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( Hwui-dong Cho ),( Ki-hun Kim ),( Shin Hwang ),( Chul-soo Ahn ),( Duk-bok Moon ),( Tae-yong Ha ),( Gi-won Song ),( Dong-hwan Jung ),( Gil-chun Park ),( Sung-gyu Lee ) 대한간학회 2016 춘·추계 학술대회 (KASL) Vol.2016 No.1
Purpose: The objective of this study was to compare the outcomes of pure laparoscopic left hemihepatectomy (LLH) versus open left hemihepatectomy (OLH) for hepatocellular carcinoma (HCC) in case-control design. Methods: Forty six patients who underwent LLH for HCC between December 2007 and December 2015 in a tertiary referral center were included in this retrospective study. Sixty patients who underwent OLH during the same period were matched to LLH for demographics, preoperative data, and tumor characteristics and the clinical perioperative outcomes between the two groups were compared. Results: The mean operative time was longer in LLH group compared with the OLH group with statistical significance (210.06±53.12 min vs 167.04±65.19 min, p=0.007). However, the mean operative time of the last ten cases each of LLH and OLH had no significant difference (160.70±65.19 min vs 167.04±65.19 min, p=0.74), and LLH group had shorter hospital stay (8.47±1.59 days vs 12.54±3.20 days, p=0.01). There was no open conversion case and only one postoperative complication which was mild ileus in the LLH group. Conclusion: Pure laparoscopic left hemihepatectomy for hepatocellular carcinoma was safe and feasible procedure for selected patients.
Pure Laparoscopic Right Posterior Sectionetomy for HCC
( Hwui-dong Cho ),( Ki-hun Kim ),( Dong-hwan Jung ),( Gil-chun Park ),( Sung-gyu Lee ) 대한간학회 2018 춘·추계 학술대회 (KASL) Vol.2018 No.1
Aims: The laparoscopic poster sectionectomy is the major challenge for the laparoscopic liver surgeons. Because the right posterior segment lies deep in the abdominal cavity, it is not easy to access. Methods: The patient was 61 years old man and diagnosed with 2 cm sized HCC on segment 7. Pringle maneuver was performed during the hepatic parenchymal transection using laparoscopic Bull-dog. During the hepatic transection, the Cavitron Ultrasonic Surgical Aspirator(CUSA) was used. Small hepatic vein branches and small glissonean pedicles were sealed and divided with a THUNDERBEAT™ (Olympus). iDriveTM Ultra Powered Stapling device (Medtronic) was used for division of major glissonean pedicle and large hepatic veins. The specimen was placed in endo-bag and extracted through Pfannestiel incision Results: There was no specific events during operation and no complication after surgery. The operation time was 250 min, and the estimated blood loss was less than 200 ml. On postoperative day 3, computed tomographic scan showed no pathological findings. The patient was discharged on postoperative day 6 without complications. Conclusions: We argue that the laparoscopic posterior sectionectomy is safe and feasible for HCC.
( Hwui-dong Cho ),( Ki-hun Kim ),( Seok-hwan Kim ),( Woo-hyung Kang ),( Dong-hwan Jung ),( Gil-chun Park ),( Sung-gyu Lee ) 대한간학회 2018 춘·추계 학술대회 (KASL) Vol.2018 No.1
Aims: Laparoscopic liver resection(LLR) tends to be preferred by young patients because of its cosmetic effect. The aim of this study was to compare the results of laparoscopic liver resection and open liver resection(OLR) to evaluate the safety and efficacy of laparoscopic liver resection in patients over 70 years of age. Methods: All consecutive cases of LLR between November 2007 and May 2017 and 1:1 case matched OLR during same period were enrolled in this retrospective cohort study. All surgical procedures were performed by one surgeon(KH Kim). The LLR and OLR groups were compared in terms of demographics, clinical perioperative outcomes. Results: A total of 61 cases of LLR were performed in patients over 70 years of age during the study period, including 36 cases of HCC, 5 cases of intrahepatic cholangiocarcinoma, 5 cases of liver metastasis of colorectal cancer, 7 cases of IHD stone, 3 cases of biliary cystadenoma, 2 cases of biliary IPMN, 2 cases of hemangioma, and 1 case of liver cyst. The ratio of anatomical resection to non-anatomical resection was 47:14. LLR group (n=61) had a significantly shorter postoperative hospital stay than the OLR group (n=61) (9.1 ± 2.3 vs 12.3 ± 2.1 days, P<0.001) and less estimated blood loss than OLR group (153.4 ± 67.5 vs 260.4 ± 89.2mL, P<0.001). Conclusions: LLR is a well considered operation in patients over 70 years of age who have no abnormality in pulmonary and cardiac function. The authors suggest that LLR could be a reasonable operative option for selected old aged patients.
