An Evaluation of the Safety of Pure Laparoscopic Hepatectomy in Patients With Liver Cirrhosis: Investigations Including Serum Albumin and Ascites


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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.

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