RT Journal Article
T1 Multicenter Propensity Score-Based Study of Laparoscopic Repeat Liver Resection for Hepatocellular Carcinoma: A Subgroup Analysis of Cases with Tumors Far from Major Vessels.
A1 Miyama, Arimasa
A1 Morise, Zenichi
A1 Aldrighetti, Luca
A1 Belli, Giulio
A1 Ratti, Francesca
A1 Cheung, Tan-To
A1 Lo, Chung-Mau
A1 Tanaka, Shogo
A1 Kubo, Shoji
A1 Okamura, Yukiyasu
A1 Uesaka, Katsuhiko
A1 Monden, Kazuteru
A1 Sadamori, Hiroshi
A1 Hashida, Kazuki
A1 Kawamoto, Kazuyuki
A1 Gotohda, Naoto
A1 Chen, KuoHsin
A1 Kanazawa, Akishige
A1 Takeda, Yutaka
A1 Ohmura, Yoshiaki
A1 Ueno, Masaki
A1 Ogura, Toshiro
A1 Suh, Kyung-Suk
A1 Kato, Yutaro
A1 Sugioka, Atsushi
A1 Belli, Andrea
A1 Nitta, Hiroyuki
A1 Yasunaga, Masafumi
A1 Cherqui, Daniel
A1 Halim, Nasser Abdul
A1 Laurent, Alexis
A1 Kaneko, Hironori
A1 Otsuka, Yuichiro
A1 Kim, Ki-Hun
A1 Cho, Hwui-Dong
A1 Lin, Charles Chung-Wei
A1 Ome, Yusuke
A1 Seyama, Yasuji
A1 Troisi, Roberto I
A1 Berardi, Giammauro
A1 Rotellar, Fernando
A1 Wilson, Gregory C
A1 Geller, David A
A1 Soubrane, Olivier
A1 Yoh, Tomoaki
A1 Kaizu, Takashi
A1 Kumamoto, Yusuke
A1 Han, Ho-Seong
A1 Ekmekcigil, Ela
A1 Dagher, Ibrahim
A1 Fuks, David
A1 Gayet, Brice
A1 Buell, Joseph F
A1 Ciria, Ruben
A1 Briceno, Javier
A1 O'Rourke, Nicholas
A1 Lewin, Joel
A1 Edwin, Bjorn
A1 Shinoda, Masahiro
A1 Abe, Yuta
A1 Hilal, Mohammed Abu
A1 Alzoubi, Mohammad
A1 Tanabe, Minoru
A1 Wakabayashi, Go
K1 hepatocellular carcinoma
K1 laparoscopic liver resection
K1 long-term outcome
K1 morbidity
K1 repeat liver resection
K1 repeat surgery
K1 short-term outcome
AB Less morbidity is considered among the advantages of laparoscopic liver resection (LLR) for HCC patients. However, our previous international, multi-institutional, propensity score-based study of emerging laparoscopic repeat liver resection (LRLR) failed to prove this advantage. We hypothesize that these results may be since the study included complex LRLR cases performed during the procedure's developing stage. To examine it, subgroup analysis based on propensity score were performed, defining the proximity of the tumors to major vessels as the indicator of complex cases. Among 1582 LRLR cases from 42 international high-volume liver surgery centers, 620 cases without the proximity to major vessels (more than 1 cm far from both first-second branches of Glissonian pedicles and major hepatic veins) were selected for this subgroup analysis. A propensity score matching (PSM) analysis was performed based on their patient characteristics, preoperative liver function, tumor characteristics and surgical procedures. One hundred and fifteen of each patient groups of LRLR and open repeat liver resection (ORLR) were earned, and the outcomes were compared. Backgrounds were well-balanced between LRLR and ORLR groups after matching. With comparable operation time and long-term outcome, less blood loss (283.3±823.0 vs. 603.5±664.9 mL, p = 0.001) and less morbidity (8.7 vs. 18.3 %, p = 0.034) were shown in LRLR group than ORLR. Even in its worldwide developing stage, LRLR for HCC patients could be beneficial in blood loss and morbidity for the patients with less complexity in surgery.
SN 2072-6694
YR 2021
FD 2021-06-25
LK http://hdl.handle.net/10668/18090
UL http://hdl.handle.net/10668/18090
LA en
DS RISalud
RD Apr 8, 2025