Laparoscopic versus open liver resection for resectable HCC with BCLC stage B: a propensity score-matched analysis

被引:0
|
作者
Yufu Peng
Kefei Chen
Bo Li
Hongwei Xu
Yonggang Wei
Fei Liu
机构
[1] West China Hospital of Sichuan University,Department of Liver Surgery, Center of Liver Transplantation
来源
Updates in Surgery | 2022年 / 74卷
关键词
Laparoscopic hepatectomy; Open hepatectomy; Hepatocellular carcinoma; BCLC stage B; Short-term outcomes; Survival rate;
D O I
暂无
中图分类号
学科分类号
摘要
To date, there is little knowledge about the value of laparoscopic liver resection (LLR) for hepatocellular carcinoma (HCC) patients with Barcelona Clinic Liver Cancer (BCLC) stage B. Thus, this study was performed to assess the perioperative and oncological outcomes of LLR for these patients by comparison with open liver resection (OLR). Between April 2015 and October 2018, a total of 217 resectable HCC patients with BCLC stage B were eligible for this study. Patients were divided into the LLR group and the OLR group according to different procedures. Propensity score matching (PSM) was conducted to adjust for known confounders. Short- and long-term outcomes were compared between the two groups. LLR was performed in 75 of the 217 included patients. After PSM, 72 patients with well-balanced baseline levels were enrolled into each group. Although the operative time was significantly longer in the LLR group than in the OLR group (median, 237.5 vs. 210 min, P = 0.024), the intraoperative blood loss was significantly less in the LLR group than in the OLR group (median, 200 vs. 350 ml, P = 0.005). Patients in the LLR group had fewer complications than those in the OLR group (P = 0.035). Furthermore, overall survival (OS, P = 0.827) and recurrence-free survival (RFS, P = 0.694) were comparable between the two groups. LLR for resectable HCC patients with BCLC stage B is safe and feasible in carefully selected patients and has superior perioperative outcomes and similar survival rates compared with OLR.
引用
收藏
页码:1291 / 1297
页数:6
相关论文
共 50 条
  • [1] Laparoscopic versus open liver resection for resectable HCC with BCLC stage B: a propensity score-matched analysis
    Peng, Yufu
    Chen, Kefei
    Li, Bo
    Xu, Hongwei
    Wei, Yonggang
    Liu, Fei
    [J]. UPDATES IN SURGERY, 2022, 74 (04) : 1291 - 1297
  • [2] Is laparoscopic liver resection suitable for selected patients with BCLC stage B HCC? A propensity score-matched analysis
    Peng, Yufu
    Liu, Fei
    Xu, Hongwei
    Wei, Yonggang
    Li, Bo
    [J]. HPB, 2020, 22 (04) : 595 - 602
  • [3] Laparoscopic versus open liver resection for intrahepatic cholangiocarcinoma: a multicenter propensity score-matched study
    Sahakyan, Mushegh A.
    Aghayan, Davit L.
    Edwin, Bjorn
    Alikhanov, Ruslan
    Britskaia, Natalia
    Brudvik, Kristoffer Watten
    D'Hondt, Mathieu
    De Meyere, Celine
    Efanov, Mikhail
    Fretland, Asmund A.
    Hoff, Rune
    Ismail, Warsan
    Ivanecz, Arpad
    Kazaryan, Airazat M.
    Lassen, Kristoffer
    Magdalenic, Tomislav
    Parmentier, Isabelle
    Rosok, Bard Ingvald
    Villanger, Olaug
    Yaqub, Sheraz
    [J]. SCANDINAVIAN JOURNAL OF GASTROENTEROLOGY, 2023, 58 (05) : 489 - 496
  • [4] Short-term Outcomes of Laparoscopic Versus Open Liver Resection in the Elderly: A Propensity Score-matched Analysis
    Igarashi, Yosuke
    Haruki, Koichiro
    Furukawa, Kenei
    Taniai, Tomohiko
    Yanagaki, Mitsuru
    Okui, Norimitsu
    Shirai, Yoshihiro
    Tsunematsu, Masashi
    Sakamoto, Taro
    Ikegami, Toru
    [J]. ANTICANCER RESEARCH, 2024, 44 (06) : 2731 - 2736
  • [5] Multicentre propensity score-matched study of laparoscopic versus open repeat liver resection for colorectal liver metastases
    van der Poel, M. J.
    Barkhatov, L.
    Fuks, D.
    Berardi, G.
    Cipriani, F.
    Aljaiuossi, A.
    Lainas, P.
    Dagher, I.
    D'Hondt, M.
    Rotellar, F.
    Besselink, M. G.
    Aldrighetti, L.
    Troisi, R. I.
    Gayet, B.
    Edwin, B.
    Abu Hilal, M.
    [J]. BRITISH JOURNAL OF SURGERY, 2019, 106 (06) : 783 - 789
  • [6] Laparoscopic versus open liver resection for intrahepatic cholangiocarcinoma: a systematic review of propensity score-matched studies
    Hu, Ya-Fei
    Hu, Hai-Jie
    Ma, Wen-Jie
    Jin, Yan-Wen
    Li, Fu-Yu
    [J]. UPDATES IN SURGERY, 2023, 75 (08) : 2049 - 2061
  • [7] Laparoscopic versus open liver resection for intrahepatic cholangiocarcinoma: a systematic review of propensity score-matched studies
    Ya-Fei Hu
    Hai-Jie Hu
    Wen-Jie Ma
    Yan-Wen Jin
    Fu-Yu Li
    [J]. Updates in Surgery, 2023, 75 : 2049 - 2061
  • [8] A propensity score-matched analysis of laparoscopic versus open pancreaticoduodenectomy: Is there value to a laparoscopic approach?
    Stauffer, John A.
    Hyman, David
    Porrazzo, Gina
    Tice, Mary
    Li, Zhuo
    Almerey, Tariq
    [J]. SURGERY, 2024, 175 (04) : 1162 - 1167
  • [9] Laparoscopic Versus Open Cholecystectomy in Pediatric Patients: A Propensity Score-Matched Analysis
    Babb, Jaqueline
    Davis, James
    Tashiro, Jun
    Perez, Eduardo A.
    Sola, Juan E.
    Pandya, Samir
    [J]. JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES, 2020, 30 (03): : 322 - 327
  • [10] A Propensity Score-Matched Analysis of Laparoscopic versus Open Surgery in Patients with COPD
    Singh, Supreet
    Merchant, Aziz M.
    [J]. JOURNAL OF INVESTIGATIVE SURGERY, 2021, 34 (01) : 70 - 79