Short Term Outcome of Repeat Laparoscopic Compared to Open Hepatectomy after an Initial Open Hepatectomy

Background: Repeat laparoscopic hepatectomy (RLH) is safe and feasible, with favorable oncologic outcome for recurrent liver malignancies after curative intent resection, however it rarely performed an initial open (OH). The aim of the study to evaluate RLH compared repeat OH (ROH) following OH. Methods: Patients who underwent RH were retrieved from prospective data bases at Paul Brousse Henri Mondor hospitals, France Sir Run Shaw Hospital, China 2012 2019. patients divided into two groups according their RH, (group A) ROH B). Results: Sixty-four matched criteria, 20 in group A 44 B. Diagnoses primary hepatic lesions 59%, CRLM 39% others 2% cases. Median operative time blood loss significantly lower (199 vs 260 minutes, p< 0,001 100 400 ml, p= 0,011 respectively), as well overall postoperative complications (20% 50%, p=0,024). One patient died pancreatitis; this had been converted open. Another case was due exposure difficulties. hospital stay (5 8,5 days, 0,001). R1 resection 10% 22,7%, respectively (p=0,312). Conclusion: LRH a technique realistic option be considered selected previous OH.Conversion should when adhesions are more severe than expected.