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Surgical outcomes after laparoscopic or robotic liver resection in hepatocellular carcinoma: a propensity-score matched analysis with conventional open liver resection

Authors
 Dai Hoon Han  ;  Sung Hoon Choi  ;  Eun Jung Park  ;  Dae Ryong Kang  ;  Gi Hong Choi  ;  Jin Sub Choi 
Citation
 International Journal of Medical Robotics and Computer Assisted Surgery, Vol.12(4) : 735-742, 2016 
Journal Title
 International Journal of Medical Robotics and Computer Assisted Surgery 
ISSN
 1478-5951 
Issue Date
2016
MeSH
Aged ; Blood Loss, Surgical ; Carcinoma, Hepatocellular/surgery* ; Case-Control Studies ; Disease-Free Survival ; Female ; Hepatectomy/methods ; Humans ; Laparoscopy/methods* ; Length of Stay ; Liver/surgery* ; Liver Neoplasms/surgery* ; Male ; Middle Aged ; Minimally Invasive Surgical Procedures/methods ; Multivariate Analysis ; Propensity Score ; Robotic Surgical Procedures/methods* ; Treatment Outcome
Keywords
hepatectomy ; hepatocellular carcinoma ; laparoscopy ; propensity score ; robotics
Abstract
BACKGROUND: This study was designed to compare perioperative and oncologic outcomes between minimally invasive liver resection (MILR) and conventional open liver resection (COLR) for hepatocellular carcinoma (HCC) using a propensity-score matched analysis. METHODS: Ninety-nine patients who received MILR were matched with 198 patients treated with COLR out of 928 patients with HCC who received curative liver resection from 2002 to 2012. A multivariable logistic model based on factors related to the patient, tumor, and surgical procedure was used to estimate a propensity score. RESULTS: The MILR group experienced significantly less intraoperative blood loss (mean: 389.55 vs 580.66 mL; P = 0.008), lower complication rates (13.1% vs 24.7%; P = 0.020), and a shorter length of hospital stay (mean: 8.40 vs 13.39 days; P < 0.001). The two groups did not differ significantly in disease-free (P = 0.701) or overall survival (P = 0.086). CONCLUSIONS: MILR produced better perioperative and comparable oncologic outcomes than COLR for HCC.
Full Text
http://onlinelibrary.wiley.com/doi/10.1002/rcs.1714/abstract
DOI
10.1002/rcs.1714
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Yonsei Biomedical Research Center (연세의생명연구원) > 1. Journal Papers
Yonsei Authors
최기홍(Choi, Gi Hong) ORCID logo https://orcid.org/0000-0002-1593-3773
최성훈(Choi, Sung Hoon)
최진섭(Choi, Jin Sub)
한대훈(Han, Dai Hoon) ORCID logo https://orcid.org/0000-0003-2787-7876
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/151663
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