Laparoscopic versus open repeat liver resection for recurrent hepatocellular carcinoma in hepatectomy patients: inverse probability of treatment weighting
Repeat liver resection (RLR) is a good treatment option for recurrent hepatocellular carcinoma (HCC). However, laparoscopic repeat liver resection (LRLR) is more technically demanding than open repeat liver resection (ORLR). The purpose of our study is to compare the surgical outcomes of ORLR and LR...
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| Veröffentlicht in: | Updates in Surgery 2022-04, Vol.74 (2), p.527-534 |
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| creator | Jeong, Eun Sung Kim, Jong Man Lim, Manuel Yang, Jaehun Kwon, Ji Eun Choi, Gyu-Seong Joh, Jae-Won |
| description | Repeat liver resection (RLR) is a good treatment option for recurrent hepatocellular carcinoma (HCC). However, laparoscopic repeat liver resection (LRLR) is more technically demanding than open repeat liver resection (ORLR). The purpose of our study is to compare the surgical outcomes of ORLR and LRLR and to carefully present LRLR guidelines for HCC. We performed RLR at a single institution from January 2017 to November 2019. We divided the patients into an ORLR group and an LRLR group. Inverse probability of treatment weighting (IPTW) was applied in this study to compare the ORLR group and the LRLR group. There was no difference between the two groups in patient characteristics, preoperative blood tests and pathological characteristics. After stabilized IPTW, the LRLR group had a shorter hospital stay (5.52 vs. 9.27 days,
p
= 0.001) and superior disease-free survival (
p
= 0.020). LRLR yielded better short-term outcomes than ORLR. And if a regular radiologic examination is performed, most of the recurrent tumors could be detected less than 3 cm. In conclusion, LRLR might be feasible and useful for recurrent HCC located contralateral to the previous tumor at a size of less than 3 cm. |
| doi_str_mv | 10.1007/s13304-022-01257-x |
| format | Article |
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p
= 0.001) and superior disease-free survival (
p
= 0.020). LRLR yielded better short-term outcomes than ORLR. And if a regular radiologic examination is performed, most of the recurrent tumors could be detected less than 3 cm. In conclusion, LRLR might be feasible and useful for recurrent HCC located contralateral to the previous tumor at a size of less than 3 cm.</description><identifier>ISSN: 2038-131X</identifier><identifier>EISSN: 2038-3312</identifier><identifier>DOI: 10.1007/s13304-022-01257-x</identifier><identifier>PMID: 35218476</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Blood ; Carcinoma, Hepatocellular - pathology ; Carcinoma, Hepatocellular - surgery ; Care and treatment ; Diseases ; Hepatectomy ; Hepatoma ; Humans ; Laparoscopic surgery ; Laparoscopy ; Length of Stay ; Liver ; Liver diseases ; Liver Neoplasms - pathology ; Liver Neoplasms - surgery ; Medical examination ; Medicine ; Medicine & Public Health ; Neoplasm Recurrence, Local - surgery ; Original Article ; Postoperative Complications - surgery ; Probability ; Relapse ; Retrospective Studies ; Surgery ; Treatment Outcome</subject><ispartof>Updates in Surgery, 2022-04, Vol.74 (2), p.527-534</ispartof><rights>Italian Society of Surgery (SIC) 2022</rights><rights>2022. Italian Society of Surgery (SIC).</rights><rights>COPYRIGHT 2022 Springer</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c414t-a873a3185317053aa26f1afadf46f8c57f1f3bab0b67bcfbe724d08ab48289b13</citedby><cites>FETCH-LOGICAL-c414t-a873a3185317053aa26f1afadf46f8c57f1f3bab0b67bcfbe724d08ab48289b13</cites><orcidid>0000-0003-4823-6218 ; 0000-0003-2545-3105 ; 0000-0002-1903-8354 ; 0000-0002-4433-2803 ; 0000-0001-7365-2980 ; 0000-0003-0869-9349 ; 0000-0002-6256-3103</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/s13304-022-01257-x$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s13304-022-01257-x$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35218476$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jeong, Eun Sung</creatorcontrib><creatorcontrib>Kim, Jong Man</creatorcontrib><creatorcontrib>Lim, Manuel</creatorcontrib><creatorcontrib>Yang, Jaehun</creatorcontrib><creatorcontrib>Kwon, Ji Eun</creatorcontrib><creatorcontrib>Choi, Gyu-Seong</creatorcontrib><creatorcontrib>Joh, Jae-Won</creatorcontrib><title>Laparoscopic versus open repeat liver resection for