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. 2022 Mar 3;20(1):65.
doi: 10.1186/s12957-022-02505-5.

Early results of the implementation of laparoscopic major liver resection program

Marcin Morawski  1 , Michał Grąt  2 , Maciej Krasnodębski  2 , Konrad Kobryń  2 , Wacław Hołówko  2 , Paweł Rykowski  2 , Marta Dec  3 , Małgorzata Nowosad  2 , Wojciech Figiel  2 , Waldemar Patkowski  2 , Krzysztof Zieniewicz  2
Affiliations

Early results of the implementation of laparoscopic major liver resection program

Marcin Morawski et al. World J Surg Oncol. .

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.

Keywords: Complications; Laparoscopy; Liver resection.

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Conflict of interest statement

The authors declare that they have no competing interest.

Figures

Fig. 1
Fig. 1
Liver resection in the cirrhotic patient with combined hepatocellular-cholangiocarcinoma. Identification of A right hepatic artery and B right portal vein branch. C Mobilized right liver lobe and D transection line
Fig. 2
Fig. 2
Computed tomography of the cirrhotic patient with combined hepatocellular-cholangiocarcinoma. (*) Tumor thrombus in the right portal vein branch
Fig. 3
Fig. 3
Magnetic resonance imaging of the patient with large adenoma
See this image and copyright information in PMC

References

    1. Blackmore AE, Wong MT, Tang CL. Evolution of laparoscopy in colorectal surgery: an evidence-based review. World J Gastroenterol. 2014;20(17):4926–4933. doi: 10.3748/wjg.v20.i17.4926. - DOI - PMC - PubMed
    1. Cho JE, Liu C, Gossner G, Nezhat FR. Laparoscopy and gynecologic oncology. Clin Obstet Gynecol. 2009;52(3):313–326. doi: 10.1097/GRF.0b013e3181b088d2. - DOI - PubMed
    1. Jackson CL. Urologic laparoscopy. Surg Oncol Clin N Am. 2001;10(3):571–578. doi: 10.1016/S1055-3207(18)30050-4. - DOI - PubMed
    1. 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):394–396. doi: 10.1136/bmj.305.6850.394. - DOI - PMC - PubMed
    1. 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. - PMC - PubMed