The Extrahepatic Glissonian Versus Hilar Dissection Approach for Laparoscopic Formal Right and Left Hepatectomies in Patients with Hepatocellular Carcinoma
- 04.03.2019
- Original Article
Erschienen in:
- Verfasst von
- Fei Liu
- YongGang Wei
- Kefei Chen
- HongYu Li
- Wentao Wang
- Hong Wu
- Tianfu Wen
- Bo Li
- Erschienen in
- Journal of Gastrointestinal Surgery | Ausgabe 12/2019
Abstract
Background
Few studies have been performed to evaluate the value of the Glissonian approach (GA) for laparoscopic formal hemihepatectomy. The purpose of this study was to compare the outcomes of extrahepatic GA with those of the conventional hilar dissection approach for laparoscopic formal right and left hepatectomies in patients with hepatocellular carcinoma (HCC).
Methods
Between January 2015 and October 2017, a total of 95 HCC patients who underwent pure laparoscopic formal hemihepatectomies, of whom 49 underwent the GA, were included in this study. After a 1:1 propensity score matching, 42 laparoscopic GA hepatectomies were compared to 42 conventional approach (CA) hepatectomies. We have analyzed perioperative and oncologic outcomes of the two different operative approaches for HCC treatments.
Results
The GA did not increase the postoperative overall complication rates (P = 0.415) or the mean comprehensive complication index (P = 0.414) when compared with the CA. However, the operative time was significantly shorter (P = 0.006), and intraoperative blood loss was significantly lower (P < 0.001) in the GA group than in the CA group. There were no significant differences between the GA and CA groups regarding 3-year overall survival rate (P = 0.765) or 3-year disease-free survival rate (P = 0.622).
Conclusions
Pure laparoscopic extrahepatic GA hemihepatectomy is safe and feasible, and it was associated with similar complication rates and equivalent 3-year survival outcomes compared to the conventional approach in selected patients with HCC.
Anzeige
- Titel
- The Extrahepatic Glissonian Versus Hilar Dissection Approach for Laparoscopic Formal Right and Left Hepatectomies in Patients with Hepatocellular Carcinoma
- Verfasst von
-
Fei Liu
YongGang Wei
Kefei Chen
HongYu Li
Wentao Wang
Hong Wu
Tianfu Wen
Bo Li
- Publikationsdatum
- 04.03.2019
- Verlag
- Springer US
- Erschienen in
-
Journal of Gastrointestinal Surgery / Ausgabe 12/2019
Print ISSN: 1091-255X
Elektronische ISSN: 1873-4626 - DOI
- https://doi.org/10.1007/s11605-019-04135-x
Dieser Inhalt ist nur sichtbar, wenn du eingeloggt bist und die entsprechende Berechtigung hast.
Dieser Inhalt ist nur sichtbar, wenn du eingeloggt bist und die entsprechende Berechtigung hast.
