Comparative Analysis of the Safety and Feasibility of Laparoscopic Versus Open Segment 7 Hepatectomy.

IF 1.1 4区医学 Q3 SURGERY

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques Pub Date : 2024-10-21 DOI:10.1097/SLE.0000000000001330

Haitao Zeng, Xiaoli Xiong, Song Huang, Jia Zhang, Hongliang Liu, Yong Huang

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引用次数: 0

Abstract

Background: Laparoscopic hepatectomy has been widely accepted owing to its advantages as a minimally invasive surgery; however, laparoscopic segment 7 (S7) hepatectomy (LSH) has been rarely reported. We aimed to explore the safety and feasibility of LSH by comparing it with open surgical approaches.

Methods: Twenty-nine patients who underwent S7 hepatectomy between January 2016 and January 2023 were enrolled in this study. The patients' characteristics, intraoperative details, and postoperative outcomes were compared between the 2 groups.

Results: No significant differences were observed in the preoperative data. The patients who underwent LSH had significantly shorter hospital stays (P=0.016) but longer operative times (P=0.034) than those who underwent open S7 hepatectomy. No significant differences in blood loss (P=0.614), transfusion (P=0.316), hospital expenses (P=0.391), surgical margin (P=0.442), rate of other complications, postoperative white blood cell count, and alanine aminotransferase and aspartate aminotransferase levels were noted between the 2 groups (P>0.05). For hepatocellular carcinoma, the results showed no differences in either disease-free survival (P=0.432) or overall survival (P=0.923) between the 2 groups.

Conclusions: LSH is a safe and feasible surgical procedure that is efficient from an oncological point of view. It may be the preferred technique for lesions in the S7 of the liver.

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腹腔镜与开腹第 7 节肝脏切除术安全性和可行性对比分析

背景：腹腔镜肝切除术因其微创手术的优势已被广泛接受，但腹腔镜第 7 节段（S7）肝切除术（LSH）却鲜有报道。我们的目的是通过比较腹腔镜肝切除术与开腹手术方法，探索腹腔镜肝切除术的安全性和可行性：本研究共纳入了 29 例在 2016 年 1 月至 2023 年 1 月期间接受 S7 段肝切除术的患者。比较两组患者的特征、术中细节和术后结果：结果：术前数据无明显差异。与开放式 S7 肝切除术相比，LSH 患者的住院时间明显缩短（P=0.016），但手术时间却更长（P=0.034）。两组患者在失血量（P=0.614）、输血量（P=0.316）、住院费用（P=0.391）、手术切缘（P=0.442）、其他并发症发生率、术后白细胞计数、丙氨酸氨基转移酶和天冬氨酸氨基转移酶水平等方面均无明显差异（P>0.05）。对于肝细胞癌，结果显示两组患者的无病生存率（P=0.432）和总生存率（P=0.923）均无差异：结论：LSH 是一种安全可行的手术方法，从肿瘤学的角度来看非常有效。结论：LSH 是一种安全可行的手术方法，从肿瘤学的角度来看非常有效，可能是治疗肝脏 S7 病变的首选技术。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques 医学-外科

CiteScore

2.00

自引率

10.00%

发文量

103

审稿时长

3-8 weeks

期刊介绍： Surgical Laparoscopy Endoscopy & Percutaneous Techniques is a primary source for peer-reviewed, original articles on the newest techniques and applications in operative laparoscopy and endoscopy. Its Editorial Board includes many of the surgeons who pioneered the use of these revolutionary techniques. The journal provides complete, timely, accurate, practical coverage of laparoscopic and endoscopic techniques and procedures; current clinical and basic science research; preoperative and postoperative patient management; complications in laparoscopic and endoscopic surgery; and new developments in instrumentation and technology.