HYPOTHESIS: Laparoscopic liver resection for subcapsular @entity157 in @entity1 with @entity409 is associated with lower morbidity than open resections. DESIGN: A case-comparison study. SETTING: A tertiary referral center. @entity1 AND INTERVENTION: From December 1, 1998, to November 30, 2000, 13 @entity1 with @entity409 who underwent laparoscopic resection of @entity157 formed the laparoscopic group (LG). @entity5 were 5 cm or smaller, subcapsular, and located in anterolateral segments (segments II-VI). A control group was created by matching each laparoscopic case with @entity1 identical for @entity409 , @entity5 size, and location and type of hepatectomy who underwent open liver resection. Fourteen @entity1 fulfilled the criteria and formed the open group (OG). MAIN OUTCOME MEASURES: Postoperative mortality and morbidity. RESULTS: One segment or less was resected in 21 @entity1 and 2 in 6 @entity1 . Operative duration and cumulative portal triad clamping times were longer in the LG (267 +/- 79 minutes vs 182 +/- 57 minutes, P =.006; 68 +/- 24 minutes vs 25 +/- 19 minutes, P =.006, respectively). Mortality rates were 0% in the LG and 14% (2/14) in the OG (P =.2). @entity1578 and @entity843 occurred in 8% (1/13) in the LG and 36% (5/14) in the OG (P =.15). Surgical margin was not different in the 2 groups. Three-year survival was significantly higher in the LG (89% vs 55%; P =.04), but 3-year recurrence rates were similar (46% vs 44%). CONCLUSION: Our study suggests that, despite longer operative and clamping times without clinical consequences, the rate of decompensation of @entity409 could be lower after laparoscopy.

Laparoscopic liver resection for subcapsular XXXX complicating @entity409 .

@entity1 :: ('9606', 'Species') :: ['patients', 'PATIENTS'] @entity5 :: ('MESH:D009369', 'Disease') :: ['tumor', 'Tumors'] @entity843 :: ('MESH:D001201', 'Disease') :: ['ascites'] @entity409 :: ('MESH:D008107', 'Disease') :: ['chronic liver disease', 'liver disease'] @entity1578 :: ('MESH:D017093', 'Disease') :: ['Postoperative liver failure'] @entity157 :: ('MESH:D006528', 'Disease') :: ['hepatocellular carcinoma']
@entity157 :: (MESH:D006528,Disease) :: ['hepatocellular carcinoma']
