Hai-tao Jiang1, Jing-yu Cao2. 1. Department of General Surgery, Ningbo No. 2 Hospital, Ningbo 315010, Zhejiang, China. 2. Department of Hepatobiliary Surgery, the Affiliated Hospital of Qingdao University, Qingdao, Shandong 266003, China.
Abstract
OBJECTIVE: To compare the perioperative outcomes of patients with primary hepatic carcinoma treated withlaparoscopic hepatectomy (LH) with those treated with open hepatectomy (OH). METHODS:From January 2010 to August 2014, 100 patients with primary hepatic carcinoma were randomly divided into the LH group and OH group respectively, 50 patients in each group. And the incision length, blood loss, operative time, postoperative liver function, anus exhaust time, complications, length of postoperative hospital stay, and cost measures were compared. RESULTS:LH could achieve shorter incision length, less blood loss, more rapid recovery in liver function and gastrointestinal function, and shorter postoperative hospital stay length compared with OH for primary hepatic carcinoma patients (all P<0.05). However, LH could not significantly shorten operative time, and reduce postoperative complications and hospitalization cost (all P>0.05). CONCLUSION: Compared with OH, LH could improve perioperative outcomes of primary hepatic carcinoma patients.
RCT Entities:
OBJECTIVE: To compare the perioperative outcomes of patients with primary hepatic carcinoma treated with laparoscopic hepatectomy (LH) with those treated with open hepatectomy (OH). METHODS: From January 2010 to August 2014, 100 patients with primary hepatic carcinoma were randomly divided into the LH group and OH group respectively, 50 patients in each group. And the incision length, blood loss, operative time, postoperative liver function, anus exhaust time, complications, length of postoperative hospital stay, and cost measures were compared. RESULTS:LH could achieve shorter incision length, less blood loss, more rapid recovery in liver function and gastrointestinal function, and shorter postoperative hospital stay length compared with OH for primary hepatic carcinomapatients (all P<0.05). However, LH could not significantly shorten operative time, and reduce postoperative complications and hospitalization cost (all P>0.05). CONCLUSION: Compared with OH, LH could improve perioperative outcomes of primary hepatic carcinomapatients.
Authors: Ioannis A Ziogas; Alexandros P Evangeliou; Konstantinos S Mylonas; Dimitrios I Athanasiadis; Panagiotis Cherouveim; David A Geller; Richard D Schulick; Sophoclis P Alexopoulos; Georgios Tsoulfas Journal: Eur J Health Econ Date: 2021-03-19
Authors: Xiaobo Wang; Zhaohui Zhang; Zhangqiang Wu; Yuezong Sun; Yili Zhang; Ming Gong; Feng Ji Journal: Zhejiang Da Xue Xue Bao Yi Xue Ban Date: 2020-05-25
Authors: Jan Witowski; Mateusz Rubinkiewicz; Magdalena Mizera; Michał Wysocki; Natalia Gajewska; Mateusz Sitkowski; Piotr Małczak; Piotr Major; Andrzej Budzyński; Michał Pędziwiatr Journal: Surg Endosc Date: 2018-09-10 Impact factor: 4.584