scholarly journals Risk factors and long-term implications of unplanned conversion during laparoscopic liver resection for hepatocellular carcinoma located in anterolateral liver segments

2021 ◽  
Vol 24 (4) ◽  
pp. 191-199
Author(s):  
Hyojin Shin ◽  
Jai Young Cho ◽  
Ho-Seong Han ◽  
Yoo-Seok Yoon ◽  
Hae Won Lee ◽  
...  
Keyword(s):  
Risk Factors ◽  
Hepatocellular Carcinoma ◽  
Liver Resection ◽  
Laparoscopic Liver Resection

Long-term results of laparoscopic liver resection for the primary treatment of hepatocellular carcinoma: role of the surgeon in anatomical resection

2018 ◽  
Vol 32 (11) ◽  
pp. 4481-4490 ◽  
Author(s):  
Woo-Hyoung Kang ◽  
Ki-Hun Kim ◽  
Dong-Hwan Jung ◽  
Gil-Chun Park ◽  
Seok-Hwan Kim ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Liver Resection ◽  
Laparoscopic Liver Resection ◽  
Primary Treatment ◽  
Long Term Results ◽  
Anatomical Resection

scholarly journals Laparoscopic Liver Resection for Hepatocellular Carcinoma in Cirrhosis: Long-Term Outcomes

2011 ◽  
Vol 28 (2) ◽  
pp. 134-140 ◽  
Author(s):  
Giulio Belli ◽  
Corrado Fantini ◽  
Andrea Belli ◽  
Paolo Limongelli
Keyword(s):  
Hepatocellular Carcinoma ◽  
Liver Resection ◽  
Laparoscopic Liver Resection ◽  
Long Term Outcomes

scholarly journals Patterns, timing, and predictors of recurrence after laparoscopic liver resection for hepatocellular carcinoma: results from a high-volume HPB center

2021 ◽  
Author(s):  
Haili Zhang ◽  
Fei Liu ◽  
Ningyuan Wen ◽  
Bo Li ◽  
Yonggang Wei
Keyword(s):  
Risk Factors ◽  
Hepatocellular Carcinoma ◽  
Liver Resection ◽  
Laparoscopic Liver Resection ◽  
Survival Rates ◽  
Surgical Margin ◽  
Trocar Site ◽  
Liver Recurrence ◽  
Risk Factors For Recurrence ◽  
Recurrence Patterns

Abstract Background Although long-term outcomes may be comparable between laparoscopic liver resection (LLR) and open liver resection (OLR) for hepatocellular carcinoma (HCC), there has been little discussion regarding the patterns of recurrence after LLR. Methods Patients with HCC who underwent hepatectomy between April 2015 and November 2018 were included in this study. The recurrence patterns were analyzed in detail. The recurrence outcomes following laparoscopic versus OLR for HCC were compared after 1:2 propensity score matching. Potential risk factors for recurrence were also assessed with Cox proportional risk models. Results Among 425 patients after LLR, 144 (33.8%) experienced recurrence at the last follow-up, with a median recurrence-free survival (RFS) of 10.0 months (range 1–58 months). The most frequent recurrence site was the liver (n = 99, 68.8%), followed by the surgical margin (n = 15, 10.4%) and distant metastases (n = 12, 8.3%). Liver recurrence with distant metastasis (n = 10, 6.9%) tended to occur early (median 8.0 months), while peritoneal recurrence (n = 8, 5.6%) occurred later (median 14.0 months). A total of 120 (83.3%) patients had recurrence within 2 years after LLR. No trocar site recurrence was observed in this study. The recurrence patterns, timing, and treatment did not show significant differences between the LLR and OLR. The independent risk factors for recurrence included ALBI grade, postoperative α-fetoprotein > 8 ng/ml, tumor size > 5 cm, surgical margin ≤ 1 cm, and multiple tumors. Patients with recurrence had 1- and 5-year overall survival rates of 81.1% and 60.7%, respectively, compared with rates of 95.8% and 92.9% for patients without recurrence (P < 0.000). Conclusion This study suggested that intrahepatic recurrence was still the most common recurrence pattern for HCC after LLR and that LLR did not increase the risk of trocar hole recurrence or implantation. Most cases of recurrence occurred within 2 years after LLR, suggesting that surveillance should be targeted to early recurrence.

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