The role of minimally invasive surgery in the treatment of HCC

G. Cassese, Ho-Seong Han, Boram Lee, Hae Won Lee, J. Cho, R. Troisi
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引用次数: 5

Abstract

Liver surgery is the first-line treatment for hepatocellular carcinoma (HCC). Minimally invasive liver resection (MILS) has become an attractive option thanks to reduced intraoperative blood losses, shortened length of hospital stay, and similar oncological outcomes when compared to open liver resection. Nonetheless, the safety of MILS is still debated in challenging situations, such as in cirrhotic patients, difficult tumor locations, multiple or large tumors, and repeat resection. The aim of this review is to discuss current indications of laparoscopic liver resection for HCC treatment in the light of its outcomes, focusing on technical aspects of minimally invasive anatomic liver resection and state of the art of MILS in challenging situations.
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微创手术在HCC治疗中的作用
肝脏手术是肝细胞癌(HCC)的一线治疗方法。微创肝切除术(MILS)由于术中出血量减少、住院时间缩短以及与开放式肝切除术相似的肿瘤预后,已成为一种有吸引力的选择。尽管如此,在一些具有挑战性的情况下,如肝硬化患者、肿瘤位置困难、多发或大肿瘤以及重复切除,MILS的安全性仍存在争议。本综述的目的是根据其结果讨论目前腹腔镜肝切除术治疗HCC的适应症,重点是微创解剖肝切除术的技术方面和微创解剖肝切除术在挑战性情况下的最新进展。
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