National trends in the use of surgery for benign hepatic tumors in the United States

Surgery
Yuhree KimTimothy M Pawlik

Abstract

The widespread use of diagnostic imaging has led to an increase in the incidence and diagnosis of benign liver tumors. The objective of this study was to define the overall use and temporal trends of operative procedures for benign liver tumors using a nationally representative cohort. All patients who underwent liver surgery for benign liver tumors between 2000 and 2011 were identified from the Nationwide Inpatient Sample database. Trends in annual volume of liver procedures were analyzed using the average annual percent change (AAPC) assessed by joinpoint analysis. There were 2,489 open (94.5%) and 144 (5.5%) minimally invasive surgical (MIS) procedures. Partial hepatectomy accounted for 43.8% of all cases (n = 1,153). Surgery for patients with benign liver tumors increased from 156 in 2000 to 272 in 2011 (AAPC, 5.8%; 95% CI, 3.2-8.6%). There was decline in the relative use of open operative procedures from 98.1% in 2000 to 92.3% in 2011 (AAPC, -0.4%; 95% CI, -0.7 to -0.1%). In contrast, the proportion of MIS procedures increased from 1.9% in 2000 to 7.7% in 2011 (AAPC, 7.4%; 95% CI, 1.9-13.3%). The median duration of stay among all patients was 5 days (interquartile range, 4-7; 5 days [open] vs 3 days [MIS]; P < .001). Inpat...Continue Reading

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Citations

Aug 4, 2015·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Jin HeTimothy M Pawlik
Apr 12, 2016·Indian Journal of Surgical Oncology·Jeffrey DouaiherChandrakanth Are
Jul 2, 2016·The Journal of Surgical Research·Neda AminiTimothy M Pawlik
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Jan 20, 2019·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Po-Da ChenYao-Ming Wu
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Aug 2, 2017·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Zachary E StilesPaxton V Dickson

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