Feasibility and efficacy of repeat laparoscopic liver resection for recurrent hepatocellular carcinoma
Background Repeat hepatectomy is an acceptable treatment for recurrent hepatocellular carcinoma (HCC). However, repeat laparoscopic liver resection (LLR) has not been widely adopted due to its technical difficulty. This study aimed to assess the feasibility and efficacy of repeat LLR compared with r...
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| Veröffentlicht in: | Surgical endoscopy 2020-10, Vol.34 (10), p.4574-4581 |
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| creator | Onoe, Takashi Yamaguchi, Megumi Irei, Toshimitsu Ishiyama, Kohei Sudo, Takeshi Hadano, Naoto Kojima, Masato Kubota, Haruna Ide, Ryuta Tazawa, Hirofumi Shimizu, Wataru Suzuki, Takahisa Shimizu, Yosuke Hinoi, Takao Tashiro, Hirotaka |
| description | Background
Repeat hepatectomy is an acceptable treatment for recurrent hepatocellular carcinoma (HCC). However, repeat laparoscopic liver resection (LLR) has not been widely adopted due to its technical difficulty. This study aimed to assess the feasibility and efficacy of repeat LLR compared with repeat open liver resection (OLR) for recurrent HCC.
Methods
We performed 42 repeat OLR and 30 repeat LLR for cases of recurrent HCC between January 2007 and March 2018. This study retrospectively compared the patients’ clinicopathological characteristics and operative and short-term outcomes including surgical time, intraoperative blood loss, duration of hospital stay, and postoperative complications between the two groups.
Results
There were no significant differences in patient characteristics between the two groups except in terms of Child–Pugh grade. The repeat LLR group had lower median intraoperative blood loss (100 mL vs. 435 mL;
P
= 0.001) and shorter median postoperative hospital stay (10 days vs. 14.5 days;
P
= 0.002). The other results including postoperative complications were comparable between the two groups. Further, comparison of two subpopulations of the repeat LLR group stratified by previous hepatectomy type (open or laparoscopic) or tumor location (segments 7 and 8 or other) revealed no significant differences in the postoperative clinical characteristics between them, although the morbidity rate tended to be higher in patients who underwent open hepatectomy for primary HCC than in patients who underwent laparoscopic hepatectomy.
Conclusions
Repeat LLR for recurrent HCC is feasible and useful with good short-term outcomes although an appropriate patient selection seems to be necessary. |
| doi_str_mv | 10.1007/s00464-019-07246-3 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2328751722</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2729284019</sourcerecordid><originalsourceid>FETCH-LOGICAL-c441t-9ad81bcef2105975122d739a8a1b4ec6d2741abaa588402213378e7d1f5e82143</originalsourceid><addsrcrecordid>eNp9kU2LFDEQhoMo7uzqH_AgAS9eWpNKepIcZXF1YcGLnkN1uqJZejpt0i3MvzfjrAoePBVFPfXWx8vYCyneSCHM2yqE3utOSNcJA3rfqUdsJ7WCDkDax2wnnBIdGKcv2GWt96LxTvZP2YWStld7JXYs3hDWNKQprUeO88gpxhQwHHmOvNBCuPIJFyy5hrykwKf0g0qrVApryjOP-ZSFrRSaV_6NFlxzoGnaJiw8YAlpzgd8xp5EnCo9f4hX7MvN-8_XH7u7Tx9ur9_ddUFruXYORyuHQBGk6J3pJcBolEOLctAU9iMYLXFA7K3Vol2plLFkRhl7stBOv2Kvz7pLyd83qqs_pHpaB2fKW_WgwDZZA9DQV_-g93krc9vOgwEHbYB0jYIzFdoHaqHol5IOWI5eCn9ywZ9d8A32v1zwqjW9fJDehgONf1p-v70B6gzUVpq_Uvk7-z-yPwFlMZLB</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2729284019</pqid></control><display><type>article</type><title>Feasibility and efficacy of repeat laparoscopic liver resection for recurrent hepatocellular carcinoma</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Onoe, Takashi ; Yamaguchi, Megumi ; Irei, Toshimitsu ; Ishiyama, Kohei ; Sudo, Takeshi ; Hadano, Naoto ; Kojima, Masato ; Kubota, Haruna ; Ide, Ryuta ; Tazawa, Hirofumi ; Shimizu, Wataru ; Suzuki, Takahisa ; Shimizu, Yosuke ; Hinoi, Takao ; Tashiro, Hirotaka</creator><creatorcontrib>Onoe, Takashi ; Yamaguchi, Megumi ; Irei, Toshimitsu ; Ishiyama, Kohei ; Sudo, Takeshi ; Hadano, Naoto ; Kojima, Masato ; Kubota, Haruna ; Ide, Ryuta ; Tazawa, Hirofumi ; Shimizu, Wataru ; Suzuki, Takahisa ; Shimizu, Yosuke ; Hinoi, Takao ; Tashiro, Hirotaka</creatorcontrib><description>Background
Repeat hepatectomy is an acceptable treatment for recurrent hepatocellular carcinoma (HCC). However, repeat laparoscopic liver resection (LLR) has not been widely adopted due to its technical difficulty. This study aimed to assess the feasibility and efficacy of repeat LLR compared with repeat open liver resection (OLR) for recurrent HCC.
