Laparoscopic Hepatectomy Versus Open Hepatectomy for PHC
Laparoscopic Hepatectomy Versus Open Hepatectomy for PHC
The purpose of this study is to compare short-term and long-term efficacy of laparoscope
 hepatectomy and open hepatectomy, evaluate the safety and efficacy of laparoscope hepatectomy
 the PHC with a tumor size of 5～10㎝,and provide class B evidence based medicine for
 laparoscope hepatectomy for PHC with a tumor size of 5～10㎝.
Background:primary hepatic carcinoma( PHC) is the world's most common and one of the most
 malignant tumors, the incidence of malignant tumors in the top five in the world, second only
 to mortality in gastric cancer, ranked No. 3. surgery and comprehensive treatment is
 recognized by the medical profession Surgical approach, surgical methods include open and
 laparoscopic liver resection .The safety and efficacy of laparoscopic resection small PHC has
 been recognized, but the safety and efficacy of laparoscopy PHC resection is still a dispute,
 that with a tumor size of 5～10㎝, the clinical evidence is a C or D grade level from the
 standard definition of evidence-based medicine literature which has been published , for
 laparoscopic liver resection versus open liver resection for these hepatocellular carcinoma
 prospective case-control study has not been reported.

 Intervention:We will let the 90 patients who meet the inclusion criteria .Patients in
 hepatobiliary surgery A, D district is undergo traditional open liver resection,
 hepatobiliary surgery E district is undergo laparoscopic liver resection. In addition to the
 surgery way is different, the rest treatments are same.

 Results:

 1. Clinical data include:operation time, intraoperative blood loss, volume of blood
 transfusion, Rate of blood transfusion, complications and mortality, postoperative liver
 function, resection margin, long-term curative effect and survival time were collected
 and analysed.

 2. Statistical method:groups t-test ，univariate/multivariate analysis, logistic regression
 analysis, mixed linear regression, Cox survival analysis ，Kaplan-Meier survival
 analysis，Log-rank curves were used.
Inclusion Criteria:

 -  Inclusion criteria for the Laparoscope hepatectomy group are:

 1. both male and female, aged 18 to 70;

 2. PHC diagnosis is clear preoperative;

 3. No active hepatitis and decompensated cirrhosis

 4. tumor size of 5-10 cm,no intrahepatic or distant metastasis,no tumor thrombus in
 the portal vein, hepatic vein, vena cava, or bile duct; and no invasion of the
 diaphragm or surrounding tissues;

 5. no rupture or bleeding of the tumor;

 6. Child-Pugh class A or B liver function;

 7. indocyanine green retention rate at 15 min of <15%, and a remnant liver
 volume/standard liver volume ratio of >50% in patients with liver cirrhosis and
 >35% in patients without liver cirrhosis;

 8. upper abdominal surgery, radiofrequency ablation, Transhepatic Arterial
 Chemotherapy And Embolization treatment, radiotherapy and chemotherapy have not
 been implemented and no previous surgery that absolutely contraindicated
 Laparoscope hepatectomy.

 9. General condition of patients and cardiopulmonary function enough to tolerate
 surgery

 10. voluntary participation in the study, and informed consent.

 -  Inclusion criteria for the Open hepatectomy group are:

 meet the criteria for Laparoscope hepatectomy group;

 Exclusion Criteria:

 -  (1) age <18 years or> 70 years , pregnant or lactating women; (2) tumor size ≥10 cm,
 or tumor location that would interfere with intraoperative exposure and isolation of
 the hepatic hilum; (3) tumor encroaching on the hepatic hilum , the portal vein,
 primary bile duct or tumor adjacent to the major vascular structures ; (4) unable to
 tolerate a pneumoperitoneum or can't tolerate surgery duo to cardiopulmonary
 dysfunction; (5) severe upper abdominal adhesions; (6)Pathologically confirmed
 positive margins