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Laparoscopic Liver Resection for Subcapsular Hepatocellular Carcinoma Complicating Chronic Liver DiseaseInvited Critique
John D. Papadimitriou, MD, FACS
Athens, Greece
Arch Surg. 2003;138:769.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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Laparoscopic surgery is a technique that has been applied to almost every organ; its said advantages, however, are not always convincing. Liver resection is the treatment of choice for patients with HCC, although other percutaneous methods for ablation of hepatic neoplasms have been reported. Since patients with liver carcinoma and chronic liver disease have higher mortality and morbidity rates,1 any method that aims to reduce the postoperative course is a welcome addition to the surgeon's armamentarium.
Laurent et al applied laparoscopic liver resection in 13 patients (LG) with chronic liver disease and liver tumors 5 cm or smaller. A control group (OG) was created by retrospectively matching each laparoscopic case with patients having identical characteristics.
Interestingly, in the LG the mortality rate was 0% vs 14% in the OG. Yet, in a collective series of liver resections in patients with chronic liver disease the mortality . . . [Full Text of this Article]
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Laparoscopic Liver Resection for Subcapsular Hepatocellular Carcinoma Complicating Chronic Liver Disease
Alexis Laurent, Daniel Cherqui, Mickael Lesurtel, Francesco Brunetti, Claude Tayar, and Pierre-Louis Fagniez
Arch Surg. 2003;138(7):763-769.
ABSTRACT
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