| Abstract | BACKGROUND/AIMS: The purpose of the present study was to clarify the indications for a thoracoabdominal right oblique approach and an inverted L incision in posterior segmentectomy of the liver for hepatocellular carcinoma. METHODOLOGY: Forty-six patients with hepatocellular carcinoma who underwent posterior segmentectomy with thoracotomy were divided into 2 groups according to the incision: thoracoabdominal right oblique incision (group A, n = 17) and inverted L incision (group B, n = 29). The perioperative factors of the patients in the 2 groups were compared retrospectively. RESULTS: No significant differences were found in the preoperative factors between the groups. However, a longer operation time (P = 0.01) and more blood loss (P = 0.02) were noted in group B. Although there was no significant difference between the groups in the overall morbidity rate (P = 0.36), a higher rate of pleural effusion was recognized in group A (P = 0.01). CONCLUSIONS: Thoracoabdominal right oblique incision may be suitable for use as an approach for posterior segmentectomy when manipulation of the left lobe is not required. |
| Authors | H Sato, Y Sugawara, S Yamasaki, K Shimada, T Takayama, M Makuuchi, T Kosuge
(Affiliation: Department of Hepatobiliary Pancreatic Surgery of National Cancer Center Hospital, Tokyo, Japan.)
|
| Journal | Hepato-gastroenterology
(Hepatogastroenterology)
2000 Mar-Apr
Vol. 47
Issue 32
Pg. 504-6
ISSN: 0172-6390 GREECE |
| PMID | 10791222
(Publication Type: Comparative Study, Journal Article, Research Support, Non-U.S. Gov't)
|
| Topics |
- Adult
- Aged
- Blood Loss, Surgical
(physiopathology)
- Carcinoma, Hepatocellular
(surgery)
- Female
- Hepatectomy
(methods)
- Humans
- Liver Neoplasms
(surgery)
- Male
- Middle Aged
- Postoperative Complications
(etiology)
- Retrospective Studies
|
