Сomparative analysis of perioperative results of laparoscopic and open liver resections for hepatocellular carcinoma

Aim: comparative analysis of peri-operative results of laparoscopic and open liver resections for hepatocellular carcinoma.

Matherial and methods. A retrospective analysis included 73 patients with hepatocellular carcinoma who underwent liver resection from 2014 to 2019. In patients with liver cirrhosis contraindications were: 2 degree of varicose veins of eosophagus, severe ascites, liver cirrhosis class B and C (Child–Pugh)

Results. Average operation time in comparing groups did not differ. Bloodloss (502 ml and 1380 ml), frequancy of complications by Clavien–Dindo (32.6% and 55.5%), duration of post-operative hospital stay (8 days and 13,6 days) were significantly less in the group of patients with laparoscopic liver resection (р < 0.05). In the early postoperative period, 2 (2.7%) patients died due to sepsis and posthepatectomy liver failure. There were no fatal outcomes in the group of laparoscopic liver resections.

Conclusion. Laparoscopic liver resections for hepatocellular carcinoma has advantages in terms of prevention intraoperative bloodloss, and allow to reduce perioperative complications and post-operative hospital stay. This is important for rapid recovery of patients and for prompt ongoing of complex treatment.

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