IS CONSERVATIVE AND MINIMALLY INVASIVE LIVER SURGERY SAFE IN THE APPROACH TO HEPATOCARCINOMA? ANALYSIS OF THE RESULTS IN OUR CENTER

Abstract INTRODUCTION We present the results of liver resection surgery for hepatocarcinoma (HCC), comparing morbidity, mortality, and survival data based on type surgical approach (open vs. laparoscopic) (anatomical limited). MATERIAL AND METHODS Descriptive, prospective, comparative study 49 patients who underwent HCC during period 2013-2018 in our centre. RESULTS 16 laparoscopic resections were performed (32.7%) compared to 33 open surgeries (67.3%). Morbidity mortality according Clavien-Dindo classification (I 38 (77.6%); II 9 (18.4%), III 1 (2%), IV (2%). Among risk factors, relationship between preoperative Apri Index observed has been studied population, without observing statistically significant differences (p = 0.915). No have found versus 0.78) or anatomical limited 0.26) terms time tumor recurrence. In series, no depending vs laparoscopic, p 0.57). CONCLUSIONS study, we not able demonstrate greater oncological safety performing anatomic resections. The are comparable, overall recurrence, surgery.