Assessment of safety and applicability of laparoscopic vs open non anatomical resection of hepatocellular carcinoma in cirrhotic patients

Abstract

Laparoscopic liver resection (LLR) has progressively developed along the past two decades. Liver surgery was one of the last frontiers reached by minimally invasive surgery. Surgical technique and equipment evolved to overcome technical limitations, making laparoscopic liver resections (LLR) safe and feasible. Surgeons developed skills in a stepwise approach, beginning with low complexity operations for benign diseases and reaching high-complexity surgeries for malignant cases and living donor organ harvesting (Coelho et al., 2016). Surgical resection has been accepted as the effective local treatment for hepatocellular carcinoma. The laparoscopic approach has been increasingly gaining popularity as one of the minimally-invasive treatments of HCC (Kawaguchi et al., 2017). In this prospective study, a comparison between laparoscopic resection and open resection was done to compare short-term results between both techniques in cirrhotic patients. This study was conducted on 30 patients with hepatocellular carcinoma. 15 patients (50%) were treated by laparoscopic liver resection (Group A) while the other 15