Abstract:Objective:To study the feasibility and safety of hand-assisted laparoscopic hepatectomy for large left-lobe hepatic tumor.
Methods :Thirty-one patients with large left-lobe hepatic tumor underwent hand-assisted laparoscopic anatomic and non-anatomic hepatectomy, including 19 cases of hepatocellular carcinoma, 2 cases of cholangiocelluar carcinoma, 7 cases of hepatic cavernous hemangioma, 1 case of hepatic metastatic squamous cell carcinoma, 1 case of hepatic cystadenoma and 1 case of hepatic spindle cell tumour.
Results:The operation procedures were completed safely in all patients, including 5 left hemihepatectomies, 21 left lateral segmentectomies, and 5 atypical hepatectomies. Sixteen cases had occlusion of hepatic hilum during the procedure and the mean occlusion time was 14.3minutes. The mean operation time was 109minutes.Mean blood loss was 112ml. The mean tumor size was 8.3 cm.No serious postoperative complications occurred. The mean postoperative hospital stay was 7.8 days.
Conclusions:Hand-assisted laparoscopic hepatectomy for large hepatic tumor is feasible and safe in selected patients.