To investigate the short-term and long-term prognosis of complete laparoscopic surgery for recurrent hepatocellular carcinoma after open surgery.

The clinical data of 47 patients with recurrent hepatocellular carcinoma after open surgery from March 2014 to April 2016 were retrospectively analyzed. The patients were divided into complete laparoscopic group (n=21) and open group according to the different surgical methods (n=26). Data analysis was performed by statistical software SPSS 21.0. The incidence of complication and long-term prognosis indictors in this study were qualitative data. The analysis was performed by χ² test. The short-term efficacy index was quantitative data, the data were expressed as mean±standard deviation, and the two samples were compared by independent t test.

The operation time, intraoperative blood loss, exhaust time, time of getting out of bed, and hospital stay in the laparoscopic group were lower than those in the open group (all P<0.05). The complication rate was 9.5% in the laparoscopic group and 23.1% in the open group, there was no significant difference between the two groups (P>0.05). The rate of analgesia treatment in the laparoscopic group was lower than that in the open group (P<0.05). There was no significant difference in the child grading one week after surgery, 30-day mortality and one-year recurrence rate between the two groups (P>0.05).

Complete laparoscopic surgery for recurrent hepatocellular carcinoma after laparotomy has the advantages of short operation time, less bleeding, quick recovery, short hospitalization time, which is worthy of clinical application.