Laparoscopic extended liver resection: are postoperative outcomes different?

Surgical Endoscopy
Daniel PietraszB Gayet

Abstract

Although laparoscopic major hepatectomy (LMH) is becoming increasingly common in specialized centers, data regarding laparoscopic extended major hepatectomies (LEMH) and their outcomes are limited. The aim of this study was to compare the perioperative characteristics and postoperative outcomes of LEMH to standard LMH. All patients who underwent purely laparoscopic anatomical right or left hepatectomy and right or left trisectionectomy between February 1998 and January 2016 are enrolled. Demographic, clinicopathological, and perioperative factors were collected prospectively and analyzed retrospectively. Perioperative characteristics and postoperative outcomes in LEMH were compared to those of standard LMH. Among 195 patients with LMH, 47 (24.1%) underwent LEMH, colorectal liver metastases representing 66.7% of all indications. Preoperative portal vein embolization was undertaken in 31 (15.9%) patients. Despite more frequent vascular clamping, blood loss was higher in LEMH group (400 vs. 214 ml; p = 0.006). However, there was no difference in intraoperative transfusion requirements. Thirty-one patients experienced liver failure with no differences between LMH and LEMH groups. Postoperative mortality was comparable in the two gr...Continue Reading

References

Feb 24, 2001·Journal of the American College of Surgeons·J MelendezL H Blumgart
Apr 15, 2004·Annals of Surgery·Jean-Nicolas VautheySteven A Curley
Aug 26, 2006·Journal of the American College of Surgeons·Hauke LangChristoph E Broelsch
Oct 21, 2006·The British Journal of Surgery·S ChangD Cherqui
May 5, 2007·Surgical Endoscopy·Andrew A Gumbs, Brice Gayet
Oct 16, 2007·American Journal of Surgery·Brice GayetFrédéric Mal
Jan 19, 2008·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Andrew A GumbsBrice Gayet
Jun 17, 2008·Surgical Endoscopy·Andrew A Gumbs, Brice Gayet
Jan 21, 2009·Archives of Surgery·Takeaki IshizawaMasatoshi Makuuchi
Aug 13, 2009·The British Journal of Surgery·G BelliG Russo
Sep 4, 2009·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Kaori ItoMichael I D'Angelica
Oct 7, 2009·Annals of Surgery·Ibrahim DagherJoseph F Buell
Nov 17, 2009·Surgical Endoscopy·Hadrien TranchartIbrahim Dagher
Nov 17, 2009·Annals of Surgery·Joseph F BuellUNKNOWN World Consensus Conference on Laparoscopic Surgery
Mar 8, 2011·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Mohammed Abu HilalNeil William Pearce
Mar 6, 2013·The British Journal of Surgery·M EsakiT Sano
Apr 1, 2014·Journal of the American College of Surgeons·Rachel L MedberyJuan M Sarmiento
Aug 8, 2014·Journal of Hepato-biliary-pancreatic Sciences·Ibrahim DagherGo Wakabayashi
Sep 17, 2014·Annals of Surgical Oncology·Takeo NomiBrice Gayet
Dec 19, 2014·The British Journal of Surgery·T NomiB Gayet
Dec 24, 2015·The British Journal of Surgery·S G FaridJ P A Lodge
Dec 30, 2015·Journal of the American College of Surgeons·François CauchyBrice Gayet
Oct 22, 2016·Journal of Hepato-biliary-pancreatic Sciences·Takeshi TakaharaMasakazu Yamamoto
Feb 12, 2017·Annals of Surgery·Yoshikuni KawaguchiBrice Gayet
Sep 8, 2017·Scandinavian Journal of Gastroenterology·Hongwei XuBo Li

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Citations

Feb 9, 2021·World Journal of Gastrointestinal Surgery·Daniel HeiseFlorian Ulmer

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