Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Editorial
. 2017 Feb 8;9(4):167-170.
doi: 10.4254/wjh.v9.i4.167.

Is laparoscopic hepatectomy superior to open hepatectomy for hepatocellular carcinoma?

Jian-Hong Zhong  1 , Ning-Fu Peng  1 , Jian-Hong Gu  1 , Ming-Hua Zheng  1 , Le-Qun Li  1
Affiliations
Editorial

Is laparoscopic hepatectomy superior to open hepatectomy for hepatocellular carcinoma?

Jian-Hong Zhong et al. World J Hepatol. .

Abstract

The low perioperative morbidity and shorter hospital stay associated with laparoscopic hepatectomy have made it an often-used option at many liver centers, despite the fact that many patients with hepatocellular carcinoma have cirrhosis, which makes the procedure more difficult and dangerous. Type of surgical procedure proves not to be a primary risk factor for poor outcomes after hepatic resection for hepatocellular carcinoma, the available evidence clearly shows that laparoscopic hepatectomy is an effective alternative to the open procedure for patients with early-stage hepatocellular carcinoma, even in the presence of cirrhosis. Whether the same is true for patients with intermediate or advanced disease is less clear, since laparoscopic major hepatectomy remains a technically demanding procedure.

Keywords: Hepatocellular carcinoma; Laparoscopic hepatectomy; Open hepatectomy.

PubMed Disclaimer

Conflict of interest statement

Conflict-of-interest statement: The authors declare no conflicts of interest regarding this manuscript.

Figures

Figure 1
Figure 1
Forest plots of meta-analysis comparing the efficacy of laparoscopic with open hepatectomy. A: Rate of 5-year overall survival; B: Rate of 5-year disease-free survival. LH: Laparoscopic hepatectomy.
See this image and copyright information in PMC

References

    1. Cheung TT, Dai WC, Tsang SH, Chan AC, Chok KS, Chan SC, Lo CM. Pure Laparoscopic Hepatectomy Versus Open Hepatectomy for Hepatocellular Carcinoma in 110 Patients With Liver Cirrhosis: A Propensity Analysis at a Single Center. Ann Surg. 2016;264:612–620. - PubMed
    1. Cheung TT, Poon RT, Dai WC, Chok KS, Chan SC, Lo CM. Pure Laparoscopic Versus Open Left Lateral Sectionectomy for Hepatocellular Carcinoma: A Single-Center Experience. World J Surg. 2016;40:198–205. - PubMed
    1. Li W, Zhou X, Huang Z, Zhang K, Luo X, Zhong J, Chen Y. Short-term and long-term outcomes of laparoscopic hepatectomy, microwave ablation, and open hepatectomy for small hepatocellular carcinoma: a 5-year experience in a single center. Hepatol Res. 2016 Epub ahead of print. - PubMed
    1. Dong HH, Mei B, Liu FL, Zhang ZW, Zhang BX, Huang ZY, Chen XP, Zhang WG. Laparoscopic versus traditional open splenectomy for hepatocellular carcinoma with hypersplenism. J Huazhong Univ Sci Technolog Med Sci. 2016;36:519–522. - PubMed
    1. Guro H, Cho JY, Han HS, Yoon YS, Choi Y, Periyasamy M. Current status of laparoscopic liver resection for hepatocellular carcinoma. Clin Mol Hepatol. 2016;22:212–218. - PMC - PubMed

Publication types

LinkOut - more resources