Methods
We performed 42 repeat OLR and 30 repeat LLR for cases of recurrent HCC between January 2007 and March 2018. This study retrospectively compared the patients’ clinicopathological characteristics and operative and short-term outcomes including surgical time, intraoperative blood loss, duration of hospital stay, and postoperative complications between the two groups.
Results
There were no significant differences in patient characteristics between the two groups except in terms of Child–Pugh grade. The repeat LLR group had lower median intraoperative blood loss (100 mL vs. 435 mL;
P
= 0.001) and shorter median postoperative hospital stay (10 days vs. 14.5 days;
P
= 0.002). The other results including postoperative complications were comparable between the two groups. Further, comparison of two subpopulations of the repeat LLR group stratified by previous hepatectomy type (open or laparoscopic) or tumor location (segments 7 and 8 or other) revealed no significant differences in the postoperative clinical characteristics between them, although the morbidity rate tended to be higher in patients who underwent open hepatectomy for primary HCC than in patients who underwent laparoscopic hepatectomy.
Conclusions
Repeat LLR for recurrent HCC is feasible and useful with good short-term outcomes although an appropriate patient selection seems to be necessary.</description><identifier>ISSN: 0930-2794</identifier><identifier>EISSN: 1432-2218</identifier><identifier>DOI: 10.1007/s00464-019-07246-3</identifier><identifier>PMID: 31853630</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Abdominal Surgery ; Aged ; Aged, 80 and over ; Carcinoma, Hepatocellular - surgery ; Feasibility Studies ; Female ; Gastroenterology ; Gynecology ; Hepatectomy ; Hepatology ; Humans ; Laparoscopy ; Liver - surgery ; Liver cancer ; Liver Neoplasms - surgery ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Neoplasm Recurrence, Local - pathology ; Patients ; Postoperative Complications - etiology ; Proctology ; Retrospective Studies ; Surgery ; Time Factors ; Treatment Outcome</subject><ispartof>Surgical endoscopy, 2020-10, Vol.34 (10), p.4574-4581</ispartof><rights>Springer Science+Business Media, LLC, part of Springer Nature 2019</rights><rights>Springer Science+Business Media, LLC, part of Springer Nature 2019.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c441t-9ad81bcef2105975122d739a8a1b4ec6d2741abaa588402213378e7d1f5e82143</citedby><cites>FETCH-LOGICAL-c441t-9ad81bcef2105975122d739a8a1b4ec6d2741abaa588402213378e7d1f5e82143</cites><orcidid>0000-0002-8188-4623</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00464-019-07246-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00464-019-07246-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,778,782,27911,27912,41475,42544,51306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31853630$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Onoe, Takashi</creatorcontrib><creatorcontrib>Yamaguchi, Megumi</creatorcontrib><creatorcontrib>Irei, Toshimitsu</creatorcontrib><creatorcontrib>Ishiyama, Kohei</creatorcontrib><creatorcontrib>Sudo, Takeshi</creatorcontrib><creatorcontrib>Hadano, Naoto</creatorcontrib><creatorcontrib>Kojima, Masato</creatorcontrib><creatorcontrib>Kubota, Haruna</creatorcontrib><creatorcontrib>Ide, Ryuta</creatorcontrib><creatorcontrib>Tazawa, Hirofumi</creatorcontrib><creatorcontrib>Shimizu, Wataru</creatorcontrib><creatorcontrib>Suzuki, Takahisa</creatorcontrib><creatorcontrib>Shimizu, Yosuke</creatorcontrib><creatorcontrib>Hinoi, Takao</creatorcontrib><creatorcontrib>Tashiro, Hirotaka</creatorcontrib><title>Feasibility and efficacy of repeat laparoscopic liver resection for recurrent hepatocellular carcinoma</title><title>Surgical endoscopy</title><addtitle>Surg Endosc</addtitle><addtitle>Surg Endosc</addtitle><description>Background
Repeat hepatectomy is an acceptable treatment for recurrent hepatocellular carcinoma (HCC). However, repeat laparoscopic liver resection (LLR) has not been widely adopted due to its technical difficulty. This study aimed to assess the feasibility and efficacy of repeat LLR compared with repeat open liver resection (OLR) for recurrent HCC.
