Clinical Research On Laparoscopic Resection Of Liver Neoplasm

Objective Application of laparoscopic techniques in liver surgery is anothermajor breakthrough in minimally invasive surgery. Laparoscopic hepatectomy wasfirstly reported by Reich and co-authors and Gagner et al in the early1990-s. Sincethat time improvements in laparoscopic techniques and technological advances ininstrumentation have significantly extended the surgeon’s ability to perform theprocedure safely. But many academics and physicians still held the suspicionattitude to curative effect. We used the selective laparoscopic hepatectomy andopen hepatectomy to compare and investigate the effect of selective laparoscopichepatectomy for liver neoplasm.Methods This retrospective study enrolled ninety-three patients withhepatectomy between January2008and July2012.Twenty-four cases oflaparoscopic hepatectomy (group A), Sixty-nine cases of open hapatectomy (groupB)for liver neoplasm were included. Subsequently, the influence of the twoapproaches on the parameters including intraoperative and postoperative situations,immediate and long term results was comparatively analyzed.Results Surgery were smooth completed. There are no statistics significance(P>0.05) of two groups between surgery time, blood lost, transfusion cases,maximum diameter of resection neoplasm, liver function, tumor recurrence rate,metastasis rate and mortality rate. but group A is superior to group B inpost-operative hospital stays, feeding time, indwelling time of drainage tube andAnalgesic usage, it has statistics significance(P<0.05). compared the1st,3,5days of ALT, AST, ALB and TBIL of LH with OH, it has statistics significance(P>0.05).Long-term efficacy of two groups have no statistics significance.Conclusions Short-term efficacy of laparoscopic hepatectomy is superior toopen hepatectomy, long-term efficacy are similar.