Laparoscopic liver resection for treating recurrent hepatocellular carcinoma

Kanazawa, Akira; Tsukamoto, Tadashi; Shimizu, Satoshi; Kodai, Shintaro; Yamamoto, Satoshi; Yamazoe, Sadaaki; Ohira, Go; Nakajima, Teruyuki

doi:10.1007/s00534-012-0592-9

Cited by 66 publications

(73 citation statements)

References 15 publications

(13 reference statements)

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“…Belli et al, [13] Hu et al, [15] and Kanazawa et al [22] reported 12, 6, and 20 cases, respectively. They all concluded that repeat LLR for recurrent HCC in cirrhotic patients is a safe and feasible procedure.…”

Section: Discussionmentioning

confidence: 95%

“…Belli et al [13] reported that the surgical time for repeat LLR was shorter and the adhesiolysis was easier for patients previously treated using LLR compared to open LR (OLR), and also detailed the advantages of the minimally invasive approach for managing the chronic oncologic sequelae of cirrhosis. Kanazawa et al [22] compared repeat LLR to repeat OLR in n = 20 groups of patients and concluded that postoperative morbidity and the duration of postoperative hospitalization have been decreased by the introduction of LLR for patients with recurrent HCC.…”

Section: Discussionmentioning

confidence: 99%

“…Kanazawa et al [20] ( Shelat et al [23] ( Isetani et al [22] ( Data are expressed as median (range) or mean ± standard deviation, unless stated otherwise. *In the paper by Belli et al, [13] operating time, bleeding and POHS are described separately for patients whose previous hepatectomy was open (upper) or laparoscopic (lower).…”

Section: Ethics Approvalmentioning

confidence: 99%

“…Here we present a case report of a fourth LLR for recurrent HCCs in cirrhotic liver and review the previously reported cases of repeat LLR for the treatment of HCC. [22,23] …”

Section: Introductionmentioning

confidence: 99%

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Case report of the fourth laparoscopic liver resection and review of repeat laparoscopic resection for recurrent hepatocellular carcinoma in cirrhotic liver

Morise¹,

Isetani²,

Kawabe³

et al. 2016

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A 73-year-old woman with liver cirrhosis caused by hepatitis C virus (HCV) underwent treatment of three hepatocellular carcinomas (HCCs) in liver segment 4, following three previous laparoscopic liver resections (LLRs) over 73 months. Contrast-enhanced computed tomography showed three 0.5-1.2 cm HCCs deep within the portal territories of subsegments 4a and 4b. The patient underwent laparoscopic resection of 4a and 4b, with the preservation of the portal branch to 4c, after minimal adhesiolysis around segment 4. The operation lasted 284 min, there was 50 mL of intra-operative bleeding and her recovery was uneventful. She was well, had experienced no recurrence and was HCV-negative, after taking oral anti-HCV therapy, 21 months later. LLR is associated with fewer adhesions after surgery and requires less adhesiolysis, because the laparoscope and forceps can be used in the small spaces between adhesions. The present patient underwent four LLRs over 6 years without severe deterioration of liver functional reserve. LLR is a useful localized therapy, which can be performed repeatedly and may prolong the survival of patients with multicentric metachronous HCCs. Key words:Laparoscopic liver resection, repeat liver resection, hepatocellular carcinoma, liver cirrhosis, anatomical liver resection, subsegmentectomy ABSTRACT Article history:

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Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

Section: Ethics Approvalmentioning

confidence: 99%

“…Here we present a case report of a fourth LLR for recurrent HCCs in cirrhotic liver and review the previously reported cases of repeat LLR for the treatment of HCC. [22,23] …”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Case report of the fourth laparoscopic liver resection and review of repeat laparoscopic resection for recurrent hepatocellular carcinoma in cirrhotic liver

Morise¹,

Isetani²,

Kawabe³

et al. 2016

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“…Despite the lack of prospective randomized controlled trials of laparoscopic hepatectomy for HCC, some studies based on matched comparisons reported short-term advantages in terms of blood loss, postoperative morbidity and similar long-term outcomes after laparoscopy compared with open hepatectomy [48,49,50,51,52]. For treatment of HCC in patients with liver cirrhosis, our previous study revealed postoperative morbidity, such as surgical site infection and intractable ascites, decreased by the induction of laparoscopic hepatectomy, and the necessity for invasive treatment of postoperative complications decreased and the duration of postoperative hospitalization was shortened [51] (table 1).…”

Section: Laparoscopic Hepatectomy For Hccmentioning

confidence: 99%

Laparoscopic Hepatectomy for Liver Cancer

Kanazawa

Tsukamoto

Shimizu

et al. 2015

Dig Dis

Self Cite

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This chapter covers a range of important topics of laparoscopic hepatectomy as a novel approach toward treatment of liver cancer. Although laparoscopic hepatectomy was performed in a limited number of centers in the 1990s, technological innovations, improvements in surgical techniques and accumulation of experience by surgeons have led to more rapid progress in laparoscopic hepatectomy in the late 2000s for minimally invasive hepatic surgery. Currently, laparoscopic hepatectomy can be performed for all tumor locations and several diseases via several approaches. The laparoscopic approach can be applied to several types of resection, not only for tumors but also for liver transplantation, with equivalent or better results compared with those obtained with open surgery. Therefore, laparoscopic hepatectomy will become a standard procedure for treatment of liver cancer in the near future.

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