Evolution of laparoscopic liver resection in the last two decades: lessons from 2000 cases at a referral Korean center

Cassese, Gianluca; Han, Ho-Seong; Yoon, Yoo-Seok; Lee, Jun-Suh; Lee, Boram; Lee, Hae Won; Cho, Jai Young

doi:10.1007/s00464-023-10580-2

Surg Endosc

2023

DOI: 10.1007/s00464-023-10580-2

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Evolution of laparoscopic liver resection in the last two decades: lessons from 2000 cases at a referral Korean center

Gianluca Cassese,

Ho-Seong Han,

Yoo-Seok Yoon

et al.

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2024

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Cited by 4 publications

References 54 publications

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Laparoscopic versus open liver resection for huge hepatocellular carcinoma (≥ than 10 cm): a retrospective analysis from a high-volume referral center

Cassese,

Han,

Lee

et al. 2024

Surg Endosc

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Background There is still poor evidence about the safety and feasibility of laparoscopic liver resection (LLR) for huge (> 10 cm) hepatocellular carcinomas (HCC). The aim of this study was to assess the short- and long-term outcomes of LLR versus open liver resection (OLR) for patients with huge HCC from real-life data from consecutive patients. Methods Data regarding all consecutive patients undergoing liver resection for huge HCC were retrospectively collected from a Korean referral HPB center. Primary outcomes were the postoperative results, while secondary outcomes were the oncologic survivals. Results Sixty-three patients were included in the study: 46 undergoing OLR and 17 LLR. Regarding postoperative outcomes, there were no statistically significant differences in estimated blood loss, operation time, transfusions, postoperative bile leak, ascites, severe complications, and R1 resection rates. After a median follow-up of 48.4 (95% CI 8.9–86.8) months, there were no statistically significant differences in 3 years OS (59.3 ± 8.7 months vs. 85.2 ± 9.8 months) and 5 years OS (31.1 ± 9 months vs. 73.1 ± 14.1 months), after OLR and LLR, respectively (p = 0.10). Similarly, there was not a statistically significant difference in both 3 years DFS (23.5% ± 8.1 months vs. 51.6 ± months) and 5 years DFS (15.7 ± 7.1 months vs. 38.7 ± 15.3 months), respectively (p = 0.13), despite a potential clinically significant difference. Conclusion LLR for huge HCC may be safe and effective in selected cases. Further studies with larger sample size and more appropriate design are needed to confirm these results. Graphical abstract

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Laparoscopic versus open liver resection for huge hepatocellular carcinoma (≥ than 10 cm): a retrospective analysis from a high-volume referral center

Cassese,

Han,

Lee

et al. 2024

Surg Endosc

View full text Add to dashboard Cite

show abstract

Robotic versus laparoscopic liver resection for difficult posterosuperior segments: a systematic review with a meta-analysis of propensity-score matched studies

Giannone,

Cassese,

Del Basso

et al. 2024

Surg Endosc

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A single institution’s experience with robotic resections of biliary tract cancers: an analysis of the short-term outcomes and long-term survival

Christodoulou,

Pattilachan,

Ross

et al. 2024

Journal of Gastrointestinal Surgery

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Evolution of laparoscopic liver resection in the last two decades: lessons from 2000 cases at a referral Korean center

Cited by 4 publications

References 54 publications

Laparoscopic versus open liver resection for huge hepatocellular carcinoma (≥ than 10 cm): a retrospective analysis from a high-volume referral center

Laparoscopic versus open liver resection for huge hepatocellular carcinoma (≥ than 10 cm): a retrospective analysis from a high-volume referral center

Robotic versus laparoscopic liver resection for difficult posterosuperior segments: a systematic review with a meta-analysis of propensity-score matched studies

A single institution’s experience with robotic resections of biliary tract cancers: an analysis of the short-term outcomes and long-term survival

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