An evaluation of the safety of pure laparoscopic hepatectomy in patients with liver cirrhosis: investigations including serum albumin and ascites.

Abstract

PURPOSE:

The purpose of this study was to investigate scientific advantages and safety of pure laparoscopic hepatectomy in patients with severe damaged liver and cirrhosis.

METHODS:

Three cohorts were evaluated: group I, patients with severe liver damage or cirrhosis (f3-4) who underwent laparoscopic-assisted hepatectomy (n=8); group II, patients with severe liver damage or cirrhosis (f3-4) who underwent pure laparoscopic hepatectomy (n=10); group III, patients with normal liver (f0) who underwent pure laparoscopic hepatectomy (control, n=7). A comparison of operative time, blood loss, serum albumin, C-reactive protein, duration of hospitalization, duration of postoperative indispensable hospitalization, and the duration of ascites drainage was made between the 3 cohorts.

RESULTS:

All parameters except for operative time and C-reactive protein investigated were significantly worse in group I compared with the other 2 groups.

CONCLUSIONS:

In conclusion, pure laparoscopic hepatectomy might be safe for patients with damaged liver and cirrhosis.

• Authors: Shigehito Miyagi, Chikashi Nakanishi, Yasuyuki Hara, Takashi Kamei, Naoki Kawagishi, Noriaki Ohuchi
• Journal: Surgical laparoscopy, endoscopy & percutaneous techniques (Surg Laparosc Endosc Percutan Tech) Vol. 25 Issue 3 Pg. 209-11 (Jun 2015) ISSN: 1534-4908 [Electronic] United States
• PMID: 25856139 (Publication Type: Comparative Study, Journal Article, Research Support, Non-U.S. Gov't)

Chemical References

• Serum Albumin
• C-Reactive Protein

Topics

• Aged
• Ascites (complications)
• Blood Loss, Surgical
• C-Reactive Protein (analysis)
• Female
• Hepatectomy
• Humans
• Laparoscopy
• Length of Stay
• Liver Cirrhosis (complications)
• Liver Neoplasms (surgery)
• Male
• Middle Aged
• Operative Time
• Serum Albumin (analysis)