Propensity score analysis of 424 patients who underwent liver resection for high difficulty hepatocellular carcinoma compared laparoscopic (LLR) and open approaches. LLR had significantly fewer severe complications (3% vs. 10.8%) and shorter hospital stays (6 days vs. 8 days). Long-term outcomes, including tumor recurrence rate, 5-year overall survival rate, and 5-year recurrence-free survival rate, were comparable between LLR and open approaches. The surgical approach did not influence survival. LLR is a viable option with better short-term outcomes and similar long-term survival for selected patients with high difficulty hepatocellular carcinoma.
Journal Article by Ng KKC, Cheng KC (…) Lai PBS et 8 al. in Surg Endosc
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