Postoperative Nutritional Assessment of Laparoscopic Versus Open Partial Hepatectomy.

IF 1.6 4区医学 Q4 ONCOLOGY Anticancer research Pub Date : 2024-09-01 DOI:10.21873/anticanres.17221

Kenei Furukawa, Masashi Tsunematsu, Koichiro Haruki, Shinji Onda, Tomohiko Taniai, Kyohei Abe, Yoshihiro Shirai, Yuta Yamada, Toru Ikegami

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Abstract

Background/aim: No studies have investigated the advantage of laparoscopic hepatectomy (LH) compared with open hepatectomy (OH) from a nutritional perspective. This study aimed to compare the postoperative nutritional status between LH and OH.

Patients and methods: A total of 186 patients who underwent partial hepatic resection for liver tumors were analyzed retrospectively. We compared perioperative variables between LH and OH. The nutritional status was assessed using serum albumin (Alb) and rapid turnover protein concentrations. We investigated risk factors for postoperative malnutrition using univariate and multivariate analyses.

Results: The LH group, compared with the OH group, had a significantly shorter operative time (239 vs. 344 min, p<0.03), less intraoperative blood loss (100 vs. 343 g, p<0.01), and a shorter length of postoperative stay (8 vs. 11 days, p<0.01). Postoperative serum Alb and prealbumin concentrations in the LH group were significantly higher than those in the OH group (3.4 vs. 3.2 g/dl, p<0.01; 15.0 vs. 12.0 mg/dl, p=0.02, respectively). The multivariate analysis showed that OH (p=0.02) and hepatocellular carcinoma (p<0.01) were significant and independent risk factors for postoperative malnutrition.

Conclusion: LH may be superior to OH in terms of the postoperative nutritional status, intraoperative blood loss, and length of postoperative stay.

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腹腔镜与开腹部分肝切除术的术后营养评估

背景/目的：尚未有研究从营养角度调查腹腔镜肝切除术（LH）与开腹肝切除术（OH）相比的优势。本研究旨在比较腹腔镜肝切除术和开腹肝切除术的术后营养状况：回顾性分析了186例因肝肿瘤接受肝部分切除术的患者。我们比较了 LH 和 OH 的围手术期变量。营养状况通过血清白蛋白（Alb）和快速周转蛋白浓度进行评估。我们通过单变量和多变量分析研究了术后营养不良的风险因素：结果：与OH组相比，LH组的手术时间明显更短（239分钟对344分钟，p结论：LH组可能优于OH组：结论：就术后营养状况、术中失血量和术后住院时间而言，LH 组可能优于 OH 组。

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来源期刊

Anticancer research 医学-肿瘤学

CiteScore

3.70

自引率

10.00%

发文量

566

审稿时长

2 months

期刊介绍： ANTICANCER RESEARCH is an independent international peer-reviewed journal devoted to the rapid publication of high quality original articles and reviews on all aspects of experimental and clinical oncology. Prompt evaluation of all submitted articles in confidence and rapid publication within 1-2 months of acceptance are guaranteed. ANTICANCER RESEARCH was established in 1981 and is published monthly (bimonthly until the end of 2008). Each annual volume contains twelve issues and index. Each issue may be divided into three parts (A: Reviews, B: Experimental studies, and C: Clinical and Epidemiological studies). Special issues, presenting the proceedings of meetings or groups of papers on topics of significant progress, will also be included in each volume. There is no limitation to the number of pages per issue.