Zhong Jian-Hong, Peng Ning-Fu, Gu Jian-Hong, Zheng Ming-Hua, Li Le-Qun
Jian-Hong Zhong, Ning-Fu Peng, Le-Qun Li, Department of Hepatobiliary Surgery, Affiliated Tumor Hospital of Guangxi Medical University, Nanning 530021, Guangxi Zhuang Autonomous Region, China.
World J Hepatol. 2017 Feb 8;9(4):167-170. doi: 10.4254/wjh.v9.i4.167.
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.
尽管许多肝细胞癌患者伴有肝硬化，这使得手术更加困难和危险，但腹腔镜肝切除术围手术期发病率低且住院时间短，已成为许多肝脏中心常用的手术方式。现有证据清楚地表明，手术方式并非肝细胞癌肝切除术后预后不良的主要危险因素，对于早期肝细胞癌患者，即使存在肝硬化，腹腔镜肝切除术也是开腹手术的有效替代方案。对于中晚期疾病患者是否如此尚不清楚，因为腹腔镜大肝切除术在技术上仍然是一项要求很高的手术。
