Minimally invasive surgery for hepatocellular carcinoma
https://doi.org/10.16931/1995-5464.2022-4-23-30
Abstract
Aim. To evaluate outcomes of laparoscopic liver resections in patients with hepatocellular carcinoma (HCC).
Materials and methods. 40 endovideosurgical liver resections were performed in patients with HCC in the period of 2011–2021. Concomitant cirrhosis was detected in 36 cases (90%).
Results. The average duration of surgery was 158.1 ± 78.6 min. The duration of anatomical lobar resections appeared to be the longest – 230 min. The average volume of intraoperative blood loss was 259.5 ± 260.5 ml, which almost excluded blood transfusions. The duration of hospitalization comprised 11.2 ± 2.3 days. One-year survival was achieved in 95% of cases, two-year – in 81%, three-year – in 64%.
Conclusion. Laparoscopic liver resections in hepatocellular carcinoma prove to be safe and provide satisfactory surgical and oncological outcomes.
About the Authors
I. O. Rutkin
A.M. Granov Russian Scientific Center of Radiology and Surgical Technology of the Ministry of Healthcare of the Russian Federation
Russian Federation
Russian Federation
Igor O. Rutkin – Cand. of Sci. (Med.), Deputy Chief Physician for Surgery
70, Lenigradskaya str., St. Petersburg, 197758
Phone: +7-911-257-00-03
V. N. Zhuikov
A.M. Granov Russian Scientific Center of Radiology and Surgical Technology of the Ministry of Healthcare of the Russian Federation
Russian Federation
Russian Federation
Vladimir N. Zhuikov – Surgeon, Department of Vascular, Abdominal and Transplant Surgery
70, Lenigradskaya str., St. Petersburg, 197758
V. E. Moiseenko
A.M. Granov Russian Scientific Center of Radiology and Surgical Technology of the Ministry of Healthcare of the Russian Federation
Russian Federation
Russian Federation
Vladislav E. Moiseenko – Cand. of Sci. (Med.), Surgeon, Surgery Department №2
70, Lenigradskaya str., St. Petersburg, 197758
D. A. Granov
A.M. Granov Russian Scientific Center of Radiology and Surgical Technology of the Ministry of Healthcare of the Russian Federation
Russian Federation
Russian Federation
Dmitrii A. Granov – Doct. of Sci. (Med.), Professor, Corresponding member of the Russian Academy of Sciences, Scientific Director
70, Lenigradskaya str., St. Petersburg, 197758
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Review
For citations:
Rutkin I.O., Zhuikov V.N., Moiseenko V.E., Granov D.A. Minimally invasive surgery for hepatocellular carcinoma. Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2022;27(4):23-30. (In Russ.) https://doi.org/10.16931/1995-5464.2022-4-23-30
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