Laparoscopic hepatectomy combined with radiofrequency ablation for management of liver cancer in difficult place

Objective To explore the safety and feasibility of laparoscopic hepatectomy combined with radiofrequency ablation for primary liver cancer difficult to manage . Methods A retrospective study was conducted to analyze the clinical data of 16 patients who underwent laparoscopic hepatectomy combined with radiofrequency ablation in the Zhejiang Provincial People′s Hospital from Apr 2015 to Dec 2017. Results 2 more tumors were found by intraoperative laparoscopic ultrasound. All patients underwent laparoscopic hepatectomy combined with radiofrequency ablation successfully. There were 2 laparoscopic left hepatectomy combined with radiofrequency ablation, 2 laparoscopic right hepatectomy combined with radiofrequency ablation, 6 laparoscopic left lateral lobectomy combined with radiofrequency ablation, 4 laparoscopic right postrior lobectomy combined with radiofrequency ablation and 2 irregular laparoscopic hepatectomy combined with radiofrequency ablation. The intraoperative blood loss ranged from 100-800 ml. The average operative time was (283±112 ) min. The length of postoperative hospital stay ranged from 5 to 12 days. The tumor-free survival rate after operation is 100% (16/16) on 6 to 38 months follow up . Conclusion It is safe and feasible to carry out laparoscopic hepatectomy combined with radiofrequency ablation in difficult to manage primary liver cancer. Key words: Liver neoplasms; Hepatectomy; Catheter ablation