Laparoscopic Versus Open Hepatectomy in Short- and Long-Term Outcomes of the Hepatocellular Carcinoma Patients with Cirrhosis: A Systematic Review and Meta-Analysis

Jiang, Song; Wang, Zhaoying; Ou, Mingrui; Pang, Qing; Fan, Dongwei; Cui, Peng

doi:10.1089/lap.2018.0588

Cited by 18 publications

(10 citation statements)

References 46 publications

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“…In recent years, advances in laparoscopic instruments and techniques have made LLR safe and feasible [ 44 , 45 ]. There is growing evidence that the long-term clinical outcomes of LLR for HCC are similar to those of the open approach [ 46 , 47 ]. However, LLR is not feasible in all cases.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of radiofrequency ablation versus laparoscopic liver resection for hepatocellular carcinoma in China: a comprehensive meta-analysis.

et al. 2021

Videosurgery and Other Miniinvasive Techniques

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Introduction Hepatocellular carcinoma (HCC) has been the second leading cause of cancer-related death in China. Radiofrequency ablation is a relatively novel treatment that may improve the treatment of HCC. Aim To evaluate and compare the efficacy and safety of radiofrequency ablation (RFA) versus laparoscopic liver resection (LLR) in the treatment of HCC. Material and methods We searched for relevant published studies in English (PubMed, Cochrane Library, EMBASE) and in Chinese (CBM, CNKI and Wanfang) from their inception until September 23, 2019. The quality of included studies was evaluated by the Newcastle-Ottawa Scale. Results A total of 19 retrospective studies including 2038 patients were eligible for the meta-analysis. The results of the meta-analysis demonstrated that LLR was superior to RFA in terms of 3-year overall survival rate (OR = 0.62), 1 to 3-year disease-free survival rates (OR = 0.57; OR = 0.41, respectively) and local recurrence rates (OR = 2.71). Conclusions The meta-analysis demonstrates that laparoscopic liver resection should be preferred in tumors of size 3–5 cm, while for < 3 cm the long term results are equal.

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Section: Discussionmentioning

confidence: 99%

Efficacy of radiofrequency ablation versus laparoscopic liver resection for hepatocellular carcinoma in China: a comprehensive meta-analysis.

et al. 2021

Videosurgery and Other Miniinvasive Techniques

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“…LH is a safe and effective treatment that is associated with improved short-term outcomes compared to the open technique. 12 - 15 Additionally, LH is comparable to open hepatectomy regarding long-term oncological benefits. 15 , 16 Therefore, progression has been made from simple hepatectomy to major hepatectomy and even laparoscopic donor hepatectomy.…”

Section: Discussionmentioning

confidence: 99%

The usefulness of the totally intra-corporeal pringle maneuver with Penrose drain tube during laparoscopic left side liver resection

Choi

2020

Ann Hepatobiliary Pancreat Surg

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Backgrounds/Aims: The Pringle maneuver is generally performed to reduce the amount of blood loss during hepatic resection. During laparoscopic liver resection, the Pringle maneuver can be used in several ways. We have developed a new Pringle maneuver (PM) with Penrose drain tube to sufficiently control blood loss during laparoscopic liver resection. This study was performed to determine the safety and outcome during laparoscopic left-sided hepatectomy performed using this new method. Methods: We describe the technique and results of the left-sided liver resection with totally intracorporeal PM with Penrose drain tube. We performed 37 laparoscopic left-sided hepatic resections with (PM group) or without the Penrose PM (No PM group). We retrospectively compared the short-term operative outcome between the No PM group (n=12) and the PM group (n=25) during laparoscopic left-sided liver resection. Results: Median PM duration was 34.3 min. The median duration of the surgery using the totally intracorporeal PM with Penrose drain tube was 174 min, while the surgical duration required for resection without the PM was 156 min. The median volume of operative blood loss was lower in the PM group than in the No PM group (No PM group (341 ml) vs. PM group (165 ml)). There was no postoperative mortality and no open conversion. Conclusions: The totally intracorporeal PM with Penrose drain tube for laparoscopic hepatectomy is safe, reproducible, and can facilitate liver dissection during left-sided liver resection.

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“…Laparoscopic liver resection for malignant tumors was controversial, but a recent meta-analysis pointed out that compared with open hepatectomy, laparoscopic hepatectomy had no significant difference in OS and recurrence-free survival rate[ 9 ]. Generally, laparoscopic hepatectomy has the advantages of less bleeding, fewer postoperative complications, less pain, and quicker recovery in the short-term effect, but the long-term recurrence rate and OS are similar to those of open hepatectomy[ 10 , 11 ].…”

Section: Local Treatment Of Hccmentioning

confidence: 99%

Recent update on comprehensive therapy for advanced hepatocellular carcinoma

Wang¹,

Li²

2021

WJGO

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Hepatocellular carcinoma (HCC) is one of the most common malignant tumors in the world. The treatment methods for HCC are diverse, mainly including surgical resection, ablation, and liver transplantation. The curative effect can be achieved only for early stage HCC, and it is easy to recur and metastasize after surgery, with a 5-year recurrence rate as high as 70%. Most patients with HCC are in the middle and advanced stage at the time of diagnosis and lose the chance of surgical resection. In recent years, with the in-depth study of the pathogenesis of HCC and the progress of medical science and technology, the systemic treatment of advanced HCC has made a breakthrough. At present, multidisciplinary comprehensive treatment including targeted therapy and immunotherapy has become an effective strategy and inevitable trend for the treatment of advanced HCC. Combined therapy has greatly improved the prognosis of HCC patients and opened up a new milestone in the treatment of this malignancy. In this article, we focus on the treatment progress of advanced HCC to further guide clinical practice.

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Laparoscopic Versus Open Hepatectomy in Short- and Long-Term Outcomes of the Hepatocellular Carcinoma Patients with Cirrhosis: A Systematic Review and Meta-Analysis

Cited by 18 publications

References 46 publications

Efficacy of radiofrequency ablation versus laparoscopic liver resection for hepatocellular carcinoma in China: a comprehensive meta-analysis.

Efficacy of radiofrequency ablation versus laparoscopic liver resection for hepatocellular carcinoma in China: a comprehensive meta-analysis.

The usefulness of the totally intra-corporeal pringle maneuver with Penrose drain tube during laparoscopic left side liver resection

Recent update on comprehensive therapy for advanced hepatocellular carcinoma

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