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Laparoscopic versus open surgery for hepatic caudate lobectomy: a retrospective study

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Abstract

Background

This study was designed to investigate the feasibility and safety of laparoscopic hepatic caudate lobectomy (LHCL) for treating liver tumor by comparing with the open hepatic caudate lobectomy (OHCL).

Methods

In the LHCL group, we included 24 patients with liver tumor received LHCL in Qilu Hospital of the Shandong University from January 2014 to January 2019. Meanwhile, 24 matched liver tumor patients underwent OHCL in our hospital served as control. Then we compared the patient characteristics, intraoperative parameters, and postoperative outcomes between LHCL group and OHCL group.

Results

There were no significant differences in gender, age, degree of cirrhosis, tumor size, preoperative liver function, Child–Pugh grading, proportion of liver cirrhosis, and tumor size between LHCL group and OHCL group (P > 0.05). No death was reported in both groups. The length of incision in LHCL group was significantly lower than that in OHCL group (4.22 ± 1.14 cm vs. 22.46 ± 4.40 cm, P < 0.001). The intraoperative blood loss in LHCL group was significantly lower than that of OHCL group (116.82 ± 71.61 ml vs. 371.74 ± 579.35 ml, P = 0.047). The total operation time, Pringle maneuver occlusion time, and blocking rate in LHCL group showed no statistical difference compared with those of the OHCL group (P > 0.05). The VAS scores at postoperative 24 and 48 h showed no statistical differences between LHCL group and OHCL group (P > 0.05). Compared with the OHCL group, significant decrease was noticed in the proportion of patients with severe pain 48 h after surgery (0 vs. 4.25 ± 0.46, P < 0.001) and dezocine consumption (90.45 ± 45.77 mg vs. 131.6 ± 81.30 mg, P = 0.0448) in the LHCL group.

Conclusion

LHCL is effective and feasible for treating liver tumor, which is featured by reducing intraoperative blood loss and serious pain.

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Acknowledgements

Not applicable.

Funding

This work was supported by the National Natural Science Foundation of China (No. 81770795) and Key Research Project of Shandong Province (No. 2019GSF108012).

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Authors and Affiliations

  1. Department of General Surgery, Shandong Provincial Qianfoshan Hospital, Cheeloo College of Medicine, Shandong University, No. 16766, Jingshi Road, Lixia District, Jinan, 250012, China

    Zhengchen Jiang, Guangyong Zhang & Sanyuan Hu

  2. Department of Organ Transplantation, Qilu Hospital of Shandong University, Jinan, 250012, China

    Gang Du & Bin Jin

  3. Department of Cardiology, The First Affiliated Hospital, Zhejiang University, Hangzhou, 310003, China

    Xuyang Wang

  4. Department of Hepatobiliary Surgery, The Second Hospital, Shandong University, Jinan, 250033, China

    Xiangyu Zhai & Bin Jin

Authors
  1. Zhengchen Jiang
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Contributions

ZJ contributed to study design, data collection, and manuscript writing. GD contributed to data acquisition. XW contributed to data acquisition, analysis, and interpretation of data. XZ contributed to data acquisition, analysis, and interpretation of data. GZ contributed to data acquisition, analysis, and interpretation of data. BJ contributed to study design and revising the manuscript. SH contributed to study design and revising the manuscript.

Corresponding authors

Correspondence to Bin Jin or Sanyuan Hu.

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Disclosure

Zhengchen Jiang, Gang Du, Xuyang Wang, Xiangyu Zhai, Guangyong Zhang, Bin Jin, and Sanyuan Hu have no conflict of interest or financial ties to disclose.

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A video for the LHCL procedures. Supplementary file1 (MP4 67587 KB)

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Jiang, Z., Du, G., Wang, X. et al. Laparoscopic versus open surgery for hepatic caudate lobectomy: a retrospective study. Surg Endosc 37, 1149–1156 (2023). https://doi.org/10.1007/s00464-022-09631-x

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