and 45 minor hepatic resections without any mortality. There were 15 complications, including 9 cases of abdominal fluid collection, 3 cases of bile leakage, 2 cases of ascites and 1 case of ileus. The 3 years overall survival and disease free survival rates were 87.8% and 67.3%, respectively.
Conclusion: We confirmed that laparoscopic liver resection for hepatocellular carcinoma is safe and feasible. The 3 years survival rates and disease free survival rates were as high as those of open resection for hepatocellular carcinoma.
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KEYWORD
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Laparoscopic surgery, Hepatectomy, HCC, Hepatocellular carcinoma, Survival rate, Disease-free survival rate
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