recurrent hepatocellular carcinoma in hepatectomy patients: inverse probability of treatment weighting</title><title>Updates in Surgery</title><addtitle>Updates Surg</addtitle><addtitle>Updates Surg</addtitle><description>Repeat liver resection (RLR) is a good treatment option for recurrent hepatocellular carcinoma (HCC). However, laparoscopic repeat liver resection (LRLR) is more technically demanding than open repeat liver resection (ORLR). The purpose of our study is to compare the surgical outcomes of ORLR and LRLR and to carefully present LRLR guidelines for HCC. We performed RLR at a single institution from January 2017 to November 2019. We divided the patients into an ORLR group and an LRLR group. Inverse probability of treatment weighting (IPTW) was applied in this study to compare the ORLR group and the LRLR group. There was no difference between the two groups in patient characteristics, preoperative blood tests and pathological characteristics. After stabilized IPTW, the LRLR group had a shorter hospital stay (5.52 vs. 9.27 days,
p
= 0.001) and superior disease-free survival (
p
= 0.020). LRLR yielded better short-term outcomes than ORLR. And if a regular radiologic examination is performed, most of the recurrent tumors could be detected less than 3 cm. In conclusion, LRLR might be feasible and useful for recurrent HCC located contralateral to the previous tumor at a size of less than 3 cm.</description><subject>Blood</subject><subject>Carcinoma, Hepatocellular - pathology</subject><subject>Carcinoma, Hepatocellular - surgery</subject><subject>Care and treatment</subject><subject>Diseases</subject><subject>Hepatectomy</subject><subject>Hepatoma</subject><subject>Humans</subject><subject>Laparoscopic surgery</subject><subject>Laparoscopy</subject><subject>Length of Stay</subject><subject>Liver</subject><subject>Liver diseases</subject><subject>Liver Neoplasms - pathology</subject><subject>Liver Neoplasms - surgery</subject><subject>Medical examination</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Neoplasm Recurrence, Local - surgery</subject><subject>Original Article</subject><subject>Postoperative Complications - surgery</subject><subject>Probability</subject><subject>Relapse</subject><subject>Retrospective Studies</subject><subject>Surgery</subject><subject>Treatment Outcome</subject><issn>2038-131X</issn><issn>2038-3312</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9Uctu1TAQjRCIVqU_wAJ5ySbFj-Q6YVdVvKQrsQGJnTXxHd-6SuxgO9D7K3wtE3JhiS3Z8zhnZuxTVS8FvxGc6zdZKMWbmktZcyFbXT8-qS4lV12tlJBPz7ZQ4ttFdZ3zA6el-vV8Xl2oVoqu0bvL6tceZkgx2zh7y35gyktmccbAEs4IhY2eguRktMXHwFxcPbukhKGwe5yhRIvjuIyQmIVkfYgTMB-2HLHidGJkecLnt5RYmyCbUxxg8KMvJxYdK4maTWvJn-iP98WH44vqmYMx4_X5vqq-vn_35e5jvf_84dPd7b62jWhKDZ1WoETXKqF5qwDkzglwcHDNznW21U44Ra34sNODdQNq2Rx4B0PTya4fhLqqXm91aaTvC-ZiJp_XJ0HAuGQjd0p1fdu3mqA3G_QIIxofXCwJLO0DTt7GgM5T_Fbzpueylz0R5Eaw9Mc5oTNz8hOkkxHcrDqaTUdDOpo_OppHIr06D7QMEx7-Uf6qRgC1ATKlwhGTeYhLCvRJ_yv7G7eRrgk</recordid><startdate>20220401</startdate><enddate>20220401</enddate><creator>Jeong, Eun Sung</creator><creator>Kim, Jong Man</creator><creator>Lim, Manuel</creator><creator>Yang, Jaehun</creator><creator>Kwon, Ji Eun</creator><creator>Choi, Gyu-Seong</creator><creator>Joh, Jae-Won</creator><general>Springer International Publishing</general><general>Springer</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>IAO</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-4823-6218</orcidid><orcidid>https://orcid.org/0000-0003-2545-3105</orcidid><orcidid>https://orcid.org/0000-0002-1903-8354</orcidid><orcidid>https://orcid.org/0000-0002-4433-2803</orcidid><orcidid>https://orcid.org/0000-0001-7365-2980</orcidid><orcidid>https://orcid.org/0000-0003-0869-9349</orcidid><orcidid>https://orcid.org/0000-0002-6256-3103</orcidid></search><sort><creationdate>20220401</creationdate><title>Laparoscopic versus open repeat liver resection for recurrent hepatocellular carcinoma in hepatectomy patients: inverse probability of treatment weighting</title><author>Jeong, Eun Sung ; Kim, Jong Man ; Lim, Manuel ; Yang, Jaehun ; Kwon, Ji Eun ; Choi, Gyu-Seong ; Joh, Jae-Won</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c414t-a873a3185317053aa26f1afadf46f8c57f1f3bab0b67bcfbe724d08ab48289b13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Blood</topic><topic>Carcinoma, Hepatocellular - pathology</topic><topic>Carcinoma, Hepatocellular - surgery</topic><topic>Care and