Detailed Abstract
[E-poster]
[EP038] Long-term outcomes of laparoscopic versus open liver resection for combined hepatocellular-cholangiocarcinoma
Seung Jae LEE1, YoungRok CHOI*1, So Hyun KANG2, Jeong-Moo LEE1, Suk Kyun HONG1, Hae Won LEE1, Jai Young CHO2, Nam-Joon YI1, Yoo-Seok YOON2, Kwang-Woong LEE1, Ho-Seong HAN2, Kyung-Suk SUH1
1Department of Surgery, Seoul National University College of Medicine, Seoul National University Hospital, Korea
2Department of Surgery, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Korea
Introduction : Combined hepatocellular–cholagiocarcinoma (cHCC-CCA) is a rare primary hepatic neoplasm. Currently, there are no published studies that analyze the feasibility of laparoscopic liver resection (LLR) in cHCC-CCA alone. This study aims to compare the long-term survival of LLR with open liver resection (OLR) in cHCC-CCA.
Methods : Patients who underwent liver resection for cHCC-CCA from August 2004 to June 2015 were enrolled. Kaplan-Meier survival analysis was performed to analyze the 3-year disease-free survival (DFS) and 3-year overall survival (OS).
Results : A total of 101 patients were enrolled with 25 in the laparoscopic group and 76 in the open group. The 3-year OS was 84% in the laparoscopic group and 90.8% in the open group. The 3-year DFS was 60% in the laparoscopic group and 48.7% in the open group. Hospital stay was significantly shorter in the laparoscopic group (7.9?.6 days) than in the open group (16.6?1.5 days). Complication (Clavien-Dindo grade II or more) was also less in the laparoscopic group (2, 8%) than the open group (18, 23.7%).
Conclusions : Laparoscopic liver resection for cHCC-CCA is technically feasible and safe, providing short-term benefits without affecting long-term survival.
Methods : Patients who underwent liver resection for cHCC-CCA from August 2004 to June 2015 were enrolled. Kaplan-Meier survival analysis was performed to analyze the 3-year disease-free survival (DFS) and 3-year overall survival (OS).
Results : A total of 101 patients were enrolled with 25 in the laparoscopic group and 76 in the open group. The 3-year OS was 84% in the laparoscopic group and 90.8% in the open group. The 3-year DFS was 60% in the laparoscopic group and 48.7% in the open group. Hospital stay was significantly shorter in the laparoscopic group (7.9?.6 days) than in the open group (16.6?1.5 days). Complication (Clavien-Dindo grade II or more) was also less in the laparoscopic group (2, 8%) than the open group (18, 23.7%).
Conclusions : Laparoscopic liver resection for cHCC-CCA is technically feasible and safe, providing short-term benefits without affecting long-term survival.
SESSION
E-poster
E-Session 3/25 ~ 3/27 ALL DAY