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Article: Laparoscopic liver resection for hepatocellular carcinoma

TitleLaparoscopic liver resection for hepatocellular carcinoma
Authors
Keywordshepatocellular carcinoma
laparoscopic liver resection
Issue Date2010
PublisherElsevier (Singapore) Pte Ltd, Hong Kong Branch. The Journal's web site is located at http://www.elsevier.com/wps/find/journaldescription.cws_home/708511/description#description
Citation
Asian Journal Of Surgery, 2010, v. 33 n. 4, p. 168-172 How to Cite?
AbstractOBJECTIVE: To provide an updated review on the clinical experience in laparoscopic liver resection, specifically for hepatocellular carcinoma. METHODS: A comprehensive literature search in MEDLINE was conducted for all English papers up to May 2010 on laparoscopic liver resection for hepatocellular carcinoma. Patient characteristics, perioperative results, and oncologic outcomes were compared and analysed. RESULTS: We analysed 11 clinical studies involving 466 hepatocellular carcinoma patients treated with laparoscopic hepatectomy. Thirty-seven (9%) patients underwent major resection. Cirrhosis occurred in 62%. The mean operative time was 189.5 min, and the mean blood loss was 315.6 mL. Blood transfusion was required in 14.6% of patients. There were two operative deaths. Postoperative complications included bile leakage (1%), bleeding (2.9%), liver failure (5.1%), and ascites (6%). The 1-year, 3-year, and 5-year diseasefree survival rates ranged from 60% to 90%, 50% to 64%, and 31% to 50%, respectively, and the corresponding overall survival rates ranged from 85% to 100%, 67% to 100%, and 50% to 97% respectively. CONCLUSION: Laparoscopic liver resection for hepatocellular carcinoma appears to be safe and to achieve acceptable oncologic outcomes even in cirrhotic livers, but whether it is comparable to conventional open surgery needs to be evaluated in a randomized, controlled trial setting. © 2010 Asian Surgical Association.
Persistent Identifierhttp://hdl.handle.net/10722/135542
ISSN
2023 Impact Factor: 3.5
2023 SCImago Journal Rankings: 0.538
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorChung, CDen_HK
dc.contributor.authorLau, LLen_HK
dc.contributor.authorKo, KLen_HK
dc.contributor.authorWong, ACen_HK
dc.contributor.authorWong, Sen_HK
dc.contributor.authorChan, ACen_HK
dc.contributor.authorPoon, RTen_HK
dc.contributor.authorLo, CMen_HK
dc.contributor.authorFan, STen_HK
dc.date.accessioned2011-07-27T01:36:47Z-
dc.date.available2011-07-27T01:36:47Z-
dc.date.issued2010en_HK
dc.identifier.citationAsian Journal Of Surgery, 2010, v. 33 n. 4, p. 168-172en_HK
dc.identifier.issn1015-9584en_HK
dc.identifier.urihttp://hdl.handle.net/10722/135542-
dc.description.abstractOBJECTIVE: To provide an updated review on the clinical experience in laparoscopic liver resection, specifically for hepatocellular carcinoma. METHODS: A comprehensive literature search in MEDLINE was conducted for all English papers up to May 2010 on laparoscopic liver resection for hepatocellular carcinoma. Patient characteristics, perioperative results, and oncologic outcomes were compared and analysed. RESULTS: We analysed 11 clinical studies involving 466 hepatocellular carcinoma patients treated with laparoscopic hepatectomy. Thirty-seven (9%) patients underwent major resection. Cirrhosis occurred in 62%. The mean operative time was 189.5 min, and the mean blood loss was 315.6 mL. Blood transfusion was required in 14.6% of patients. There were two operative deaths. Postoperative complications included bile leakage (1%), bleeding (2.9%), liver failure (5.1%), and ascites (6%). The 1-year, 3-year, and 5-year diseasefree survival rates ranged from 60% to 90%, 50% to 64%, and 31% to 50%, respectively, and the corresponding overall survival rates ranged from 85% to 100%, 67% to 100%, and 50% to 97% respectively. CONCLUSION: Laparoscopic liver resection for hepatocellular carcinoma appears to be safe and to achieve acceptable oncologic outcomes even in cirrhotic livers, but whether it is comparable to conventional open surgery needs to be evaluated in a randomized, controlled trial setting. © 2010 Asian Surgical Association.en_HK
dc.languageengen_US
dc.publisherElsevier (Singapore) Pte Ltd, Hong Kong Branch. The Journal's web site is located at http://www.elsevier.com/wps/find/journaldescription.cws_home/708511/description#descriptionen_HK
dc.relation.ispartofAsian Journal of Surgeryen_HK
dc.subjecthepatocellular carcinomaen_HK
dc.subjectlaparoscopic liver resectionen_HK
dc.subject.meshCarcinoma, Hepatocellular - mortality - surgery-
dc.subject.meshDisease-Free Survival-
dc.subject.meshHepatectomy - statistics and numerical data-
dc.subject.meshLaparoscopy - statistics and numerical data-
dc.subject.meshLiver Neoplasms - mortality - surgery-
dc.titleLaparoscopic liver resection for hepatocellular carcinomaen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1015-9584&volume=33&issue=4&spage=168&epage=172&date=2010&atitle=Laparoscopic+liver+resection+for+hepatocellular+carcinoma-
dc.identifier.emailChan, AC: acchan@hku.hken_HK
dc.identifier.emailPoon, RT: poontp@hkucc.hku.hken_HK
dc.identifier.emailLo, CM: chungmlo@hkucc.hku.hken_HK
dc.identifier.emailFan, ST: stfan@hku.hken_HK
dc.identifier.authorityChan, AC=rp00310en_HK
dc.identifier.authorityPoon, RT=rp00446en_HK
dc.identifier.authorityLo, CM=rp00412en_HK
dc.identifier.authorityFan, ST=rp00355en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1016/S1015-9584(11)60002-Xen_HK
dc.identifier.pmid21377102-
dc.identifier.scopuseid_2-s2.0-79952382942en_HK
dc.identifier.hkuros187658en_US
dc.identifier.hkuros234497-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-79952382942&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume33en_HK
dc.identifier.issue4en_HK
dc.identifier.spage168en_HK
dc.identifier.epage172en_HK
dc.identifier.isiWOS:000288476100002-
dc.publisher.placeHong Kongen_HK
dc.identifier.scopusauthoridChung, CD=42461099000en_HK
dc.identifier.scopusauthoridLau, LL=42461616000en_HK
dc.identifier.scopusauthoridKo, KL=42461776900en_HK
dc.identifier.scopusauthoridWong, AC=7403147393en_HK
dc.identifier.scopusauthoridWong, S=7404591026en_HK
dc.identifier.scopusauthoridChan, AC=15828849100en_HK
dc.identifier.scopusauthoridPoon, RT=7103097223en_HK
dc.identifier.scopusauthoridLo, CM=7401771672en_HK
dc.identifier.scopusauthoridFan, ST=7402678224en_HK
dc.identifier.issnl1015-9584-

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