Ambulatory laparoscopic minor hepatic surgery: Retrospective observational study

Journal of Visceral Surgery
M GaillardI Dagher

Abstract

Over the last decade, laparoscopic hepatic surgery (LHS) has been increasingly performed throughout the world. Meanwhile, ambulatory surgery has been developed and implemented with the aims of improving patient satisfaction and reducing health care costs. The objective of this study was to report our preliminary experience with ambulatory minimally invasive LHS. Between 1999 and 2014, 172 patients underwent LHS at our institution, including 151 liver resections and 21 fenestrations of hepatic cysts. The consecutive series of highly selected patients who underwent ambulatory LHS were included in this study. Twenty patients underwent ambulatory LHS. Indications were liver cysts in 10 cases, liver angioma in 3 cases, focal nodular hyperplasia in 3 cases, and colorectal hepatic metastasis in 4 cases. The median operative time was 92minutes (range: 50-240minutes). The median blood loss was 35mL (range: 20-150mL). There were no postoperative complications or re-hospitalizations. All patients were hospitalized after surgery in our ambulatory surgery unit, and were discharged 5-7hours after surgery. The median postoperative pain score at the time of discharge was 3 (visual analogue scale: 0-10; range: 0-4). The median quality-of-life s...Continue Reading

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Citations

Jun 9, 2017·Surgical Endoscopy·Hadrien TranchartBrice Gayet
Oct 31, 2020·The American Surgeon·Hoi Y Annie LoLouis Andrew DiFronzo
Mar 12, 2019·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Lionel RebiboJean-Marc Regimbeau

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