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Br J Surg: Can Child-Pugh Class B liver cirrhosis patients undergo laparoscopic liver resection?

 Last Update: 2021-03-20
 Source: Internet
 Author: User

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Laparoscopic hepatectomy has been shown to be beneficial in the treatment of hepatocellular carcinoma (HCC) in Child-Pugh A cirrhosis.

This retrospective cohort study aimed to compare the efficacy of open and laparoscopic liver cancer resections in the treatment of HCC patients with Child-Pugh B cirrhosis.

Collect liver resection-related data from 17 medical centers.

Bilirubin, international normalized ratio, platelet and ascites volume of 0-5 days after operation

Among the 382 cases of hepatectomy available for selection, 100 cases of laparoscopic hepatectomy and 100 cases of open hepatectomy met the matched analysis.

The 90-day postoperative mortality rate was similar in the laparotomy group and the laparoscopic group (4.

Patients with portal hypertension had more complications than patients without portal hypertension (26% vs 12%, P=0.

Overall survival rate and tumor-free survival rate

The 5-year overall survival rates of the laparotomy group and the laparoscopic group were 47% and 65% (P=0.

HCC patients with liver cirrhosis with Child-Pugh B7 score without portal hypertension before surgery benefit the most from laparoscopic liver resection.

Original source:

Troisi RI, Berardi G, Morise Z et al.

org/10.
1093/bjs/znaa041" target="_blank" rel="noopener">Laparoscopic and open liver resection for hepatocellular carcinoma with Child-Pugh B cirrhosis: multicentre propensity score-matched study in this message

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