H. Sato et al., Thoracoabdominal approaches versus inverted T incision for posterior segmentectomy in hepatocellular carcinoma, HEP-GASTRO, 47(32), 2000, pp. 504-506
Background/Aims: The purpose of the present study was to clarify the indica
tions for a thoracoabdominal right oblique approach and an inverted L incis
ion in posterior segmentectomy of the liver for hepatocellular carcinoma.
Methodology: Forty-six patients with hepatocellular carcinoma who underwent
posterior segmentectomy with thoracotomy were divided into 2 groups accord
ing to the incision: thoracoabdominal right oblique incision (group A, n=17
) and inverted L incision (group B, n=29). The perioperative factors of the
patients in the 2 groups were compared retrospectively.
Results: No significant; differences were found in the preoperative factors
between the groups. However, a longer operation time (P=0.01) and more blo
od loss (P=0.02) were noted in group B. Although there was no significant d
ifference between the groups in the overall morbidity rate (P=0.36), a high
er rate of pleural effusion was recognized in group A (P=0.01).
Conclusions: Thoracoabdominal right oblique incision may be suitable for us
e as an approach for posterior segmentectomy when manipulation of the left
lobe is not required.