Detailed Abstract
[Poster - Transplantation]
[P043] Laparoscopy of hepatocellular carcinoma is helpful in minimizing intra-abdominal adhesion during salvage transplantation
Jinsoo RHU1, Jong Man KIM1, Gyu Seong CHOI1, Choon Hyuck KWON1, Jae-Won JOH1, Olivier SOUBRANE2, Kyo Won LEE1
1Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
2Hepatobiliary-Pancreatic Surgery, Hospital Beaujon, APHP, Clichy, France, Korea
Introduction : This study analyzes the impact of laparoscopic liver resection on intra-abdominal adhesion.
Methods : Patients who underwent salvage liver transplantation after liver resection for hepatocellular carcinoma from January 2012 to October 2017 at Samsung Medical Center were included. Information about the severity of intra-abdominal adhesions was collected from a prospectively maintained database. Intra-abdominal adhesions were graded according to Beck et al. (Dis Colon Rectum 2000; 43: 1749-1753) after the agreement of two surgeons who participated in the salvage liver transplantation. Adhesion severity and demographic, operative, and postoperative data were compared between the laparoscopic group and the open group. Multivariate logistic regression was performed to consider potential factors related to severe adhesion during salvage transplantation.
Results : Sixty-two patients who underwent salvage liver transplantation after liver resection were included in this study. Among them, 52 patients underwent open surgery, and 10 patients underwent laparoscopy. Adhesion was significantly more severe in the open group than in the laparoscopy group (P=0.029). A multivariate logistic regression model including potential factors related to severe adhesion showed that laparoscopy (OR=0.168. CI=0.029-0.970, P=0.048) was the only significant factor.
Conclusions : Laparoscopic liver resection for hepatocellular carcinoma can minimize intra-abdominal adhesion during salvage liver transplantation.
Methods : Patients who underwent salvage liver transplantation after liver resection for hepatocellular carcinoma from January 2012 to October 2017 at Samsung Medical Center were included. Information about the severity of intra-abdominal adhesions was collected from a prospectively maintained database. Intra-abdominal adhesions were graded according to Beck et al. (Dis Colon Rectum 2000; 43: 1749-1753) after the agreement of two surgeons who participated in the salvage liver transplantation. Adhesion severity and demographic, operative, and postoperative data were compared between the laparoscopic group and the open group. Multivariate logistic regression was performed to consider potential factors related to severe adhesion during salvage transplantation.
Results : Sixty-two patients who underwent salvage liver transplantation after liver resection were included in this study. Among them, 52 patients underwent open surgery, and 10 patients underwent laparoscopy. Adhesion was significantly more severe in the open group than in the laparoscopy group (P=0.029). A multivariate logistic regression model including potential factors related to severe adhesion showed that laparoscopy (OR=0.168. CI=0.029-0.970, P=0.048) was the only significant factor.
Conclusions : Laparoscopic liver resection for hepatocellular carcinoma can minimize intra-abdominal adhesion during salvage liver transplantation.
SESSION
Poster
Poster / Exhibition Hall and Lobby(2F) 1/1/1970 9:00 AM - 9:00 AM