Preliminary Result of PLEX(Plasma exchange) in Acute and acute on Chronic Liver Failure

Abstract

techniques including use of intercostal trocars, Pringle maneuver, and semi-lateral position of patient were adapted. We also compared these patients with those who underwent open liver resection (OLR; n=124) for HCC in PS segments at the same period. Result: Mean operative time (395 minutes vs 331 minutes; P=0.013), intraoperative blood loss (1545 ml vs 1219 ml; P=0.020), and hospital stay (12 days vs 9, P<0.001) were significantly less in group 2. Postoperative complication rate (18.6% vs 18.9%; P=0.970), open conversion rate (23% vs 17%; P=0.374), 5-year overall survival (79% vs 89%; P=0.607) and 5-year disease free survival (52% vs 53%; P=0.657) rates were not significantly different between the groups. The proportion of LLR increased (36% vs 69%, P<0.001). Compared to OLR group, complication rate (40.3% vs 18.8%; P< 0.001) and hospital stay (18 days vs 10 days; P< 0.001) were significantly lower in LLR group. Conclusion:The complexity of LLR for HCC in PS segments has been gradually overcoming by the adaptation of advanced techniques.