Detailed Abstract
[Plenary - Liver Disease/Surgery]
[PL 1] Long-term and perioperative outcome evaluation of pure laparoscopic liver resection versus open liver resection for hepatocellular carcinoma
Young-In YOON, Ki-Hun KIM, Seok-Hwan KIM, Woo-Hyoung KANG, Hwui-Dong CHO, Eun-Kyoung JWA, Jae- Hyun KWON, Dong-Hwan JUNG, Gil-Chun PARK, Tae-Yong HA, Deok-Bog MOON, Gi-Won SONG, Chul-Soo AHN, Shin HWANG, Sung-Gyu LEE
Division of Hepatobiliary Surgery and Liver Transplantation, Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Korea, Korea
Introduction : With the increase of laparoscopic approaches related to HCC, the oncological adequacy of laparoscopic liver resection (LLR) compared with open liver resection (OLR) has become an important topic of debate. This study aimed to compare the perioperative and long-term oncological outcomes of LLR with those of OLR for hepatocellular carcinoma (HCC) using propensity score matching (PSM).
Methods : We retrospectively reviewed medical records of patients with HCC who underwent liver resection between July 2007 and April 2016 at our center. A total of 2335 patients were included in this study and divided into LLR (n=264) and OLR (n=2071) groups.
Results : After 1:2 PSM , there were 217 and 434 patients in the LLR and OLR groups, respectively. The LLR group had a shorter hospital stay (8.9 vs. 14.8 days, P
Conclusions : Long-term oncological outcomes were comparable between LLR and OLR for selected patients. LLR was associated with multiple benefits, even in selected patients with cirrhosis who underwent major hepatectomy. LLR for HCC performed by an experienced surgeon could be considered as a safe and feasible alternative to OLR in selected patients.
Methods : We retrospectively reviewed medical records of patients with HCC who underwent liver resection between July 2007 and April 2016 at our center. A total of 2335 patients were included in this study and divided into LLR (n=264) and OLR (n=2071) groups.
Results : After 1:2 PSM , there were 217 and 434 patients in the LLR and OLR groups, respectively. The LLR group had a shorter hospital stay (8.9 vs. 14.8 days, P
Conclusions : Long-term oncological outcomes were comparable between LLR and OLR for selected patients. LLR was associated with multiple benefits, even in selected patients with cirrhosis who underwent major hepatectomy. LLR for HCC performed by an experienced surgeon could be considered as a safe and feasible alternative to OLR in selected patients.
SESSION
Plenary
Room A 3/31/2018 11:00 AM - 11:50 AM