Clinical analysis of laparoscopic right hepatic posterior lobectomy for hepatoma(with 76 cases report)

Abstract

Objective To explore the clinical value of laparoscopic right hepatic posterior lobectomy for the safety and efficacy of the treatment of right hepatic posterior lobe tumor. Methods We collected patients′ clinical data for summary review, those who underwent laparoscopic right posterior lobectomy in our hepatobiliary department from Nov. 2013 to Feb. 2017. Then, we evaluated the safety and efficacy of laparoscopic right posterior lobectomy for the treatment of right posterior lobe tumor. Results In this study, 76 patients were included and 70 patients underwent laparoscopic subtotal lobe resection. The hepatic blood flow was blocked by Pringle method with an incidence of 72.37% (55/76). The mean operative time was(266.04 ± 87.44)min.The intraoperative blood transfusion rate was 10.53% (8/76) and intraoperative blood loss was(330.21 ± 163.51)ml.There were 6 cases undergoing open surgery. Thus, the transfer rate was 7.89% (6/76). As for postoperative complications, the postoperative bile leakage rate was 2.63% (2/76). There was no perioperative death and re-operation case occurred within 30 days. After the operation, the average time for hospital stay were (7.14 ± 3.39)days. All patients were followed up and the follow-up time lasted from 6 to 36 moths. Patients checked for their condition every 3 to 6 months after leaving the hospital. Malignant tumor-free survival time was (18.38 ± 6.80) months, and there was no patient dead during the follow-up period. Conclusions In the center of rich experience of laparoscopic hepatectomy , strict indications, rational use of surgical techniques, equipment, complete laparoscopic right hepatic lobe resection for the treatment of right posterior lobectomy tumors is safe and effective, worthy of further promotion. Key words: Laparoscopy; Right hepatic posterior lobectomy; Hepatoma