Impact of Unplanned Conversion on Patient Survival after Laparoscopic Liver Resection for Hepatocellular Carcinoma
Unplanned conversion during laparoscopic liver resection for hepatocellular carcinoma is associated with higher blood loss, transfusion rate, hospital stay, and postoperative complications. However, the 5-year overall survival rate was similar in patients who underwent unplanned conversion and those who underwent laparoscopic liver resection.
Liver transplantation gave better 5-year survival than liver resection in combined hepatocellular-cholangiocarcinoma, including tumors within UCSF criteria.
Robotic liver resection using a close-to-open forceps technique was associated with no bile leakage and a shorter hospital stay than laparoscopic resection, even though more complex resections were performed in the robotic group.