Laparoscopic Versus Open Resection for Liver Cavernous Hemangioma

作者：Haibo Yu, Yadong Dong, Liancai Wang, Guangjin Tian, Senmao Mu, Yuan Cao, Yanan Peng, Chong-yang Lou, Peng Liu, Deyu Li · 发表于：Surgical Laparoscopy Endoscopy & Percutaneous Techniques · 年份：2015 · DOI：10.1097/sle.0000000000000196 · 被引用次数：10 · 研究领域：Hepatocellular Carcinoma Treatment and Prognosis、Vascular Malformations and Hemangiomas、Organ Transplantation Techniques and Outcomes

OBJECTIVE: To evaluate the feasibility and safety of laparoscopic versus open resection for liver cavernous hemangioma (LCH). MATERIALS AND METHODS: A total of 131 patients suffering from LCH operated in our department between January 2013 and December 2014 were divided into 2 groups: 31 for laparoscopic liver resection (LR) and 100 for open liver resection (OR). RESULTS: Age, sex, presence or absence of chronic liver disease, tumor size, tumor location, type of resection, estimated intraoperative blood loss, operative time, length of postoperative hospital stay, morbidity, and mortality were equivalent between the 2 groups. There were no significant differences in estimated intraoperative blood loss between the LR and OR groups. The operation time of the LR group was longer than the OR group and the hospitalization expenses less than the OR group. However, the time of postoperative hospital stay and time of oral intake were shorter in the LR group than the OR group. The tumor of the LR group was smaller than the OR group. In liver function, alanine aminotransferase after operation of the LR group was lower than the OR group, the same as aspartate transaminase after operation. But there were no significant differences in total bilirubin after operation. CONCLUSIONS: Laparoscopic resection for LCH is a safe and feasible procedure as OR.