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Hepatobiliary II
PWE-155 The safety and efficiency of laparoscopic liver resection for benign and malignant liver diseases
  1. Y S Khaled1,
  2. D J Malde1,
  3. R Deshpande1,
  4. N de' Liguori Carino1,
  5. B J Ammori1,2
  1. 1General Surgery HPB unit, North Manchester General Hospital, Manchester, UK
  2. 2The University of Manchester, Manchester, UK

Abstract

Introduction Advances in technology and techniques facilitated the development of laparoscopic liver resection (LLR). The study is aimed at the evaluation of the feasibility and effectiveness of LLR for benign and malignant pathology.

Methods This is a retrospective study of 61 patients (27 female) aged 63 (25–83) years who underwent LLR for benign (n=9) and malignant (n=52) between 2003 and 2011 in a single UK tertiary centre. The results shown represent median (range).

Results Surgery was completed laparoscopically in 60 patients (98.3%) and converted to open due to extensive abdominal adhesions in one patient. The procedures performed included the resection of one segment (n=16), two segments (n=36) and three segments (n=9). The overall operative morbidity was 8.5% and there was no mortality. The operating time was 162 (50–300) min. The estimated blood loss was 110 (25–1100) ml and two patients received blood transfusion. The postoperative hospital stay was 3.6 (1–14) days. The resected malignancy in 52 patients included metastases in 47 patients (44 colorectal adenocarcinoma, three others) and hepatocellular carcinoma (n=5), and the R0 resection rate was 86.6% (n=45). At 42 (6–108) months follow-up, 77% were disease-free, 19% showed recurrent metastasis (1 hepatic, 4 hepatic and elsewhere, 5 extra-hepatic) and 4% failed to attend the follow-up.

Conclusion Our results support the expanding evidence that LLR is safe and efficient for the treatment of benign and malignant liver lesions in carefully selected patients.

Competing interests None declared.

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