{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T21:33:21Z","timestamp":1791495201047,"version":"4.3.4"},"reference-count":57,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2021,1,6]],"date-time":"2021-01-06T00:00:00Z","timestamp":1609891200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,3,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Laparoscopic liver resection for hepatocellular carcinoma (HCC) in Child\u2013Pugh A cirrhosis has been demonstrated as beneficial. However, the role of laparoscopy in Child\u2013Pugh B cirrhosis is undetermined. The aim of this retrospective cohort study was to compare open and laparoscopic resection for HCC with Child\u2013Pugh B cirrhosis.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Data on liver resections were gathered from 17 centres. A 1 : 1 propensity score matching was performed according to 17 predefined variables.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Of 382 available liver resections, 100 laparoscopic and 100 open resections were matched and analysed. The 90-day postoperative mortality rate was similar in open and laparoscopic groups (4.0 versus 2.0 per cent respectively; P\u2009=\u20090.687). Laparoscopy was associated with lower blood loss (median 110 ml versus 400 ml in the open group; P\u2009=\u20090.004), less morbidity (38.0 versus 51.0 per cent respectively; P\u2009=\u20090.041) and fewer major complications (7.0 versus 21.0 per cent; P\u2009=\u20090.010), and ascites was lower on postoperative days 1, 3 and 5. For laparoscopic resections, patients with portal hypertension developed more complications than those without (26 versus 12 per cent respectively; P\u2009=\u20090.002), and patients with a Child\u2013Pugh B9 score had higher morbidity rates than those with B8 and B7 (7 of 8, 10 of 16 and 21 of 76 respectively; P\u2009&amp;lt;\u20090.001). Median hospital stay was 7.5 (range 2\u2013243) days for laparoscopic liver resection and 18 (3\u2013104) days for the open approach (P\u2009=\u20090.058). The 5-year overall survival rate was 47 per cent for open and 65 per cent for laparoscopic resection (P\u2009=\u20090.142). The 5-year disease-free survival rate was 32 and 37 per cent respectively (P\u2009=\u20090.742).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Patients without preoperative portal hypertension and Child\u2013Pugh B7 cirrhosis may benefit most from laparoscopic liver surgery.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/bjs\/znaa041","type":"journal-article","created":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T04:12:50Z","timestamp":1609474370000},"page":"196-204","source":"Crossref","is-referenced-by-count":120,"title":["Laparoscopic and open liver resection for hepatocellular carcinoma with Child\u2013Pugh B cirrhosis: multicentre propensity score-matched study"],"prefix":"10.1093","volume":"108","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6280-810X","authenticated-orcid":false,"given":"R I","family":"Troisi","sequence":"first","affiliation":[{"name":"Division of HPB, Minimally Invasive and Robotic Surgery, Department of Clinical Medicine and Surgery, Federico II University Hospital , Naples, Italy"},{"name":"Department of Human Structure and Repair, Ghent University , Ghent, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8827-9189","authenticated-orcid":false,"given":"G","family":"Berardi","sequence":"additional","affiliation":[{"name":"Division of HPB, Minimally Invasive and Robotic Surgery, Department of Clinical Medicine and Surgery, Federico II University Hospital , Naples, Italy"},{"name":"Department of Human Structure and Repair, Ghent University , Ghent, Belgium"},{"name":"Centre for Advanced Treatment of Hepato-Biliary-Pancreatic Diseases, Ageo Central General Hospital , Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Z","family":"Morise","sequence":"additional","affiliation":[{"name":"Department of Surgery, Fujita Health University Hospital , Toyoake, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8651-5982","authenticated-orcid":false,"given":"F","family":"Cipriani","sequence":"additional","affiliation":[{"name":"Hepatobiliary Surgery Division, San Raffaele Hospital , Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"Ariizumi","sequence":"additional","affiliation":[{"name":"Department of Surgery, Institute of Gastroenterology, Tokyo Women\u2019s Medical University , Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C","family":"Sposito","sequence":"additional","affiliation":[{"name":"Department of Hepato-Biliary-Pancreatic Surgery and Liver Transplantation, Istituto Nazionale Tumori , Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V","family":"Panetta","sequence":"additional","affiliation":[{"name":"Biostatistics Department, Sapienza University of Rome , Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"I","family":"Simonelli","sequence":"additional","affiliation":[{"name":"Biostatistics Department, Sapienza University of Rome , Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine , Seoul,South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B K P","family":"Goh","sequence":"additional","affiliation":[{"name":"Department of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital , Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"Kubo","sequence":"additional","affiliation":[{"name":"Department of Surgery, Osaka City University Hospital , Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5629-5691","authenticated-orcid":false,"given":"S","family":"Tanaka","sequence":"additional","affiliation":[{"name":"Department of Surgery, Osaka City University Hospital , Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Y","family":"Takeda","sequence":"additional","affiliation":[{"name":"Department of Surgery, Kansai Rosai Hospital , Amagasaki, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G M","family":"Ettorre","sequence":"additional","affiliation":[{"name":"Department of General and Hepato-Biliary-Pancreatic Surgery, Liver Transplantation Service , San Camillo Forlanini Hospital, Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0627-186X","authenticated-orcid":false,"given":"N","family":"Russolillo","sequence":"additional","affiliation":[{"name":"Department of Surgery, Mauriziano Hospital , Turin, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G C","family":"Wilson","sequence":"additional","affiliation":[{"name":"Division of Hepatobiliary and Pancreatic Surgery, University of Pittsburgh Medical Center , Pittsburgh, Pennsylvania, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Cimino","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Humanitas University and Research Hospital, IRCCS , Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R","family":"Montalti","sequence":"additional","affiliation":[{"name":"Department of Public Health, Federico II University, Naples , Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9222-5885","authenticated-orcid":false,"given":"M C","family":"Giglio","sequence":"additional","affiliation":[{"name":"Division of HPB, Minimally Invasive and Robotic Surgery, Department of Clinical Medicine and Surgery, Federico II University Hospital , Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K","family":"Igarashi","sequence":"additional","affiliation":[{"name":"Centre for Advanced Treatment of Hepato-Biliary-Pancreatic Diseases, Ageo Central General Hospital , Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C -Y","family":"Chan","sequence":"additional","affiliation":[{"name":"Department of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital , Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G","family":"Torzilli","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Humanitas University and Research Hospital, IRCCS , Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2633-5883","authenticated-orcid":false,"given":"T T","family":"Cheung","sequence":"additional","affiliation":[{"name":"Division of Hepato-Biliary-Pancreatic and Liver Transplantation, Queen Mary Hospital, University of Hong Kong , Hong Kong, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4013-8085","authenticated-orcid":false,"given":"V","family":"Mazzaferro","sequence":"additional","affiliation":[{"name":"Department of Hepato-Biliary-Pancreatic Surgery and Liver Transplantation, Istituto Nazionale Tumori , Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H","family":"Kaneko","sequence":"additional","affiliation":[{"name":"Department of Surgery, Toho University of Tokyo , Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A","family":"Ferrero","sequence":"additional","affiliation":[{"name":"Department of Surgery, Mauriziano Hospital , Turin, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D A","family":"Geller","sequence":"additional","affiliation":[{"name":"Division of Hepatobiliary and Pancreatic Surgery, University of Pittsburgh Medical Center , Pittsburgh, Pennsylvania, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9659-1260","authenticated-orcid":false,"given":"H -S","family":"Han","sequence":"additional","affiliation":[{"name":"Department of Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine , Seoul,South 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