Laparoscopic subsegmentectomy for hepatocellular carcinoma with cirrhosis

Background/Aims: Laparoscopic liver resection is feasible for both benign a nd malignant disease with today's laparoscopic techniques and technology. L ocation of the tumor at the edge of segment 3, 4, 5, or 6 of our patients m akes them an ideal candidate for laparoscopic resection. Methodology: There were 9 patients who hepatocellular carcinoma with cirrho sis. They were classified as Child A in 6 and B in 3 patients. Hepatitis B was found in 5 and Hepatitis C in 4 cases. a laparoscopic resection. was co mpleted in 7 and definitive histologic diagnosis from frozen section in 2 c ases. All 9 patients of underwent subsegmentectomy and removal of the tumor with non-tumor cirrhotic liver with a distance of 10mm at the least margin . Laparoscopic ultrasound allows exact localization of lesions and achievem ent of adequate resection margin. Results: Those patients resumed a full, diet on the home on day 4-7 with no complications but one had prolonging discharge due to ascitis from a drain age tube. Finally, the ascitis was controlled by medications for I week. Al l patients had high postoperative satisfaction. Conclusions: Laparoscopic liver resection is a laparoscopic resection. dema nding. Therefore, it should be performed only by experienced fiver surgeons with a high level of laparoscopic skill and in the carefully selected pati ent.