Laparoscopic Repeat Liver Resection—Selecting the Best Approach for Repeat Liver Resection
Abstract
:Simple Summary
Abstract
1. Introduction
2. Summary of ILLS-Tokyo International Multi-Institutional Studies of LRLR for HCC
3. Advantages and Disadvantages of LRLR and Our Experience
4. Indications of LRLR
5. Future Perspectives
6. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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LPLR Group, n = 129 | LRLR Group, n = 48 | p Value | |
---|---|---|---|
Background Factors | |||
Age (years old) | 67.47 ± 10.84 | 70.19 ± 7.60 | 0.102 |
Sex (Male: Female) | 77:52 | 32:16 | 0.396 |
Diseases for LR (HCC: Mets: other) | 60:46:23 | 34:12:2 | 0.008 * |
ICG R15 (%) | 14.41 ± 12.29 | 18.66 ± 10.51 | 0.035 * |
Total Bilirubin (mg/dL) | 0.71 ± 0.34 | 0.78 ± 0.31 | 0.171 |
Prothrombin Time (%) | 98.63 ± 15.87 | 93.10 ± 14.94 | 0.034 * |
Albumin (g/dL) | 3.93 ± 0.47 | 3.78 ± 0.48 | 0.076 |
Platelet (×104/microl) | 19.72 ± 8.77 | 14.24 ± 6.93 | <0.001 * |
Number of tumors | 1.36 ± 0.77 | 1.42 ± 0.79 | 0.669 |
Size of tumor (mm) | 32.64 ± 25.47 | 23.75 ± 11.03 | 0.021 * |
Tumor location (AL:PS) | 64:65 | 24:24 | 0.818 |
Extent of resection(Pt:LLS:Seg:Sec) | 82:9:12:26 | 36:2:8:2 | 0.037 * |
Short-term Outcomes | |||
Operation time (minutes) | 330.16 ± 140.23 | 309.79 ± 147.02 | 0.409 |
Intraoperative Blood loss (mL) | 226.72 ± 356.79 | 275.15 ± 553.20 | 0.495 |
Blood transfusion (no: yes) | 109:20 | 38:10 | 0.401 |
Conversion to laparotomy (no: yes) | 128:1 | 46:2 | 0.179 |
Morbidity (no: yes) | 121:8 | 43:5 | 0.343 |
Postoperative hospital stay (day) | 17.26 ± 13.51 | 18.47 ± 18.65 | 0.690 |
LPLR-HCC Group, n = 42 | LRLR-HCC Group, n = 34 | p Value | |
---|---|---|---|
Background Factors | |||
Age (years old) | 70.29 ± 8.67 | 71.38 ± 7.68 | 0.561 |
Sex (Male: Female) | 14:28 | 13:21 | 0.657 |
ICG R15 (%) | 20.27 ± 15.31 | 20.63 ± 10.71 | 0.905 |
Total Bilirubin (mg/dL) | 0.94 ± 0.42 | 0.82 ± 0.33 | 0.167 |
Prothrombin Time (%) | 90.17 ± 14.06 | 89.56 ± 13.86 | 0.853 |
Albumin (g/dL) | 3.81 ± 0.52 | 3.71 ± 0.53 | 0.435 |
Platelet (×104/microl) | 14.62 ± 7.84 | 11.32 ± 4.38 | 0.031 * |
Number of tumors | 1.19 ± 0.51 | 1.38 ± 0.70 | 0.169 |
Size of tumor (mm) | 27.12 ± 15.73 | 21.82 ± 8.60 | 0.067 |
Tumor location (AL:PS) | 25:17 | 20:15 | 0.951 |
Short-term Outcomes | |||
Operation time (minutes) | 287.40 ± 117.91 | 272.68 ± 128.034 | 0.608 |
Intraoperative Blood loss (mL) | 141.86 ± 217.69 | 284.09 ± 641.81 | 0.183 |
Blood transfusion (no: yes) | 40:2 | 28:6 | 0.129 |
Conversion to laparotomy (no: yes) | 42:0 | 33:1 | 0.447 |
Morbidity (no: yes) | 41:1 | 30:4 | 0.167 |
Postoperative hospital stay (day) | 15.36 ± 8.85 | 19.41 ± 21.41 | 0.320 |
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Morise, Z.; Katsuno, H.; Kikuchi, K.; Endo, T.; Matsuo, K.; Asano, Y.; Horiguchi, A. Laparoscopic Repeat Liver Resection—Selecting the Best Approach for Repeat Liver Resection. Cancers 2023, 15, 421. https://doi.org/10.3390/cancers15020421
Morise Z, Katsuno H, Kikuchi K, Endo T, Matsuo K, Asano Y, Horiguchi A. Laparoscopic Repeat Liver Resection—Selecting the Best Approach for Repeat Liver Resection. Cancers. 2023; 15(2):421. https://doi.org/10.3390/cancers15020421
Chicago/Turabian StyleMorise, Zenichi, Hidetoshi Katsuno, Kenji Kikuchi, Tomoyoshi Endo, Kazuhiro Matsuo, Yukio Asano, and Akihiko Horiguchi. 2023. "Laparoscopic Repeat Liver Resection—Selecting the Best Approach for Repeat Liver Resection" Cancers 15, no. 2: 421. https://doi.org/10.3390/cancers15020421