Korean J Hepatobiliary Pancreat Surg.  2009 Dec;13(4):221-226.

Outcome of Laparoscopic Liver Resection for Hepatocellular Carcinoma

• Hong G
• Han HS
• Yoon YS
• Cho JY
• Ahn KS

Abstract

PURPOSE: Although laparoscopic liver resection has become popular and it has shown good surgical safety and feasibility, the oncologic safety is still not established. Therefore, we analyzed the mid-term survival and disease free survival rates after laparoscopic liver resection for HCC to establish the oncologic safety.
METHODS
Between September 2003 and August 2008, 64 patients with hepatocellular carcinoma underwent laparoscopic liver resection. The clinical data of these patients was analyzed by the Kaplan-Meier method.
RESULTS
There were 19 major hepatic resections and 45 minor hepatic resections without any mortality. There were 15 complications, including 9 cases of abdominal fluid collection, 3 cases of bile leakage, 2 cases of ascites and 1 case of ileus. The 3 years overall survival and disease free survival rates were 87.8% and 67.3%, respectively.
CONCLUSION
We confirmed that laparoscopic liver resection for hepatocellular carcinoma is safe and feasible. The 3 years survival rates and disease free survival rates were as high as those of open resection for hepatocellular carcinoma.

Keyword

Laparoscopic surgery; Hepatectomy; HCC; Hepatocellular carcinoma; Survival rate; Disease-free survival rate

MeSH Terms

Ascites
Bile
Carcinoma, Hepatocellular
Disease-Free Survival
Hepatectomy
Humans
Ileus
Laparoscopy
Liver
Survival Rate