Laparoscopic versus open liver resection for elderly patients with malignant liver tumors: A single‐center experience

Abstract

Laparoscopic liver resection is safe and feasible for elderly patients. The short-term benefits of laparoscopic approach continued to be evident for geriatric oncological liver surgery.

Robotic versus open liver resections: A case‐matched comparison

“…Over past decades, minimally invasive techniques have been increasingly adopted for hepatic resections, and conventional laparoscopy appears to be safe and effective for selected resections – mainly for right‐sided and left‐sided anterior – in certain patients . Several studies showed the general benefits of reduced surgical access including fewer conversions, decreased post‐operative pain, shorter LOS while maintaining adequate oncological resections . Despite these potential perioperative patient oriented advantages, conventional laparoscopy has several significant technical shortcomings that have led to the limited adoption of advanced procedures, such as complex and large hepatic resections.…”

Outcomes of laparoscopic hepatic resection versus percutaneous radiofrequency ablation for hepatocellular carcinoma located at the liver surface: A case-control study with propensity score matching

“…Laparoscopic hepatic resection for HCC was recently reported as a less invasive alternative (reduced intraoperative blood loss, reduced risk of transfusion, lower morbidity and shorter hospital stay) than open hepatic resection, even for cirrhotic patients . In this study, there was no significant difference in morbidity incidence between the two groups following PSM, and severe post‐LH complications were absent.…”

“…In particular, local recurrence rate appears to be significantly higher in tumors located on the surface of the liver (surface HCC) compared with that of tumors situated deeply within the liver . The incidence of local recurrence after P‐RFA for HCC is reported to be higher compared with open hepatic resection . On the other hand, the incidence of postoperative complications following open hepatic resection is higher compared with P‐RFA.…”

“…Recently, laparoscopic hepatic resection (LH) for HCC has been reported to have advantages in that it results in small wounds, earlier recovery after operation, and a shorter hospital stay compared with open hepatic resection, even for cirrhotic patients . Moreover, LH is well suited for resecting surface HCC .…”

Outcomes of Pure Laparoscopic versus Open Hepatic Resection for Hepatocellular Carcinoma in Cirrhotic Patients: A Case-Control Study with Propensity Score Matching

“…With the rapid development of surgical procedures and equipment for LH, minimally invasive surgery is now commonly applied in liver surgery [5], and several reports indicated good short- and long-term outcomes after LH compared with OH [3,4,5,6,7,8,9,12,26,27]. However, validation of LH for cirrhotic patients is essential because cirrhotic patients are at an exceptionally high risk for postoperative complications such as intractable ascites, pleural effusion and liver failure after OH [1,2].…”