지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.86 No.2
- 발행연도
- 2014.2
- 수록면
- 61 - 67 (7page)
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Purpose: We evaluate the operative outcome and oncologic outcome of laparoscopic liver resection for hepatocellular carcinoma (HCC), and compare with open liver resection.
Methods: From January 2004 to December 2012, clinical data of 70 patients who underwent laparoscopic liver resection for HCC (laparoscopic liver resection group, lapa-group) were collected and analyzed retrospectively. Control group (open liver resection group, open-group) were retrospectively matched, and compared with lapa-group.
Results: Laparoscopic major liver resections were performed in 4 patients. Laparoscopic anatomical resections and nonanatomical resections were performed in 39 patients, and 31 patients, respectively. Mean operative time was shorter in lapa-group (215.5 ± 121.84 minutes vs. 282.30 ± 80.34 minutes, P = 0.001), mean intraoperative transfusion rate and total amount were small in lapa-group (24.28%, 148.57 ± 3,354.98 mL vs. 40.78%, 311.71 ± 477.01 mL). Open conversion occurred in 6 patients (8.57%) because of bleeding, inadequate resection, invisible mass on intraoperative ultrasonography, and tumor rupture. In lapa-group and open-group, 3-year disease-free survival rates were 58.3% ± 0.08%, and 62.6% ± 0.06%, respectively (P = 0.773). In lapa-group and open-group 3-year overall survival rates were 65.3% ± 0.8%, and 65.7% ± 0.6%, respectively (P = 0.610).
Conclusion: Laparoscopic liver resection for HCC is feasible and safe in a large number of patients, with reasonable operative and oncologic results.
Methods: From January 2004 to December 2012, clinical data of 70 patients who underwent laparoscopic liver resection for HCC (laparoscopic liver resection group, lapa-group) were collected and analyzed retrospectively. Control group (open liver resection group, open-group) were retrospectively matched, and compared with lapa-group.
Results: Laparoscopic major liver resections were performed in 4 patients. Laparoscopic anatomical resections and nonanatomical resections were performed in 39 patients, and 31 patients, respectively. Mean operative time was shorter in lapa-group (215.5 ± 121.84 minutes vs. 282.30 ± 80.34 minutes, P = 0.001), mean intraoperative transfusion rate and total amount were small in lapa-group (24.28%, 148.57 ± 3,354.98 mL vs. 40.78%, 311.71 ± 477.01 mL). Open conversion occurred in 6 patients (8.57%) because of bleeding, inadequate resection, invisible mass on intraoperative ultrasonography, and tumor rupture. In lapa-group and open-group, 3-year disease-free survival rates were 58.3% ± 0.08%, and 62.6% ± 0.06%, respectively (P = 0.773). In lapa-group and open-group 3-year overall survival rates were 65.3% ± 0.8%, and 65.7% ± 0.6%, respectively (P = 0.610).
Conclusion: Laparoscopic liver resection for HCC is feasible and safe in a large number of patients, with reasonable operative and oncologic results.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (21)
참고문헌 신청
1. [학술지(정기간행물)] - Reich H. / 1991 / Laparoscopic excision of benign liver lesions / Obstet Gynecol 78 (5 Pt 2) : 956 ~ 958
2. [학술지(정기간행물)] - Chen HY. / 2008 / Laparoscopic liver surgery for patients with hepatocellular carcinoma / Ann Surg Oncol 15 : 800 ~ 806
3. [학술지(정기간행물)] - Dagher I. / 2008 / Laparoscopic liver resection for hepatocellular carcinoma / Surg Endosc 22 : 372 ~ 378
4. [학술지(정기간행물)] - Laurent A. / 2003 / Laparoscopic liver resection for subcapsular hepatocellular carcinoma complicating chronic liver disease / Arch Surg 138 : 763 ~ 769
5. [학술지(정기간행물)] - Kaneko H. / 2005 / Laparoscopic liver resection of hepatocellular carcinoma / Am J Surg 189 : 190 ~ 194
2. [학술지(정기간행물)] - Chen HY. / 2008 / Laparoscopic liver surgery for patients with hepatocellular carcinoma / Ann Surg Oncol 15 : 800 ~ 806
3. [학술지(정기간행물)] - Dagher I. / 2008 / Laparoscopic liver resection for hepatocellular carcinoma / Surg Endosc 22 : 372 ~ 378
4. [학술지(정기간행물)] - Laurent A. / 2003 / Laparoscopic liver resection for subcapsular hepatocellular carcinoma complicating chronic liver disease / Arch Surg 138 : 763 ~ 769
5. [학술지(정기간행물)] - Kaneko H. / 2005 / Laparoscopic liver resection of hepatocellular carcinoma / Am J Surg 189 : 190 ~ 194
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UCI(KEPA) : I410-ECN-0101-2015-510-001271656