Short-term Outcomes of Laparoscopic vs. Open Hepatectomy for Primary Hepatocellular Carcinoma: A Prospective Comparative Study

2019 ◽  
Vol 39 (5) ◽  
pp. 778-783 ◽  
Author(s):  
Li Zeng ◽  
Min Tian ◽  
Si-si Chen ◽  
Yu-ting Ke ◽  
Li Geng ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Comparative Study ◽  
Primary Hepatocellular Carcinoma ◽  
Short Term ◽  
Open Hepatectomy ◽  
Prospective Comparative Study

scholarly journals Three Different Ways of Treating Primary Hepatocellular Carcinoma at an Early Stage: A Prospective Comparative Study

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Di Wu ◽  
Yue Yang ◽  
Jing Chen ◽  
Huihua Cai ◽  
Yunfei Duan ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Surgical Resection ◽  
Early Stage ◽  
Primary Liver Cancer ◽  
Laparoscopic Hepatectomy ◽  
Postoperative Outcome ◽  
Primary Hepatocellular Carcinoma ◽  
Term Outcome ◽  
Open Hepatectomy ◽  
Prospective Comparative Study

Primary hepatocellular carcinoma (PHC) is one of the most common malignancies in clinical practice. According to the “Guidelines for Diagnosis and Treatment of Primary Liver Cancer in China,” PHC, at an early stage, can be treated by surgical resection and ablation. Surgical resection basically consists of two ways; one is open hepatectomy (OH), and the other is laparoscopic hepatectomy (LH), which is a newly developed technique associated with advantages of open surgery. Ablation, also known as percutaneous thermal ablation using radiofrequency ablation (RFA) and microwave ablation (MWA), is a minimally invasive curative treatment for hepatocellular carcinoma. This preliminary report was aimed at evaluating the postoperative outcome of the patients undergoing these three therapeutic methods, respectively. The study analyzed the data of 95 patients who underwent LH, OH, or ablation between June 2018 and June 2019 at First People’s Hospital of Changzhou, Third Affiliated Hospital of Soochow University. There were 20 patients in the ablation group, 35 patients in the OH group, and 40 patients in the LH group. Among the three groups, the postoperative short-term outcome was the best in the ablation group, suggesting that it was a safe and cheap way to treat PHC at an early stage.

Minimally invasive hepatectomy conversions: An analysis of outcomes.

2017 ◽  
Vol 35 (4_suppl) ◽  
pp. 430-430
Author(s):  
Jack P Silva ◽  
Nicholas G Berger ◽  
Susan Tsai ◽  
Kathleen K. Christians ◽  
Callisia Clarke ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Minimally Invasive ◽  
Open Approach ◽  
Short Term ◽  
Improvement Program ◽  
Data Set ◽  
Surgical Quality ◽  
Minimally Invasive Hepatectomy ◽  
Open Hepatectomy ◽  
Lower Morbidity

430 Background: Surgical approach has been described as a factor influencing morbidity in patients undergoing hepatectomy. Minimally invasive surgery (MIS) converted to open has previously been included in an open hepatectomy cohort of the National Surgical Quality Improvement Program (NSQIP) dataset for analysis. This study sought to compare MIS conversion to open hepatectomy cases and analyze factors leading to conversion. Methods: The NSQIP data set was queried for patients undergoing hepatectomy for liver disease between January 1, 2014 and December 31, 2014. Cases were divided into three cohorts: completely MIS (laparoscopic or robotic), open, or planned MIS converted to open approach according to the dataset definitions. Demographic, clinical-pathologic, and perioperative variables were described and short-term postoperative outcomes were compared between groups. Results: A total of 2,884 patients were identified. Open approach was performed most commonly (80.96%, n = 2,335), followed by minimally invasive (15.05%, n = 434) and MIS converted to open (3.99%, n = 115). Patients undergoing conversion were more likely to have higher BMI, hypertension, and hepatocellular carcinoma. Conversion patients suffered from significantly higher morbidity (p < 0.001) compared to MIS, but had comparable outcomes to open procedures. Conclusions: MIS hepatectomy has been shown to have lower morbidity but similar mortality to open hepatectomy. Conversion procedures appear to have similar outcomes to open procedures, with greater morbidity compared to MIS. Differences in morbidity from previous studies may be partially attributed to the inclusion of conversions in the open hepatectomy cohort.

