Clin Oncol | Volume 6, Issue 1 | Research Article | Open Access

Laparoscopic Resection for the Treatment of Liver Tumors

Aleksandr Tarasik1,2 and Tadeusz Wojciech Łapiński2*

1Department of Surgical Oncology, Białystok Oncology Centre, Poland
2Department of Infectious Diseases and Hepatology, Medical University of Bialystok, Poland

*Correspondance to: Tadeusz W Lapinski 

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Abstract

Open hepatectomy remains the fundamental and one of the most common surgical techniques for the treatment of primary and secondary liver tumors, but Laparoscopic Liver Resection (LLR) is now gaining more and more importance.
The aim of the study was to evaluate the efficacy and safety of laparoscopic resection of liver tumors based on the clinical experience of the authors.
LLR was performed in 53 patients (26 women and 27 men). The most common indication for the laparoscopic resection of liver tumors was metastatic colon cancer. We performed 19 nonanatomical (wedge) resections, 11 segmentectomies, 10 anatomical resections, 8 hemihepatectomies, 3 radicalizations due to gallbladder cancer, and 2 liver cyst fenestrations. Simultaneous procedures were performed in 5 cases.
The mean operating time for the laparoscopic resection of liver tumors was 307 min. The mean intraoperative blood loss was 270 ml. Complications were reported in 10% of cases. The mean hospitalization time was 7 days.
Slightly longer operating time and greater blood loss were found in patients treated with LLR compared to those who had open surgery. Recovery time was shorter in patients who had laparoscopic surgery. Early results of cancer treatment were comparable to those for open surgeries. LLR was associated with lower rates of postoperative complications.
Laparoscopic liver resections reduce intraoperative trauma and the number of postoperative complications, and shorten the hospitalization time and recovery. These procedures are safe in cancer patients. A particular advantage of laparoscopic surgery is observed in patients with cirrhosis, the elderly, and patients with coexisting internal diseases.

Keywords:

Liver tumors; Laparoscopic resection; LLR

Citation:

Tarasik A, Łapiński TW. Laparoscopic Resection for the Treatment of Liver Tumors. Clin Oncol. 2021;6:1813..

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