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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2011.3
- 수록면
- 7 - 12 (6page)
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Purpose: Laparoscopic liver resection has gained much popularity in recent years, but relatively few centers have performed hepatectomies in hepatocellular carcinoma (HCC) patients due to the technical difficulties faced with underlying liver cirrhosis. We now present our early experience with laparoscopic liver resection in HCC performed in a single institution.
Methods: From October 2003 until March 2009, 39 laparoscopic liver resections were performed on HCC patients among whom 26 had underlying liver cirrhosis.
Results: The location of the tumor was in the left lateral section in 15, segment 5 or 6 in 20, segment 4 in 3 and caudate lobe in 1. Resection involving less than a monosegment was done in 26 and more than 2 segments in 13. Tumor size ranged from 0.8 cm to 6.6 cm (median 2.35) and the resection margin from 0.1 to 6 cm (median 1.5 cm). All patients were either stage I (29) or II (10). There was no difference between cirrhotic and non-cirrhotic patients in operation time (median 210 minutes, range 60∼637), change of hematocrit value (4.8%, ?1∼19.6%), or hospital stay (8 days, 3∼67 days). The median follow up duration was 15.1 months, and the 2-year recurrence free survival rate was 48.3%.
Conclusion: Laparoscopic liver resection in HCC with or without underlying cirrhosis seems to be feasible with minimal morbidity, especially in well selected cases with early stage HCC.
Methods: From October 2003 until March 2009, 39 laparoscopic liver resections were performed on HCC patients among whom 26 had underlying liver cirrhosis.
Results: The location of the tumor was in the left lateral section in 15, segment 5 or 6 in 20, segment 4 in 3 and caudate lobe in 1. Resection involving less than a monosegment was done in 26 and more than 2 segments in 13. Tumor size ranged from 0.8 cm to 6.6 cm (median 2.35) and the resection margin from 0.1 to 6 cm (median 1.5 cm). All patients were either stage I (29) or II (10). There was no difference between cirrhotic and non-cirrhotic patients in operation time (median 210 minutes, range 60∼637), change of hematocrit value (4.8%, ?1∼19.6%), or hospital stay (8 days, 3∼67 days). The median follow up duration was 15.1 months, and the 2-year recurrence free survival rate was 48.3%.
Conclusion: Laparoscopic liver resection in HCC with or without underlying cirrhosis seems to be feasible with minimal morbidity, especially in well selected cases with early stage HCC.
목차
Introduction
Methods
Results
Discussion
Conclusion
References
참고문헌 (18)
참고문헌 신청
1. [학술지(정기간행물)] - Gagner M / 2004 / Laparoscopic liver resection: benefits and controversies / Surg Clin North Am 84 : 451 ~ 462
2. [학술지(정기간행물)] - Pulitanò C / 2008 / The current role of laparoscopic liver resection for the treatment of liver tumors / Nat Clin Pract Gastroenterol Hepatol 5 : 648 ~ 654
3. [학술지(정기간행물)] - Pilgrim CH / 2009 / Laparoscopic hepatectomy is a safe procedure for cancer patients / HPB (Oxford) 11 : 247 ~ 251
4. [학술지(정기간행물)] - Simillis C / 2007 / Laparoscopic versus open hepatic resections for benign and malignant neoplasms--a meta-analysis / Surgery 141 : 203 ~ 211
5. [학술지(정기간행물)] - McPhail MJ / 2009 / Laparoscopic versus open left lateral hepatectomy / Expert Rev Gastroenterol Hepatol 3 : 345 ~ 351
2. [학술지(정기간행물)] - Pulitanò C / 2008 / The current role of laparoscopic liver resection for the treatment of liver tumors / Nat Clin Pract Gastroenterol Hepatol 5 : 648 ~ 654
3. [학술지(정기간행물)] - Pilgrim CH / 2009 / Laparoscopic hepatectomy is a safe procedure for cancer patients / HPB (Oxford) 11 : 247 ~ 251
4. [학술지(정기간행물)] - Simillis C / 2007 / Laparoscopic versus open hepatic resections for benign and malignant neoplasms--a meta-analysis / Surgery 141 : 203 ~ 211
5. [학술지(정기간행물)] - McPhail MJ / 2009 / Laparoscopic versus open left lateral hepatectomy / Expert Rev Gastroenterol Hepatol 3 : 345 ~ 351
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UCI(KEPA) : I410-ECN-0101-2014-514-001274559