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CRITICAL EVALUATION OF LONG-TERM RESULTS OF MALIGNANT HEPATIC TUMORS TREATED BY MEANS CURATIVE LAPAROSCOPIC HEPATECTOMY.
Pais-Costa, Sergio Renato; Araújo, Sergio Luiz Melo; Lima, Olímpia Alves Teixeira; Martins, Sandro José.
Afiliação
  • Pais-Costa SR; Hospital Santa Lucia.
  • Araújo SLM; Hospital Brasília, Brasília, DF, Brazil.
  • Lima OAT; Hospital Santa Lucia.
  • Martins SJ; Hospital Brasília, Brasília, DF, Brazil.
Arq Bras Cir Dig ; 30(3): 205-210, 2017.
Article em En, Pt | MEDLINE | ID: mdl-29019563
BACKGROUND: Laparoscopic hepatectomy has presented great importance for treating malignant hepatic lesions. AIM: To evaluate its impact in relation to overall survival or disease free of the patients operated due different hepatic malignant tumors. METHODS: Thirty-four laparoscopic hepatectomies were performed in 31 patients with malignant neoplasm. Patients were distributed as: Group 1 - colorectal metastases (n=14); Group 2 - hepatocellular carcinoma (n=8); and Group 3 - non-colorectal metastases and intrahepatic cholangiocarcinoma (n=9). The conversion rate, morbidity, mortality and tumor recurrence were also evaluated. RESULTS: Conversion to open surgery was 6%; morbidity 22%; postoperative mortality 3%. There was tumor recurrence in 11 cases. Medians of overall survival and disease free survival were respectively 60 and 46 m; however, there was no difference among studied groups (p>0,05). CONCLUSION: Long-term outcomes of laparoscopic hepatectomy for treating hepatic malignant tumors are satisfactory. There is no statistical difference in relation of both overall and disease free survival among different groups of hepatic neoplasms.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Laparoscopia / Hepatectomia / Neoplasias Hepáticas Limite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En / Pt Revista: Arq Bras Cir Dig Ano de publicação: 2017 Tipo de documento: Article País de publicação: Brasil

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Laparoscopia / Hepatectomia / Neoplasias Hepáticas Limite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En / Pt Revista: Arq Bras Cir Dig Ano de publicação: 2017 Tipo de documento: Article País de publicação: Brasil