Author:
Morawski Marcin,Grąt Michał,Krasnodębski Maciej,Kobryń Konrad,Hołówko Wacław,Rykowski Paweł,Dec Marta,Nowosad Małgorzata,Figiel Wojciech,Patkowski Waldemar,Zieniewicz Krzysztof
Abstract
Abstract
Background
Laparoscopic liver resections offer potential benefits but may require advanced laparoscopic skills and are volume dependent.
Methods
This retrospective study included 12 patients who underwent major laparoscopic resection and 24 patients after open major liver resection for liver malignancy in the time period between September 2020 and May 2021. The primary outcomes were complications according to Clavien-Dindo classification and duration of hospital stay.
Results
Median duration of hospital stay in laparoscopic resection group (6 days) was significantly shorter than in open resection group (8 days) (p = 0.046). Complications classified as grade II or higher were significantly less frequent in the laparoscopic resection group (2 patients) versus open resection group (13 patients) (p = 0.031).
Conclusions
Although laparoscopic major liver resections should be limited to expert hepatobiliary centers and are characterized by long learning curve, this approach may offer favorable short-term outcomes even during launching a new program.
Publisher
Springer Science and Business Media LLC
Reference18 articles.
1. Blackmore AE, Wong MT, Tang CL. Evolution of laparoscopy in colorectal surgery: an evidence-based review. World J Gastroenterol. 2014;20(17):4926–33.
2. Cho JE, Liu C, Gossner G, Nezhat FR. Laparoscopy and gynecologic oncology. Clin Obstet Gynecol. 2009;52(3):313–26.
3. Jackson CL. Urologic laparoscopy. Surg Oncol Clin N Am. 2001;10(3):571–8.
4. Wilson RG, Macintyre IM, Nixon SJ, Saunders JH, Varma JS, King PM. Laparoscopic cholecystectomy as a safe and effective treatment for deVere acute cholecystitis. BMJ. 1992;305(6850):394–6.
5. Jaschinsky T, Mosch CG, Eikermann M, Neugebauer EA, Sauerland S. Laparoscopic versus open surgery for suspect-ed appendicitis. Cochrane Database Sys Rev. 2018;11(11):CD001546.
Cited by
1 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献