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Kanazawa et al. reported a series of 40 patients who induced us to consider the visceral damage not as a specific
[21]
underwent hepatic repeat resection for HCC. Twenty patients complication of adhesiolysis per se, or of the re-operation,
were previously operated with the open approach and 20 with but a generic adverse event of laparoscopy. Subsequently, we
the laparoscopic approach. Intra-operative blood loss and the have restricted indications for the laparoscopic approach of
incidence of post-operative complications and consequently, RFA that seems to increase morbidity of an otherwise safe
post-operative hospital stay were significantly lower in the procedure.
laparoscopy group.
In conclusion, this study suggests that repeat laparoscopic
Shelat et al. [22] reported a series of 19 patients who surgery for recurrent hepatic malignant diseases in selected
underwent repeat operated in whom peri-operative data of patients is a feasible and safe procedure with good short-term
laparoscopic primary and repeated hepatic resection were outcomes, but further prospective studies are needed to
compared (outcomes from minor and major resections were support these results.
considered separately). Liver metastases were the most
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34 Hepatoma Research | Volume 1 | Issue 1 | April 15, 2015