Laparoscopic repeat liver resection for hepatocellular carcinoma: a multicentre propensity score-based study

被引：51

作者：

Morise, Z. ^{[1
]}

Aldrighetti, L. ^{[4
]}

Belli, G. ^{[5
]}

Ratti, F. ^{[4
]}

Belli, A. ^{[6
]}

Cherqui, D. ^{[7
]}

Tanabe, M. ^{[2
]}

Wakabayashi, G. ^{[3
]}

Cheung, T. T. ^{[8
]}

Lo, C. M. ^{[8
]}

Tanaka, S. ^{[9
]}

Kubo, S. ^{[9
]}

Okamura, Y. ^{[10
]}

Uesaka, K. ^{[10
]}

Monden, K. ^{[11
]}

Sadamori, H. ^{[11
]}

Hashida, K. ^{[12
]}

Kawamoto, K. ^{[12
]}

Gotohda, N. ^{[13
]}

Chen, K. H. ^{[14
,15
]}

Kanazawa, A. ^{[16
]}

Takeda, Y. ^{[17
]}

Ohmura, Y. ^{[17
]}

Ueno, M. ^{[18
]}

Ogura, T. ^{[19
]}

Suh, K. S. ^{[20
]}

Kato, Y. ^{[21
]}

Sugioka, A. ^{[21
]}

Nitta, H. ^{[22
]}

Yasunaga, M. ^{[23
]}

Halium, N. A. ^{[24
]}

Laurent, A. ^{[25
]}

Kaneko, H. ^{[26
]}

Otsuka, Y. ^{[26
]}

Kim, K. H. ^{[27
,28
]}

Cho, H. -D. ^{[27
,28
]}

Lin, C. C. -W. ^{[29
,30
]}

Ome, Y. ^{[31
]}

Seyama, Y. ^{[31
]}

Troisi, R. I. ^{[32
]}

Berardi, G. ^{[33
]}

Roteller, F. ^{[34
]}

Wilson, G. C. ^{[35
]}

Geller, D. A. ^{[35
]}

Soubrane, O. ^{[36
]}

Yoh, T. ^{[36
]}

Kaizu, T. ^{[37
]}

Kumamoto, Y. ^{[37
]}

Han, H. -S. ^{[38
]}

Ekmekcigil, E. ^{[38
]}

机构：

[1] Fujita Hlth Univ, Bantane Hosp, Sch Med, Dept Gen Surg, Toyoake, Aichi, Japan

[2] Tokyo Med & Dent Univ, Grad Sch Med, Dept Hepatobiliary & Pancreat Surg, Tokyo, Japan

[3] Ageo Cent Gen Hosp, Dept Surg, Ageo, Japan

[4] Osped San Raffaele, Dept Surg, Hepatobiliary Div, Milan, Italy

[5] Loreto Nuovo Hosp, Dept Gen & Hepatopancreatobiliary Surg, Naples, Italy

[6] Natl Canc Inst Naples, Ist Ric & Cura Carattere Sci, Fdn G Pascale, Dept Abdominal Surg Oncol, Naples, Italy