Pure Laparoscopic Central Bisectionectomy for HCC in S7 and S8
( Hwui-dong Cho ),( Ki-hun Kim ),( Seok-hwan Kim ),( Woo-hyung Kang ),( Dong-hwan Jung ),( Gil-chun Park ),( Sung-gyu Lee ) 대한간학회 2018 춘·추계 학술대회 (KASL) Vol.2018 No.1
Aims: Laparoscopic major hepatectomy, especially laparoscopic right anterior sectionectomy or laparoscopic central bisectionectomy with two cut surface are the great challenge area. Methods: The patient was 46 years old man and diagnosed with 5cm sized HCC between segment 7 and 8 and was performed TACE before surgery. Pringle maneuver was performed during the hepatic parenchymal transection using laparoscopic Bull-dog. During the hepatic transection, the Cavitron Ultrasonic Surgical Aspirator(CUSA) was used. Small hepatic vein branches and small glissonean pedicles were sealed and divided with a THUNDERBEAT™ (Olympus). iDriveTM Ultra Powered Stapling device (Medtronic) was used for division of major glissonean pedicle and large hepatic veins. The specimen was placed in endo-bag and extracted through Pfannestiel incision. Results: There was no major bleeding during operation and no complication after surgery. The operation time was 338 min, and the estimated blood loss was less than 250 ml. On postoperative day 3, computed tomographic scan showed no pathological findings. The patient was discharged on postoperative day 5 without complications. Conclusions: The authors suggest that the laparoscopic central bisectionectomy is safe and feasible for HCC.
Changes in the types of liver diseases requiring hepatic resection
Hwui-Dong Cho,Shin Hwang,Young-Joo Lee,Kwang-Min Park,Ki-Hun Kim,Jin Cheon Kim,Chul-Soo Ahn,Deok-Bog Moon,Tae-Yong Ha,Sung-Gyu Lee 한국간담췌외과학회 2016 한국간담췌외과학회지 Vol.20 No.2
Backgrounds/Aims: To understand the changing demands for hepatic resection (HR), we collected data regarding HR performed in a tertiary centre over a period of 10 years. Methods: We carried out extensive search of institutional databases to identify HR cases performed between January 2005 and December 2014. A study cohort of 9,016 patients were divided into 5 disease categories, namely hepatocellular carcinoma (HCC), intrahepatic cholangiocarcinoma (ICC), intrahepatic duct stone disease (IHDS), colorectal cancer liver metastasis (CRLM), and uncommon/rare diseases (URD). Results: There were 5,661 (62.8%) HCC cases, followed by 1441 (16.0%) CRLM, 942 (10.5%) ICC, 638 (7.1%) IHDS and 334 (3.7%) URD. The number of annual HR cases gradually increased from 443 in 2005 to 1,260 in 2015. Annual HCC cases also gradually increased, but the annual proportion of HCC cases fluctuated narrowly between 58.3% and 70.2%. Annual CRLM cases increased rapidly, and their proportion increased progressively from 4.7% to 20.5%. Annual ICC cases increased slowly, and their annual proportion fluctuated between 7.2% and 15.6%. Annual IHDS cases decreased slowly, and their annual proportion decreased progressively from 17.2% to 3.4%, while annual URD cases fluctuated, with annual proportions varying between 2.3% and 5.6%. Conclusions: Annual cases of HR increased over the last 10 years in a tertiary center probably due to a center-specific centralization effect. The number of CRLM cases increased rapidly; those of HCC and ICC increased gradually, and those of IHDS declined gradually. We believe that these results reflect real changes in the types of liver disease requiring HR.
Changes in the types of liver diseases requiring hepatic resection
Hwui-Dong Cho,Shin Hwang,Young-Joo Lee,Kwang-Min Park,Ki-Hun Kim,Jin Cheon Kim,Chul-Soo Ahn,Deok-Bog Moon,Tae-Yong Ha,Sung-Gyu Lee 한국간담췌외과학회 2016 Annals of hepato-biliary-pancreatic surgery Vol.20 No.2
Backgrounds/Aims: To understand the changing demands for hepatic resection (HR), we collected data regarding HR performed in a tertiary centre over a period of 10 years. Methods: We carried out extensive search of institutional databases to identify HR cases performed between January 2005 and December 2014. A study cohort of 9,016 patients were divided into 5 disease categories, namely hepatocellular carcinoma (HCC), intrahepatic cholangiocarcinoma (ICC), intrahepatic duct stone disease (IHDS), colorectal cancer liver metastasis (CRLM), and uncommon/rare diseases (URD). Results: There were 5,661 (62.8%) HCC cases, followed by 1441 (16.0%) CRLM, 942 (10.5%) ICC, 638 (7.1%) IHDS and 334 (3.7%) URD. The number of annual HR cases gradually increased from 443 in 2005 to 1,260 in 2015. Annual HCC cases also gradually increased, but the annual proportion of HCC cases fluctuated narrowly between 58.3% and 70.2%. Annual CRLM cases increased rapidly, and their proportion increased progressively from 4.7% to 20.5%. Annual ICC cases increased slowly, and their annual proportion fluctuated between 7.2% and 15.6%. Annual IHDS cases decreased slowly, and their annual proportion decreased progressively from 17.2% to 3.4%, while annual URD cases fluctuated, with annual proportions varying between 2.3% and 5.6%. Conclusions: Annual cases of HR increased over the last 10 years in a tertiary center probably due to a center-specific centralization effect. The number of CRLM cases increased rapidly; those of HCC and ICC increased gradually, and those of IHDS declined gradually. We believe that these results reflect real changes in the types of liver disease requiring HR.