Discussion of core and difficult problems of laparoscopic liver resection for recurrent hepatocellular carcinoma

doi:10.3877/cma.j.issn.2095-3232.2025.05.002

Abstract

Abstract:

The postoperative recurrence rate of hepatocellular carcinoma (HCC) is high, which severely affects the survival of patients. Surgical treatment of recurrent HCC faces multiple challenges. Laparoscopic surgery has the advantages of mild trauma and rapid recovery in the treatment of recurrent HCC. Nevertheless, there are still difficulties in defining surgical indications and management of abdominal adhesion, etc. In this article, the indications of laparoscopic surgical treatment of recurrent HCC were illustrated, clinical efficacy between laparoscopic and open surgery was compared, and the advantages of laparoscopic surgery in reducing intraoperative bleeding, shortening the length of hospital stay and lowering the incidence of complications were highlighted. Although technical challenges still exist, laparoscopic surgery has a broad application prospect with the advancement in technology and multidisciplinary cooperation, which will provide new hope for prolonging overall survival and improving the quality of life of patients.

Key words: Laparoscopic hepatectomy, Recurrent liver cancer, Adhesion, Open hepatectomy, Efficacy

Yue Tang, Jialu Chen, Delong Qin, Zonglong Li, Zhaohui Tang, Zhiwei Quan. Discussion of core and difficult problems of laparoscopic liver resection for recurrent hepatocellular carcinoma[J]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2025, 14(05): 667-672.

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