[7] Hop Paul Brousse, Hepatobiliary Ctr, Villejuif, France

[8] Univ Hong Kong, Queen Mary Hosp, Hong Kong, Peoples R China

[9] Osaka City Univ, Grad Sch Med, Osaka, Japan

[10] Shizuoka Canc Ctr Hosp, Shizuoka, Japan

[11] Fukuyama City Hosp, Fukuyama, Hiroshima, Japan

[12] Kurashiki Cent Hosp, Kurashiki, Okayama, Japan

[13] Natl Canc Ctr Hosp East, Kashiwa, Chiba, Japan

[14] Far Eastern Mem Hosp, New Taipei, Taiwan

[15] Yuan Ze Univ, Taoyuan, Taiwan

[16] Osaka City Gen Hosp, Osaka, Japan

[17] Kansai Rosai Hosp, Amagasaki, Hyogo, Japan

[18] Wakayama Med Univ, Wakayama, Japan

[19] Tokyo Med & Dent Univ, Grad Sch Med, Tokyo, Japan

[20] Seoul Natl Univ Hosp, Seoul, South Korea

[21] Fujita Hlth Univ, Sch Med, Toyoake, Aichi, Japan

[22] Iwate Med Univ, Morioka, Iwate, Japan

[23] Kurume Univ, Sch Med, Kurume, Fukuoka, Japan

[24] Hop Paul Brousse, Villjuif, France

[25] Henri Mondor Hosp, Creteil, France

[26] Toho Univ, Fac Med, Tokyo, Japan

[27] Ulsan Univ, Ulsan, South Korea

[28] Asan Med Ctr, Seoul, South Korea

[29] Koo Fdn, Sun Yat Sen Canc Ctr, Guangzhon, Taiwan

[30] IRCAD AITS, Changhua, Taiwan

[31] Komagome Hosp, Tokyo Metropolitan Canc & Infect Dis Ctr, Tokyo, Japan

[32] Univ Naples Federico II, Naples, Italy

[33] Ghent Univ Hosp, Sch Med, Ghent, Belgium

[34] Clin Univ Navarra, Navarra, Spain

[35] Univ Pittsburgh, Pittsburgh, PA USA

[36] Beaujon Hosp, Clichy, France

[37] Kitasato Univ, Sch Med, Sagamihara, Kanagawa, Japan

[38] Seoul Natl Univ, Coll Med, Bundang Hosp, Seongnam, South Korea

[39] Paris Saclay Univ, Antoine Beclere Hosp, Clamart, France

[40] Univ Paris 05, Inst Mutualiste Montsouris, Paris, France

[41] Tulane Univ, Tulane Transplant Abdominal Inst, New Orleans, LA 70118 USA

[42] HCA North Carolina, Mission Healthcare, Asheville, NC USA

[43] Univ Hosp Reina Sofia, Cordoba, Spain

[44] Univ Queensland, Royal Brisbane Hosp, Brisbane, Qld, Australia

[45] Oslo Univ Hosp, Rikshosp, Oslo, Norway

[46] Keio Univ, Sch Med, Tokyo, Japan

[47] Univ Hosp Southampton, Southampton, Hants, England

来源：

BRITISH JOURNAL OF SURGERY | 2020年 / 107卷 / 07期

关键词：

LONG-TERM; PERIOPERATIVE OUTCOMES; HEPATECTOMY; METASTASES; SURGERY; CHOLECYSTECTOMY; METAANALYSIS; EXPERIENCE; CANCER;

D O I：

10.1002/bjs.11436

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Background In the absence of randomized controlled data and even propensity-matched data, indications for, and outcomes of, laparoscopic repeat liver resection for hepatocellular carcinoma (HCC) remain uncertain. This study aimed to clarify the current indications for laparoscopic repeat liver resection for HCC, and to evaluate outcomes. Methods Forty-two liver surgery centres around the world registered patients who underwent repeat liver resection for HCC. Patient characteristics, preoperative liver function, tumour characteristics, surgical method, and short- and long-term outcomes were recorded. Results Analyses showed that the laparoscopic procedure was generally used in patients with relatively poor performance status and liver function, but favourable tumour characteristics. Intraoperative blood loss (mean(s.d.) 254(551) versus 748(1128) ml; P < 0 center dot 001), duration of operation (248(156) versus 285(167) min; P < 0 center dot 001), morbidity (12 center dot 7 versus 18 center dot 1 per cent; P = 0 center dot 006) and duration of postoperative hospital stay (10 center dot 1(14 center dot 3) versus 11 center dot 8(11 center dot 8) days; P = 0 center dot 013) were significantly reduced for laparoscopic compared with open procedures, whereas survival time was comparable (median 10 center dot 04 versus 8 center dot 94 years; P = 0 center dot 297). Propensity score matching showed that laparoscopic repeat liver resection for HCC resulted in less intraoperative blood loss (268(730) versus 497(784) ml; P = 0 center dot 001) and a longer operation time (272(187) versus 232(129); P = 0 center dot 007) than the open approach, and similar survival time (12 center dot 55 versus 8 center dot 94 years; P = 0 center dot 086). Conclusion Laparoscopic repeat liver resection is feasible in selected patients with recurrent HCC.

引用

页码：889 / 895

页数：7

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