Laparoscopic Repeat Resection of Recurrent Hepatocellular Carcinoma

• Published in: World journal of surgery Vol. 35; no. 3; pp. 648 - 655
• Main Authors: Hu, Minggen, Zhao, Guodong, Xu, Dabin, Liu, Rong
• Format: Journal Article
• Language: English
• Published: New York Springer-Verlag 01.03.2011; Springer‐Verlag; Springer; Springer Nature B.V
• Subjects: Abdominal Surgery; Biological and medical sciences; Carcinoma, Hepatocellular - mortality; Carcinoma, Hepatocellular - pathology; Carcinoma, Hepatocellular - surgery; Cardiac Surgery; China; Cohort Studies; Female; Follow-Up Studies; Gastroenterology. Liver. Pancreas. Abdomen; General aspects; General Surgery; Hepatectomy - adverse effects; Hepatectomy - methods; Hepatocellular Carcinoma Patient; Humans; Laparoscopic Hepatectomy; Laparoscopic Liver Resection; Laparoscopic Resection; Laparoscopy - adverse effects; Laparoscopy - methods; Liver Neoplasms - mortality; Liver Neoplasms - pathology; Liver Neoplasms - surgery; Liver. Biliary tract. Portal circulation. Exocrine pancreas; Male; Medical sciences; Medicine; Medicine & Public Health; Middle Aged; Neoplasm Invasiveness - pathology; Neoplasm Recurrence, Local - pathology; Neoplasm Recurrence, Local - surgery; Neoplasm Staging; Patient Selection; Postoperative Care - methods; Postoperative Complications - mortality; Postoperative Complications - physiopathology; Reoperation - methods; Retrospective Studies; Risk Assessment; Surgery; Survival Analysis; Tace; Thoracic Surgery; Treatment Outcome; Tumors; Vascular Surgery; China; Tace; Hepatocellular Carcinoma Patient; Laparoscopic Hepatectomy; Laparoscopic Liver Resection; Laparoscopic Resection; Medicine; Liver cancer; Endoscopic surgery; Reoperation; Relapse; Treatment; Digestive diseases; Hepatic disease; Hepatocellular carcinoma; Malignant tumor; Recurrent; Cancer
• ISSN: 0364-2313; 1432-2323
• DOI: 10.1007/s00268-010-0919-0

Background The present study was designed to explore the safety and feasibility of laparoscopic re-resection of recurrent liver tumors. Methods Among 120 hepatocellular carcinoma patients who received laparoscopic hepatectomy, six were carefully selected to receive laparoscopic re-resection. Surgical indications were evaluated by specific selection criteria for tumor location, size, metastases, vessel invasion, and liver function. Four patients received laparoscopic partial hepatectomy, and two received laparoscopic anatomical left lateral lobe resection. Results were analyzed retrospectively. Results The six surgeries (four laparoscopic partial hepatectomies, two laparoscopic anatomical left lateral lobe resections) were successfully performed with no intraoperative complications. Mean operative time was 140.83 ± 35.69 min, mean blood loss was 283.33 ± 256.25 ml, and mean hospital stay was 5.67 ± 1.63 days. Conclusions Our experience with carefully selected cases meeting specific criteria suggests that laparoscopic hepatic re-resection is a safe, feasible procedure that may offer multiple benefits for treating recurrent hepatocellular carcinoma.