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With the advent of minimally invasive techniques and other medical devices, laparoscopic liver resection (LLR) has been a common procedure since 1992. Once experts in liver surgery established the “Louisville Statement”, a set of guidelines for the rapidly growing area of minimally invasive liver resection, the number of reported LLRs has increased consistently. Although minor LLRs have been performed routinely in clinical practice, reports of major and anatomic LLRs have increased sharply. Some specialized centers have reported favorable and competitive outcomes of LLR compared to those of open liver resection. Recently, several reports about single-port LLR, robotic-assisted liver resection, and LLR via video-assisted transthoracic liver resection (VTLR) have been published.
Patients Who Underwent Intervention-Guided Fluorescence Imaging Technique (n = 24) | |
---|---|
Age | 55.3 (49–63) |
Sex ratio (Male: Female) | 2:1 |
Liver disease | |
Hepatitis B | 21 (87.5%) |
Hepatitis C | 1 (4.2%) |
Alcoholic hepatitis | 2 (8.3%) |
ICG 15 (%) | 12.4 (8.9–15.2) |
AFP (ng/mL) | 166 (3.2–200) |
Platelets, ×103/mm3 | 143 (121–182) |
INR | 1.05 (0.89–1.38) |
Total bilirubin (mg/dl) | 1.03 (0.8–1.3) |
Albumin (g/dL) | 3.88 (3.7–4.2) |
CTP score | |
A | 20 (83.3%) |
B | 4 (16.7%) |
Tumor location | |
IV | 6 (6 LLR) |
V | 5 (5 LLR) |
VI | 4 (4 LLR) |
VII | 5 (3 LLR, 2 VTLR) |
VIII | 4 (2 LLR, 2 VTLR) |
IFIT (n = 24) | Internal Controls (n = 29) | p | |
---|---|---|---|
Operation time (min) | 221 (143–275) | 265 (200–300) | <0.001 |
Time to the first semi-fluid diet (days) | 2.4 (1–4) | 2.8 (1–5) | 0.222 |
Transfusion a | 3 (13%) | 4 (13.8%) | 0.758 |
Blood loss (cc) | 200 (10–1100) | 215 (5–1300) | 0.438 |
Hospital stay (days) | 10.2 (6–14) | 10.0 (6–15) | 0.556 |
Resection margin (cm) | 1.03 (0.3–2.0) | 1.01(0.2–3.0) | 0.587 |
Tumor size | 2.73 (0.70–3.40) | 2.51 (0.5–3.5) | 0.412 |