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Advantages of laparoscopic hepatic hemangioma surgery in quality of life: a prospective study

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Abstract

Background

Surgical intervention is the most accurate method for the treatment of hepatic hemangioma. The advantages of laparoscopic surgery on quality of life should be clarified by prospective studies.

Methods

The sample sizes of the laparoscopic and open surgery groups were calculated based on previous retrospective literature. Intraoperative and postoperative parameters were prospectively collected and analyzed. Quality of life in both groups was predicted by a mixed linear model.

Results

Sixty patients were enrolled in the laparoscopic surgery group and open surgery group. The laparoscopic group had a longer operation time (P = 0.040) and more hospitalization expenses (P = 0.001); however, the Clavien–Dindo classification and comprehensive complication index suggested a lower incidence of surgical complications in the laparoscopic group, with P values of 0.049 and 0.002, respectively. After mixed linear model prediction, between-group analysis indicated that the laparoscopic group had little impact on role-physical functioning and role-emotional functioning; in addition, within-group analysis showed a rapid recovery time on role-physical functioning and role-emotional functioning in the laparoscopic group. Quality of life in both groups recovered to the preoperative level within 1 year after the operation.

Conclusion

The advantages of laparoscopic hepatectomy for hepatic hemangioma were fewer postoperative complications, lower impact on quality of life and faster recovery from affected quality of life.

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Funding

This work was supported by grants from the National Natural Science Foundation of China (Grant No. 71673193) and Key research and development project of science and technology department of Sichuan Province (Grant No. 2021YFS0106).

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Authors and Affiliations

  1. Department of Liver Surgery, West China Hospital, Sichuan University, No. 37 Guo Xue Xiang, Chengdu, 610041, Sichuan Province, China

    Lian Li, Liangliang Xu, Peng Wang, Fei Liu, Yonggang Wei, Mingqing Xu, Ming Zhang & Bo Li

Authors
  1. Lian Li
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  2. Liangliang Xu
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  3. Peng Wang
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  4. Fei Liu
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  5. Yonggang Wei
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  6. Mingqing Xu
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  7. Ming Zhang
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  8. Bo Li
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Corresponding authors

Correspondence to Ming Zhang or Bo Li.

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Disclosures

Dr. Lian Li, Liangliang Xu, Peng Wang, Fei Liu, Yonggang Wei, Mingqing Xu, Ming Zhang and Bo Li disclosed that this work was supported by noncommercial grants from the National Natural Science Foundation of China (Grant No. 71673193) and Key Research and Development Project of Science and Technology Department of Sichuan Province (Grant No. 2021YFS0106).

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Li, L., Xu, L., Wang, P. et al. Advantages of laparoscopic hepatic hemangioma surgery in quality of life: a prospective study. Surg Endosc 36, 8967–8974 (2022). https://doi.org/10.1007/s00464-022-09348-x

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  • DOI: https://doi.org/10.1007/s00464-022-09348-x

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