Short-term outcome after laparoscopic versus open liver resection in liver tumors
Mohammed N Nassar MSc 1, Soliman A El-Shakhs2, Hatem M Sultan3, Alaa A El-Sisy2, Tamer A Sultan4, Ahmed S Hafez5
1 Department of General Surgery, Faculty of Medicine, Menoufia University, Menoufia, Egypt
2 Department of General and Oncological Surgery, Faculty of Medicine, Menoufia University, Menoufia, Egypt
3 Department of General and Laparoscopic Surgery, Faculty of Medicine, Menoufia University, Menoufia, Egypt
4 Department of General and Pediatric Surgery, Faculty of Medicine, Menoufia University, Menoufia, Egypt
5 Department of Oncological and Laparoscopic Surgery, El-Salam Oncology Center, Cairo, Egypt
Mohammed N Nassar
Department of General Surgery, Faculty of Medicine, Menoufia University, Yassin Abd El-Ghaffar Street of Gamal Abd El-Nasser Street, Shebin El-Kom, Menoufia
Source of Support: None, Conflict of Interest: None
To compare between laparoscopic and open liver resection for liver tumors.
Laparoscopic surgery has become a standard in many elective procedures, but it is still gaining popularity in liver surgery. The safety of laparoscopic liver resection is still under study.
Materials and methods
This study was prospectively conducted from October 2012 to December 2014 on 30 patients presenting with hepatic tumors (benign and malignant) to the outpatient clinic of both Menoufia University Hospitals and El-Salam Oncology Center. Patients were divided randomly into two groups: group A, which includes 15 patients operated upon by laparoscopic technique; and group B, which includes 15 patients operated upon by open technique.
Operating time was significantly longer in the laparoscopy group: it was 131.54 ± 15.61 versus 118.04 ± 19.41 min. Blood loss was highly significant in laparoscopic resections. Mean hospital stay was highly significant shortly after laparoscopy 6.20 ± 1.10 versus 8.81 ± 1.50 days. Patients who underwent laparoscopic procedure resumed oral intake earlier than the open group. The overall complication rate was significantly lower in the laparoscopic group than the open group.
Laparoscopic liver resection improved surgical and postsurgical outcome for open liver resection regarding less operative blood loss, postoperative pain, postoperative complications, and hospital stay.