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Laparoscopic liver resection for primary liver cancers originating in the paracaval portion of the caudate lobe: a preliminary retrospective analysis with 31 patients

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Abstract

Paracaval-originating cancers have been considered a contraindication for laparoscopic liver resection (LLR). This study aimed to explore the safety and feasibility of LLR in the treatment of paracaval-originating cancers. This study included 11 patients who underwent LLR and 20 who underwent open liver resection (OLR) for paracaval-originating cancers between May 2010 and November 2020. The outcomes of the procedures were retrospectively analyzed. There were no cases of perioperative death or conversion to laparotomy. The LLR group had an earlier postoperative feeding time, shorter postoperative hospital stay, and lower total bilirubin levels on the first day after surgery. No significant differences in the incidence of overall postoperative complications were noted between the LLR and OLR groups, but the incidence of grade IIIa complications was significantly higher in the LLR group than in the OLR group. Tumor recurrence occurred in 4 of 11 patients in the LLR group and in 11 of 20 patients in the OLR group. LLR for the treatment of paracaval-originating cancers is safe and feasible in selected patients.

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Data availability

The datasets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request.

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Funding

This work was supported by Technology Innovation Project Foundation for Key Areas of the First Affiliated Hospital, Army Medical University, China (No. SWH2016ZDCX2015) and National Natural Science Foundation of China (81972303).

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Authors and Affiliations

  1. Institute of Hepatobiliary Surgery, Southwest Hospital, Army Medical University, Chongqing, China

    Tiange Sun, Xiaojun Wang, Li Cao, Jianwei Li, Jian Chen, Xuesong Li, Kexi Liao & Shuguo Zheng

  2. First Department of Surgery, 78th Group Military Hospital of the PLA Army, Mudanjiang, Heilongjiang, China

    Tiange Sun, Xiaojun Wang, Li Cao, Jianwei Li, Jian Chen, Xuesong Li, Kexi Liao & Shuguo Zheng

Authors
  1. Tiange Sun
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  2. Xiaojun Wang
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  3. Li Cao
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  4. Jianwei Li
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  5. Jian Chen
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  6. Xuesong Li
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  8. Shuguo Zheng
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Contributions

All authors contributed to the study conception and design. Material preparation, data collection, and analysis were performed by SZ, TS, XW, and LC. The first draft of the manuscript was written by TS and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Shuguo Zheng.

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Conflict of interest

The authors have no relevant financial or non-financial interests to disclose.

Ethical approval

The study was approved by the ethics committee of the Southwest Hospital of Army Medical University (KY2020125).

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All patients signed informed consent forms before participating in the study.

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All patients agreed to have their clinical data published for scientific research.

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Sun, T., Wang, X., Cao, L. et al. Laparoscopic liver resection for primary liver cancers originating in the paracaval portion of the caudate lobe: a preliminary retrospective analysis with 31 patients. Updates Surg 74, 547–555 (2022). https://doi.org/10.1007/s13304-021-01170-9

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  • DOI: https://doi.org/10.1007/s13304-021-01170-9

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