Laparoscopic hepatectomy versus open hepatectomy for hepatocellular carcinoma: A propensity case-matched analysis of the long-term survival.

Backgrounds/aims: Despite the widespread popularity of laparoscopic surgery, laparoscopic liver resection (LLR) remains in evolution. This study aimed to compare the long-term outcomes for patients undergoing laparoscopic versus open hepatectomy for hepatocellular carcinoma (HCC) ≤7 cm.

Methods: Patients diagnosed with HCC treated by hepatectomy from October 2000 to May 2019 were included.

Learning Curve for Laparoscopic Major Hepatectomy: Use of the Cumulative Sum Method.

Background: Laparoscopic liver resection (LLR) has now become a worldwide practice. However, the adoption of laparoscopic major hepatectomy (LMH) was slow. We report our center's experience in laparoscopic major resections.

Laparoscopic Right Posterior Sectionectomy for Malignant Lesions: An Anatomic Approach.

Background: Good indications for laparoscopic hepatectomy are still considered to be tumors located over anterolateral segments of the liver. Tumors located over the right posterior section are considered to be difficult for laparoscopic resection. In this case series, we present our experience on laparoscopic right posterior sectionectomy.

Laparoscopic anatomic monosegmentectomy of hepatocellular carcinoma of the right hepatic lobe.

Purpose: Laparoscopic resection of lesions at right hepatic lobe is considered difficult. The objective of this study is to describe our institutional techniques of laparoscopic anatomic monosegment resection of hepatocellular carcinoma (HCC) in all segments of the right lobe.

Methods: Patients with deep-seated solitary tumors in a single segment of right hepatic lobe were considered for laparoscopic anatomic monosegment resection when the planned transection plane could give a 1-cm resection margin from the adjacent nontumour segments.

Optimal timing of elective laparoscopic cholecystectomy after acute cholangitis and subsequent clearance of choledocholithiasis.

Background: Elective laparoscopic cholecystectomy is recommended after endoscopic clearance of choledocholithiasis for patients with acute cholangitis, according to Tokyo guidelines. However, the optimal timing remains uncertain.

Methods: Perioperative outcomes were retrospectively reviewed and compared between patients with early (< 6 weeks) and late (> 6 weeks) surgeries, while risk factors for postoperative complications were assessed using multivariate analysis.

Primary hepatic carcinoid tumour: a detailed account of imaging findings.

Primary hepatic carcinoid tumours are very rare and less than 60 cases have been reported in the literature. This study reports a 35-year-old female with 2 synchronous primary hepatic carcinoid tumours in her right hepatic lobe. She was examined with various imaging investigations including ultrasound scan, computed abdominal tomography, magnetic resonance imaging, mesenteric angiography and positron emission tomography.

Hepatectomy for hepatocellular carcinoma in a community hospital: the importance of surgeon procedural volume in operative outcomes.

Background/aims: Hospital procedural volume is shown to be important in affecting the postoperative mortality after major cancer surgery. Recent analysis demonstrates that hospital and surgeon volume effects on postoperative outcomes after major operations are actually interdependent and surgeon volume may be more important. The effects of hospital and surgeon volume on postoperative outcomes after hepatectomy for hepatocellular carcinoma are uncertain.

Delayed colonic perforation after percutaneous radiofrequency ablation of hepatocellular carcinoma.

Radiofrequency ablation (RFA) is an effective treatment for hepatocellular carcinoma. Colonic perforation secondary to RFA of the liver is an uncommon complication that has been reported to have an incidence between 0.1% and 0.

APACHE system is better than Ranson system in the prediction of severity of acute pancreatitis.

Background: It has been suggested that addition of obesity score to the APACHE-II system can lead to more accurate prediction of severity of acute pancreatitis. However there is scanty information on the usefulness of the combined APACHE-O scoring system in Asian patients. This study aimed to compare the accuracy of Ranson, APACHE-II and APACHE-O systems in assessing severity of acute pancreatitis in a local Chinese population.

Natural history of untreated nonsurgical hepatocellular carcinoma.

Objective: Hepatocellular carcinoma (HCC) is common in Asia, and the majority are not suitable for curative surgical treatment. We studied the natural history of untreated nonsurgical HCC to examine whether the prognosis has changed with improved supportive treatment and to identify factors affecting survival.

Methods: One hundred and six ethnic Chinese patients with HCC not amenable to curative treatment were managed symptomatically as control-arm patients in three randomized studies conducted between January 1996 and April 2001.

Biliary papillomatosis: report of seven cases and review of English literature.

Biliary papillomatosis is rare. Before 1993, there were only 21 cases reported in the English literature. This article reports our experience in managing this disease and reviews experiences from recent English literature.

Role of ERCP in the management of predicted mild acute biliary pancreatitis.

Objective: The role of endoscopic retrograde cholangiopancreatography (ERCP) in mild acute biliary pancreatitis is controversial. This study examined the results of ERCP in patients with predicted mild disease and analysed biochemical and imaging findings in relation to the occurrence of choledocholithiasis.

Patients And Methods: There were 172 consecutive patients, admitted between January 1998 and December 2000, with the diagnosis of acute pancreatitis.