Annals of Hepato-Biliary-Pancreatic Surgery (한국간담췌외과학회지)

The Korean Association of Hepato-Biliary-Pancreatic Surgery (한국간담췌외과학회)
권호 표지

Outcome of Laparoscopic Liver Resection for Hepatocellular Carcinoma

복강경 간암 절제술에 대한 생존율과 무병생존율 분석

  • Hong, Geun (Department of Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine) ;
  • Han, Ho-Seong (Department of Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine) ;
  • Yoon, Yoo-Seok (Department of Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine) ;
  • Cho, Jai-Young (Department of Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine) ;
  • Ahn, Keun-Soo (Department of Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine)
  • 홍근 (서울대학교 의과대학 분당서울대학교병원 외과학교실) ;
  • 한호성 (서울대학교 의과대학 분당서울대학교병원 외과학교실) ;
  • 윤유석 (서울대학교 의과대학 분당서울대학교병원 외과학교실) ;
  • 조재영 (서울대학교 의과대학 분당서울대학교병원 외과학교실) ;
  • 안근수 (서울대학교 의과대학 분당서울대학교병원 외과학교실)
  • Published : 2009.12.31

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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.

Keywords

References

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