ISSN: 1859 - 2872
Description of bile leak and pleural effusion between two groups open hepatectomy and laparoscopic hepatectomy for hepatocellular carcinoma
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Abstract
Objective: To describe bile leak and pleural effusion between two groups of open hepatectomy and laparoscopic hepatectomy for hepatocellular carcinoma. Subject and method: Retrospective study of cases of hepatocellular carcinoma undergoing open hepatectomy and laparoscopic hepatectomy from August 2020 to August 2021 at 108 Military Central Hospital. Result: Through 107 patients with hepatocellular carcinoma undergoing hepatectomy, in which 55 patients with open hepatectomy and 52 patients with laparoscopic hepatectomy, the comparison results between the two groups showed that: Major liver resection in the open surgery group accounted for a higher rate (41.8% vs. 30.8%), shorter operation time in the open surgery group (167.6 ± 37.8 minutes and 194.5 ± 66.2 minutes), blood loss intraoperative and blood transfusion rates were not different (264.9 ± 280.1ml vs. 248.7 ± 171.6ml; 7.3% vs. 3.8%); The rate of bile leak (5.4% vs. 3.8%) and pleural effusion (3.6% vs. 3.8%) between the two groups were not statistically significant with p=0.435 and 0,91; The mean post-operative hospital stay in the two groups was 9.6 ± 4.8 and 8.8 ± 3.8 days. Conclusion: Open hepatectomy and laparoscopic hepatectomy for hepatocellular carcinoma have no difference in complications of bile leak and pleural effusion post-operative.
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References
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