Laparoscopic major liver resection in Korea: a multicenter study

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• 作者：Dae Wook Hwang (1)
  Ho-Seong Han (1)
  Yoo-Seok Yoon (1)
  Jai Young Cho (1)
  Yujin Kwon (1)
  Ji Hoon Kim (1)
  Joon Seong Park (2)
  Dong Sup Yoon (2)
  In Seok Choi (3)
  Keun Soo Ahn (4)
  Yong Hoon Kim (4)
  Koo Jeong Kang (4)
  Young Hoon Kim (5)
  Young Hoon Roh (5)
  Chong Woo Chu (6)
  Hyung Chul Kim (6)
  Chang Moo Kang (7)
  Gi Hong Choi (7)
  Jin Sub Choi (7)
  Kyung Sik Kim (7)
  Woo Jung Lee (7)
  Sung Su Yun (8)
  Hong Jin Kim (8)
  Seog Ki Min (9)
  Hyeon Kook Lee (9)
  In-Sang Song (10)
  Kwang-Sik Chun (10)
  Eung-Ho Cho (11)
  Sung-Sik Han (12)
  Sang-Jae Park (12)
  
• 关键词：Laparoscopy ; Major liver resection ; Hepatectomy ; Hepatocellular carcinoma
• 刊名：Journal of Hepato-Biliary-Pancreatic Sciences
• 出版年：2013
• 出版时间：February 2013
• 年：2013
• 卷：20
• 期：2
• 页码：125-130
• 全文大小：169KB
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• 作者单位：Dae Wook Hwang (1)
  Ho-Seong Han (1)
  Yoo-Seok Yoon (1)
  Jai Young Cho (1)
  Yujin Kwon (1)
  Ji Hoon Kim (1)
  Joon Seong Park (2)
  Dong Sup Yoon (2)
  In Seok Choi (3)
  Keun Soo Ahn (4)
  Yong Hoon Kim (4)
  Koo Jeong Kang (4)
  Young Hoon Kim (5)
  Young Hoon Roh (5)
  Chong Woo Chu (6)
  Hyung Chul Kim (6)
  Chang Moo Kang (7)
  Gi Hong Choi (7)
  Jin Sub Choi (7)
  Kyung Sik Kim (7)
  Woo Jung Lee (7)
  Sung Su Yun (8)
  Hong Jin Kim (8)
  Seog Ki Min (9)
  Hyeon Kook Lee (9)
  In-Sang Song (10)
  Kwang-Sik Chun (10)
  Eung-Ho Cho (11)
  Sung-Sik Han (12)
  Sang-Jae Park (12)
  
  1. Department of Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, 166 Gumi-ro, Bundang-gu, Seongnam, Gyeonggi, 463-707, Korea
  2. Department of Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea
  3. Department of Surgery, Konyang University College of Medicine, Daejeon, Korea
  4. Department of Surgery, Keimyung University School of Medicine, Daegu, Korea
  5. Department of Surgery, Dong-A University College of Medicine, Busan, Korea
  6. Department of Surgery, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, Korea
  7. Department of Surgery, Yonsei University College of Medicine, Institute of Gastroenterology, Yonsei University Health System, Seoul, Korea
  8. Department of Surgery, Yeungnam University Hospital, Yeungnam University College of Medicine, Daegu, Korea
  9. Department of Surgery, Ewha Womans University Mokdong Hospital, Ewha Womans University School of Medicine, Seoul, Korea
  10. Department of Surgery, Research Institute for Medical Science, College of Medicine, Chungnam National University, Daejeon, Korea
  11. Department of Surgery, Korea Cancer Center Hospital, Seoul, Korea
  12. Center for Liver Cancer, National Cancer Center, Goyang, Korea
  

文摘

Introduction We report our experience with laparoscopic major liver resection in Korea based on a multicenter retrospective study. Materials and methods Data from 1,009 laparoscopic liver resections conducted from 2001 to 2011 were retrospectively collected. Twelve tertiary medical centers with specialized hepatic surgeons participated in this study. Results Among 1,009 laparoscopic liver resections, major liver resections were performed in 265 patients as treatment for hepatocellular carcinoma, metastatic tumor, intrahepatic duct stone, and other conditions. The most frequently performed procedure was left hemihepatectomy (165 patients), followed by right hemihepatectomy (53 patients). Pure laparoscopic procedure was performed in 190 patients including 19 robotic liver resections. Hand-assisted laparoscopic liver resection was performed in three patients and laparoscopy-assisted liver resection in 55 patients. Open conversion was performed in 17 patients (6.4?%). Mean operative time and estimated blood loss in laparoscopic major liver resection was 399.3?±?169.8?min and 836.0?±?1223.7?ml, respectively. Intraoperative transfusion was required in 65 patients (24.5?%). Mean postoperative length of stay was 12.3?±?7.9?days. Postoperative complications were detected in 53 patients (20.0?%), and in-hospital mortality occurred in two patients (0.75?%). Mean number and mean maximal size of resected tumors was 1.22?±?1.54 and 40.0?±?27.8?mm, respectively. R0 resection was achieved in 120 patients with hepatic tumor, but R1 resection was performed in eight patients. Mean distance of safe resection margin was 14.6?±?15.8?mm. Conclusions Laparoscopic major liver resection has become a reliable option for treatment of liver disease in Korea.