Perioperative safety and feasibility analysis of laparoscopic hepatectomy ofⅧ segment hepatocellular carcinoma

Abstract

Abstract: Objective: To investigate the perioperative safety and feasibility of laparoscopic hepatectomy ofⅧ segment hepatocellular carcinoma.
Method: The data of 48 patients suffered fromⅧ segment hepatocellular carcinoma undergoing hepatectomy in Harbin Medical University Cancer Hospital from January 2019 to May 2022 were retrospectively analyzed, and they were divided into open group (27 cases) and laparoscopic group (21 cases). The basic clinical data, operative data and postoperative data of the two groups were compared.
Result: There were no significant differences in basic clinical data between the two groups (P>0.05). In intraoperative data, there were no significant differences in operative time, intraoperative blood loss, intraoperative blood transfusion rate and distance of tumor resection margin between the two groups (P>0.05). In postoperative data, there were no significant differences in liver function indexes of the 1st, 3rd and 5th day after surgery, postoperative complication rate, drainage tube removal time and postoperative hospital stay between the two groups (P>0.05). The blocking time of hepatic portal in the laparoscopic group was longer than that in the open group [(48.0±14.8)min vs. (38.5±13.1)min, P<0.05], and the time of taking food and out-of-bed mobilization after operation was shorter than that in the open group [(1.6±0.7)d vs. (2.2±0.6)d, (2.0±0.7)d vs. (2.4±0.5)d, P<0.05].
Conclusion: Laparoscopic hepatectomy ofⅧ segment hepatocellular carcinoma has obvious minimally invasive advantages, such as early postoperative food intake and early out-of-bed activity, without increasing the incidence of complications. After the accumulation of experience in laparoscopic surgery, laparoscopic hepatectomy ofⅧ segment hepatocellular carcinoma is safe and feasible.

Key words: Laparoscopic hepatectomy, Ⅷ segment hepatocellular carcinoma, Perioperative period, Safety, Feasibility

Song Zengfu, Zhao Liang, Xu Haitao, Zhao Haoran, Wang Peng, Wang Yunfeng, Zhang Yubao. Perioperative safety and feasibility analysis of laparoscopic hepatectomy ofⅧ segment hepatocellular carcinoma[J]. Electronic Journal of Liver Tumor, 2022, 9(3): 7-11.

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