Open AccessСomparative analysis of perioperative results of laparoscopic and open liver resections for hepatocellular carcinoma
Author(s) -
Ruslan Alikhanov,
Михаил Ефанов,
V. Tsvirkun,
A. Vankovich,
I. Kazakov,
Д. Е. Коваленко,
N. Elizarova,
Natalya Kulikova,
А. А. Королева,
Igor Khatkov
Publication year - 2020
Publication title -
annaly hirurgičeskoj gepatologii
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.138
H-Index - 1
eISSN - 2408-9524
pISSN - 1995-5464
DOI - 10.16931/1995-5464.2020249-54
Subject(s) - medicine , hepatocellular carcinoma , perioperative , cirrhosis , ascites , surgery , laparoscopy , general surgery , gastroenterology
Aim : comparative analysis of peri-operative results of laparoscopic and open liver resections for hepatocellular carcinoma. Matherial and methods . A retrospective analysis included 73 patients with hepatocellular carcinoma who underwent liver resection from 2014 to 2019. In patients with liver cirrhosis contraindications were: 2 degree of varicose veins of eosophagus, severe ascites, liver cirrhosis class B and C (Child–Pugh) Results . Average operation time in comparing groups did not differ. Bloodloss (502 ml and 1380 ml), frequancy of complications by Clavien–Dindo (32.6% and 55.5%), duration of post-operative hospital stay (8 days and 13,6 days) were significantly less in the group of patients with laparoscopic liver resection (р < 0.05). In the early postoperative period, 2 (2.7%) patients died due to sepsis and posthepatectomy liver failure. There were no fatal outcomes in the group of laparoscopic liver resections. Conclusion . Laparoscopic liver resections for hepatocellular carcinoma has advantages in terms of prevention intraoperative bloodloss, and allow to reduce perioperative complications and post-operative hospital stay. This is important for rapid recovery of patients and for prompt ongoing of complex treatment.