scholarly journals Stapled haemorrhoidectomy versus openhaemorrhoidectomy: a prospective comparative study

2015 ◽  
Vol 4 (4) ◽  
pp. 7-11
Author(s):  
R S Bhandari ◽  
P J Lakhey ◽  
Y P Singh ◽  
P R Mishra ◽  
K P Singh
Keyword(s):  
Postoperative Pain ◽  
Comparative Study ◽  
Operating Time ◽  
Symptom Duration ◽  
Short Term ◽  
Term Outcome ◽  
Short Term Outcome ◽  
Early Return ◽  
Sh Group ◽  
Prospective Comparative Study

Open haemorrhoidectomy (OH) treatment has been reserved for prolapsing haemorrhoidal disease (third and fourth grade) and comprehends excision of haemorrhoidal tissue and is associated with significant postoperative pain. As an alternative approach, many randomized controlled trials have shown consistent advantage with haemorrhoidopexy (SH) in terms of postoperative pain, analgesic requirement, length of surgical procedure, short recovery time and early return to normal activities. This study has been conducted to compare the short-term outcome of SH with OH. A prospective comparative study, which included grade 3 and 4 haemorrhoids and comparing short Term outcomes between SH and OH was conducted in the Surgical Gastroenterology units of University Teaching Hospital. A total 44 patients, 22 in each group were compared. Age (SH 42±10.80 Vs. OH 45±13.30) and sex (SH, M:F-9:13 Vs. OH, M:F-14:8) distribution was comparable. Also, the groups were comparable in terms of symptom duration in years (SH, 3.20±2.26 Vs. OH, 2.31±2.47) and distribution of haemorrhoid grades. The SH group showed significant advantage in terms of postoperative pain (Average pain score SH, 2.73±1.20 Vs. OH, 5.20±1.91) and analgesic use (SH 2.32±0.94 Vs. OH 9.32±2.62). Similarly the operating time (time in minutes SH, 42±7.34 Vs. OH, 57.50±8.27), hospitals stay (days of stay SH, 2.90±0.68 Vs. OH, 3.77±0.86) and return to preoperative activity (days to return SH, 7.9±4.90 Vs. OH, 13.6±5.60) were also significantly shorter in the SH group than the OH group. The short-term complications were similar in both groups (P value >0.05). In conclusion, SH has better short-term outcome compared with OH and SH is a viable addition to the therapy options available for haemorrhoids.DOI: http://dx.doi.org/10.3126/jcmc.v4i4.11956

A COMPARATIVE STUDY ON FUNCTIONAL OUTCOME OF UNSTABLE INTERTROCHANTERIC FRACTURE IN ELDERLY TREATED WITH BIPOLAR HEMIARTHROPLASTY AND DYNAMIC HIP SCRE

2021 ◽  
pp. 26-27
Author(s):  
Sahil N Damor ◽  
Shreyas Gandhi
Keyword(s):  
Comparative Study ◽  
Fracture Pattern ◽  
Bipolar Hemiarthroplasty ◽  
Early Failure ◽  
Short Term ◽  
Unstable Intertrochanteric Fracture ◽  
Prospective Comparative Study ◽  
Initial Fracture ◽  
Hip Screw

Trochanteric hip fractures in elderly patients have beneted from advances in internal xation. Early failure of internal xation occurs however in a number of cases. The failure after internal xation had been due to initial fracture pattern, communication, sub-optimal fracture xation and poor bone quality. The aim of this prospective comparative study is to analyze the short term follow up results of unstable Intertrochanteric fractures in elderly treated with bipolar hemiarthroplasty and dynamic hip screw (DHS) xation.

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