Methods
We performed 42 repeat OLR and 30 repeat LLR for cases of recurrent HCC between January 2007 and March 2018. This study retrospectively compared the patients’ clinicopathological characteristics and operative and short-term outcomes including surgical time, intraoperative blood loss, duration of hospital stay, and postoperative complications between the two groups.
Results
There were no significant differences in patient characteristics between the two groups except in terms of Child–Pugh grade. The repeat LLR group had lower median intraoperative blood loss (100 mL vs. 435 mL;
P
= 0.001) and shorter median postoperative hospital stay (10 days vs. 14.5 days;
P
= 0.002). The other results including postoperative complications were comparable between the two groups. Further, comparison of two subpopulations of the repeat LLR group stratified by previous hepatectomy type (open or laparoscopic) or tumor location (segments 7 and 8 or other) revealed no significant differences in the postoperative clinical characteristics between them, although the morbidity rate tended to be higher in patients who underwent open hepatectomy for primary HCC than in patients who underwent laparoscopic hepatectomy.
Conclusions
Repeat LLR for recurrent HCC is feasible and useful with good short-term outcomes although an appropriate patient selection seems to be necessary.</description><subject>Abdominal Surgery</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Carcinoma, Hepatocellular - surgery</subject><subject>Feasibility Studies</subject><subject>Female</subject><subject>Gastroenterology</subject><subject>Gynecology</subject><subject>Hepatectomy</subject><subject>Hepatology</subject><subject>Humans</subject><subject>Laparoscopy</subject><subject>Liver - surgery</subject><subject>Liver cancer</subject><subject>Liver Neoplasms - surgery</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Neoplasm Recurrence, Local - pathology</subject><subject>Patients</subject><subject>Postoperative Complications - etiology</subject><subject>Proctology</subject><subject>Retrospective Studies</subject><subject>Surgery</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><issn>0930-2794</issn><issn>1432-2218</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kU2LFDEQhoMo7uzqH_AgAS9eWpNKepIcZXF1YcGLnkN1uqJZejpt0i3MvzfjrAoePBVFPfXWx8vYCyneSCHM2yqE3utOSNcJA3rfqUdsJ7WCDkDax2wnnBIdGKcv2GWt96LxTvZP2YWStld7JXYs3hDWNKQprUeO88gpxhQwHHmOvNBCuPIJFyy5hrykwKf0g0qrVApryjOP-ZSFrRSaV_6NFlxzoGnaJiw8YAlpzgd8xp5EnCo9f4hX7MvN-8_XH7u7Tx9ur9_ddUFruXYORyuHQBGk6J3pJcBolEOLctAU9iMYLXFA7K3Vol2plLFkRhl7stBOv2Kvz7pLyd83qqs_pHpaB2fKW_WgwDZZA9DQV_-g93krc9vOgwEHbYB0jYIzFdoHaqHol5IOWI5eCn9ywZ9d8A32v1zwqjW9fJDehgONf1p-v70B6gzUVpq_Uvk7-z-yPwFlMZLB</recordid><startdate>20201001</startdate><enddate>20201001</enddate><creator>Onoe, Takashi</creator><creator>Yamaguchi, Megumi</creator><creator>Irei, Toshimitsu</creator><creator>Ishiyama, Kohei</creator><creator>Sudo, Takeshi</creator><creator>Hadano, Naoto</creator><creator>Kojima, Masato</creator><creator>Kubota, Haruna</creator><creator>Ide, Ryuta</creator><creator>Tazawa, Hirofumi</creator><creator>Shimizu, Wataru</creator><creator>Suzuki, Takahisa</creator><creator>Shimizu, Yosuke</creator><creator>Hinoi, Takao</creator><creator>Tashiro, Hirotaka</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-8188-4623</orcidid></search><sort><creationdate>20201001</creationdate><title>Feasibility and efficacy of repeat laparoscopic liver resection for recurrent hepatocellular carcinoma</title><author>Onoe, Takashi ; Yamaguchi, Megumi ; Irei, Toshimitsu ; Ishiyama, Kohei ; Sudo, Takeshi ; Hadano, Naoto ; Kojima, Masato ; Kubota, Haruna ; Ide, Ryuta ; Tazawa, Hirofumi ; Shimizu, Wataru ; Suzuki, Takahisa ; Shimizu, Yosuke ; Hinoi, Takao ; Tashiro, Hirotaka</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c441t-9ad81bcef2105975122d739a8a1b4ec6d2741abaa588402213378e7d1f5e82143</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Abdominal Surgery</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Carcinoma, Hepatocellular - surgery</topic><topic>Feasibility Studies</topic><topic>Female</topic><topic>Gastroenterology</topic><topic>Gynecology</topic><topic>Hepatectomy</topic><topic>Hepatology</topic><topic>Humans</topic><topic>Laparoscopy</topic><topic>Liver - surgery</topic><topic>Liver cancer</topic><topic>Liver Neoplasms - surgery</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Neoplasm Recurrence, Local - pathology</topic><topic>Patients</topic><topic>Postoperative Complications - etiology</topic><topic>Proctology</topic><topic>Retrospective Studies</topic><topic>Surgery</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Onoe, Takashi</creatorcontrib><creatorcontrib>Yamaguchi, Megumi</creatorcontrib><creatorcontrib>Irei, Toshimitsu</creatorcontrib><creatorcontrib>Ishiyama, Kohei</creatorcontrib><creatorcontrib>Sudo, Takeshi</creatorcontrib><creatorcontrib>Hadano, Naoto</creatorcontrib><creatorcontrib>Kojima, Masato</creatorcontrib><creatorcontrib>Kubota, Haruna</creatorcontrib><creatorcontrib>Ide, Ryuta</creatorcontrib><creatorcontrib>Tazawa, Hirofumi</creatorcontrib><creatorcontrib>Shimizu, Wataru</creatorcontrib><creatorcontrib>Suzuki, Takahisa</creatorcontrib><creatorcontrib>Shimizu, Yosuke</creatorcontrib><creatorcontrib>Hinoi, Takao</creatorcontrib><creatorcontrib>Tashiro, Hirotaka</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Surgical endoscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Onoe, Takashi</au><au>Yamaguchi, Megumi</au><au>Irei, Toshimitsu</au><au>Ishiyama, Kohei</au><au>Sudo, Takeshi</au><au>Hadano, Naoto</au><au>Kojima, Masato</au><au>Kubota, Haruna</au><au>Ide, Ryuta</au><au>Tazawa, Hirofumi</au><au>Shimizu, Wataru</au><au>Suzuki, Takahisa</au><au>Shimizu, Yosuke</au><au>Hinoi, Takao</au><au>Tashiro, Hirotaka</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Feasibility and efficacy of repeat laparoscopic liver resection for recurrent hepatocellular carcinoma</atitle><jtitle>Surgical endoscopy</jtitle><stitle>Surg Endosc</stitle><addtitle>Surg Endosc</addtitle><date>2020-10-01</date><risdate>2020</risdate><volume>34</volume><issue>10</issue><spage>4574</spage><epage>4581</epage><pages>4574-4581</pages><issn>0930-2794</issn><eissn>1432-2218</eissn><abstract>Background
Repeat hepatectomy is an acceptable treatment for recurrent hepatocellular carcinoma (HCC). However, repeat laparoscopic liver resection (LLR) has not been widely adopted due to its technical difficulty. This study aimed to assess the feasibility and efficacy of repeat LLR compared with repeat open liver resection (OLR) for recurrent HCC.
Methods
We performed 42 repeat OLR and 30 repeat LLR for cases of recurrent HCC between January 2007 and March 2018. This study retrospectively compared the patients’ clinicopathological characteristics and operative and short-term outcomes including surgical time, intraoperative blood loss, duration of hospital stay, and postoperative complications between the two groups.
Results
There were no significant differences in patient characteristics between the two groups except in terms of Child–Pugh grade. The repeat LLR group had lower median intraoperative blood loss (100 mL vs. 435 mL;
P
= 0.001) and shorter median postoperative hospital stay (10 days vs. 14.5 days;
P
= 0.002). The other results including postoperative complications were comparable between the two groups. Further, comparison of two subpopulations of the repeat LLR group stratified by previous hepatectomy type (open or laparoscopic) or tumor location (segments 7 and 8 or other) revealed no significant differences in the postoperative clinical characteristics between them, although the morbidity rate tended to be higher in patients who underwent open hepatectomy for primary HCC than in patients who underwent laparoscopic hepatectomy.
Conclusions
Repeat LLR for recurrent HCC is feasible and useful with good short-term outcomes although an appropriate patient selection seems to be necessary.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>31853630</pmid><doi>10.1007/s00464-019-07246-3</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-8188-4623</orcidid></addata></record> |
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| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Abdominal Surgery Aged Aged, 80 and over Carcinoma, Hepatocellular - surgery Feasibility Studies Female Gastroenterology Gynecology Hepatectomy Hepatology Humans Laparoscopy Liver - surgery Liver cancer Liver Neoplasms - surgery Male Medicine Medicine & Public Health Middle Aged Neoplasm Recurrence, Local - pathology Patients Postoperative Complications - etiology Proctology Retrospective Studies Surgery Time Factors Treatment Outcome |
| title | Feasibility and efficacy of repeat laparoscopic liver resection for recurrent hepatocellular carcinoma |
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