Laparoscopic and open liver resection in children: comparison of results

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Aim. To compare the results of laparoscopic and open resections in children with hepatic neoplasms. Materials and methods. A retrospective analysis of the immediate and long-term results of laparoscopic and open liver resections for the period from 2018 to 2021 was performed. In order to apply pseudorandomization, the observations were compared according to 10 cofounders, taking into account anamnestic data, anatomical and physiological features. Results. 30 children were operated on laparoscopically and 77 – by the open method. After pseudorandomization, 26 pairs of comparable observations were obtained. Statistically significant differences were identified in the period of safety drainage removal, duration of analgesic therapy and postoperative period with the advantage of laparoscopic access both before and after pseudorandomization. The authors reported no significant differences in the incidence of postoperative complications, lethal outcomes and long-term treatment results. Conclusion. Shorter postoperative period indicates further study of the results of laparoscopic liver resections with specialized institutions to be involved. This will enable indications for such interventions to be finally formulated.