Pure Laparoscopic Versus Open Liver Resection in Treatment of Hepatolithiasis Within the Left Lobes: A Randomized Trial Study

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Guoqian DingMingfang Qin

Abstract

The application of laparoscopic technology to liver surgery has been developing rapidly, yet very few studies have been conducted to compare the outcomes between open and laparoscopic liver resections. So little is known about their advantages and disadvantages. The aim of this prospective randomized study was to compare the outcomes between laparoscopic and open liver resection in treatment of hepatolithiasis within the left lateral lobes. Between January 2010 and May 2013, 98 patients with hepatolithiasis within the left lateral lobes diagnosed by preoperative computed tomography and magnetic resonance cholangiopancreatography were randomized into open group and laparoscopic group. Each group had 49 patients. We compared the operation time, the amount of bleeding, the length of their stay in hospital, and complications. Of the laparoscopic group, 2 patients were converted to open surgery. No fatal complication occurred in either the open group or the laparoscopic group. There was no statistically significant difference in the complications between the 2 groups (4.08% vs. 6.12%, P=0.64), but the operating time, the amount of bleeding, and the length of stay in hospital were significantly shorter in the laparoscopic group than ...Continue Reading

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Citations

Oct 19, 2016·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Long PengWeidong Xiao
Dec 7, 2017·World Journal of Gastroenterology : WJG·Hui LiGen-Shu Wang
Feb 5, 2016·World Journal of Gastrointestinal Surgery·Fabricio Ferreira CoelhoPaulo Herman
Oct 29, 2017·Journal of the Chinese Medical Association : JCMA·Hui JiangBo Li
May 20, 2020·Arquivos Brasileiros De Cirurgia Digestiva : ABCD = Brazilian Archives of Digestive Surgery·Bruno Silva de AssisPaulo Herman
Jun 28, 2020·World Journal of Surgery·J PekoljP Herman
May 4, 2016·World Journal of Surgery·Kit-Fai LeePaul B S Lai
Aug 31, 2020·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Adrian K H ChiowGi Hong Choi
Dec 1, 2020·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Dianbo Yao, Shuodong Wu
Apr 7, 2021·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Caelán M HaneyFelix Nickel
Oct 12, 2020·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Marcel J van der PoelMarc G Besselink

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