Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Comparative Study
. 2013 Jan-Mar;17(1):46-55.
doi: 10.4293/108680812X13517013317716.

Complications of liver resection: laparoscopic versus open procedures

Douglas P Slakey  1 , Eric Simms, Barbara Drew, Farshid Yazdi, Brett Roberts
Affiliations
Comparative Study

Complications of liver resection: laparoscopic versus open procedures

Douglas P Slakey et al. JSLS. 2013 Jan-Mar.

Abstract

Background and objective: Minimally invasive surgery for liver resection remains controversial. This study was designed to compare open versus laparoscopic surgical approaches to liver resection.

Methods: We performed a single-center retrospective chart review.

Results: We compared 45 laparoscopic liver resections with 17 open cases having equivalent resections based on anatomy and diagnosis. The overall complication rate was 25.8%. More open resection patients had complications (52.9% vs 15.5%, P < .008). The conversion rate was 11.1%. The mean blood loss was 667.1 ± 1450 mL in open cases versus 47.8 ± 89 mL in laparoscopic cases (P < .0001). Measures of intravenous narcotic use, intensive care unit length of stay, and hospital length of stay all favored the laparoscopic group. Patients were more likely to have complications or morbidity in the open resection group than in the laparoscopic group for both the anterolateral (P < .085) and posterosuperior (P < .002) resection subgroups.

Conclusion: In this series comparing laparoscopic and open liver resections, there were fewer complications, more rapid recovery, and lower morbidity in the laparoscopic group, even for those resections involving the posterosuperior segments of the liver.

PubMed Disclaimer

References

    1. Troisi R, Montalti R, Smeets P, et al. The value of laparoscopic liver surgery for benign hepatic tumors. Surg Endosc. 2008;22:38–44 - PubMed
    1. Samama G, Chiche L, Brefort JL, Le Roux Y. Laparoscopic anatomical hepatic resection. Report of four left lobectomies for solid tumors. Surg Endosc. 1998;12(1):76–78 - PubMed
    1. Rau HG, Buttler E, Meyer G, Schardey HM, Schildberg FW. Laparoscopic liver resection compared with conventional partial hepatectomy-a prospective analysis. Hepatogastroenterology. 1998;45:2333–2338 - PubMed
    1. Katkhouda N, Hurwitz M, Gugenheim J, et al. Laparoscopic management of benign solid and cystic lesions of the liver. Ann Surg. 1999;229(4):460–466 - PMC - PubMed
    1. Descottes B, Glineur D, Lachachi F, et al. Laparoscopic liver resection of benign liver tumors. Surg Endosc. 2003;17(1):23–30 - PubMed

Publication types

LinkOut - more resources