Pure Laparoscopic Hepatectomy for HCC Patients With Severe Liver Cirrhosis
Zenichi Morise*
Department of Surgery, Fujita Health University Banbuntane Houtokukai Hospital, Nagoya, Japan
The patients with severe liver cirrhosis who undergo hepatectomy often develop post-operative liver failure, even if the hepatectomy is very limited. For the patients, pure laparoscopic hepatectomy (PLH) minimize destruction of the collateral blood and lymphatic flow caused by laparotomy and mobilization of the liver and, also, mesenchymal injury caused by compression of the liver. It restrains the complications, which lead to the postoperative serious liver failure, such as massive ascites. Severe cirrhotic patients with tumors on the surface of the liver, in case of difficult adaptation of RFA and/or local recurrence after repeat treatments, are the good candidates for PLH.
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