Laparoscopic hepatectomy for recurrent hepatocellular carcinoma after previous open hepatectomy

To evaluate the feasibility, safety and long-term outcomes of laparoscopic repeat hepatectomy for recurrent hepatocellular carcinoma (HCC) following previous resection. Between January 2003 and January 2011, 14 patients with recurrent HCC were carefully selected to undergo repeat laparoscopic hepate...

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Published inChung-hua wai kʿo tsa chih Vol. 52; no. 6; p. 405
Main Authors Yu, Dacheng, Shang, Changzhen, Xiang, Qingfeng, Cao, Jun, Li, Wenda, Zhang, Lei, Chen, Yajin
Format Journal Article
LanguageChinese
Published China 01.06.2014
Subjects
Adult
Aged
Carcinoma, Hepatocellular - surgery
Female
Follow-Up Studies
Hepatectomy - methods
Humans
Laparoscopy
Laparotomy
Liver Neoplasms - surgery
Male
Middle Aged
Neoplasm Recurrence, Local - surgery
Retrospective Studies
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Summary:To evaluate the feasibility, safety and long-term outcomes of laparoscopic repeat hepatectomy for recurrent hepatocellular carcinoma (HCC) following previous resection. Between January 2003 and January 2011, 14 patients with recurrent HCC were carefully selected to undergo repeat laparoscopic hepatectomy, among which 9 patients were male, 5 patients were female, and the average age was 54 years. Prior to re-resection, all patients had undergone at least one open hepatectomy for HCC. The perioperative and long-term outcomes of these patients were retrospectively analyzed. Repeat laparoscopic hepatectomy for these 14 patients were successfully performed without major perioperative complications. The mean operative time, intraoperative blood loss and hospital stay were (124 ± 82) minutes, (112 ± 43) ml and (7 ± 4) days, respectively. The mean follow-up period was 23 months (range 14 to 42 months). At the time of follow-up, 11 patients were still alive, among which 3 patients developed recurrent disease and 8 pat
ISSN:0529-5815