treatment</topic><topic>Diseases</topic><topic>Hepatectomy</topic><topic>Hepatoma</topic><topic>Humans</topic><topic>Laparoscopic surgery</topic><topic>Laparoscopy</topic><topic>Length of Stay</topic><topic>Liver</topic><topic>Liver diseases</topic><topic>Liver Neoplasms - pathology</topic><topic>Liver Neoplasms - surgery</topic><topic>Medical examination</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Neoplasm Recurrence, Local - surgery</topic><topic>Original Article</topic><topic>Postoperative Complications - surgery</topic><topic>Probability</topic><topic>Relapse</topic><topic>Retrospective Studies</topic><topic>Surgery</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jeong, Eun Sung</creatorcontrib><creatorcontrib>Kim, Jong Man</creatorcontrib><creatorcontrib>Lim, Manuel</creatorcontrib><creatorcontrib>Yang, Jaehun</creatorcontrib><creatorcontrib>Kwon, Ji Eun</creatorcontrib><creatorcontrib>Choi, Gyu-Seong</creatorcontrib><creatorcontrib>Joh, Jae-Won</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale Academic OneFile</collection><collection>MEDLINE - Academic</collection><jtitle>Updates in Surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jeong, Eun Sung</au><au>Kim, Jong Man</au><au>Lim, Manuel</au><au>Yang, Jaehun</au><au>Kwon, Ji Eun</au><au>Choi, Gyu-Seong</au><au>Joh, Jae-Won</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Laparoscopic versus open repeat liver resection for recurrent hepatocellular carcinoma in hepatectomy patients: inverse probability of treatment weighting</atitle><jtitle>Updates in Surgery</jtitle><stitle>Updates Surg</stitle><addtitle>Updates Surg</addtitle><date>2022-04-01</date><risdate>2022</risdate><volume>74</volume><issue>2</issue><spage>527</spage><epage>534</epage><pages>527-534</pages><issn>2038-131X</issn><eissn>2038-3312</eissn><abstract>Repeat liver resection (RLR) is a good treatment option for recurrent hepatocellular carcinoma (HCC). However, laparoscopic repeat liver resection (LRLR) is more technically demanding than open repeat liver resection (ORLR). The purpose of our study is to compare the surgical outcomes of ORLR and LRLR and to carefully present LRLR guidelines for HCC. We performed RLR at a single institution from January 2017 to November 2019. We divided the patients into an ORLR group and an LRLR group. Inverse probability of treatment weighting (IPTW) was applied in this study to compare the ORLR group and the LRLR group. There was no difference between the two groups in patient characteristics, preoperative blood tests and pathological characteristics. After stabilized IPTW, the LRLR group had a shorter hospital stay (5.52 vs. 9.27 days,
p
= 0.001) and superior disease-free survival (
p
= 0.020). LRLR yielded better short-term outcomes than ORLR. And if a regular radiologic examination is performed, most of the recurrent tumors could be detected less than 3 cm. In conclusion, LRLR might be feasible and useful for recurrent HCC located contralateral to the previous tumor at a size of less than 3 cm.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>35218476</pmid><doi>10.1007/s13304-022-01257-x</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0003-4823-6218</orcidid><orcidid>https://orcid.org/0000-0003-2545-3105</orcidid><orcidid>https://orcid.org/0000-0002-1903-8354</orcidid><orcidid>https://orcid.org/0000-0002-4433-2803</orcidid><orcidid>https://orcid.org/0000-0001-7365-2980</orcidid><orcidid>https://orcid.org/0000-0003-0869-9349</orcidid><orcidid>https://orcid.org/0000-0002-6256-3103</orcidid></addata></record> |
| fulltext | fulltext |
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| ispartof | Updates in Surgery, 2022-04, Vol.74 (2), p.527-534 |
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| subjects | Blood Carcinoma, Hepatocellular - pathology Carcinoma, Hepatocellular - surgery Care and treatment Diseases Hepatectomy Hepatoma Humans Laparoscopic surgery Laparoscopy Length of Stay Liver Liver diseases Liver Neoplasms - pathology Liver Neoplasms - surgery Medical examination Medicine Medicine & Public Health Neoplasm Recurrence, Local - surgery Original Article Postoperative Complications - surgery Probability Relapse Retrospective Studies Surgery Treatment Outcome |
| title | Laparoscopic versus open repeat liver resection for recurrent hepatocellular carcinoma in hepatectomy patients: inverse probability of treatment weighting |
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