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Review
. 2023 Mar 31;12(3):631-637.
doi: 10.21037/tcr-22-2122. Epub 2023 Feb 22.

The value of analyzing textbook outcomes after laparoscopic hepatectomy-a narrative review

Mizelle D'Silva  1   2 , Jai Young Cho  2 , Ho-Seong Han  2 , Yoo-Seok Yoon  2 , Hae Won Lee  2 , Jun Suh Lee  2 , Boram Lee  2 , Yeongsoo Jo  2 , Eunhye Lee  2 , MeeYoung Kang  2 , Yeshong Park  2
Affiliations
Review

The value of analyzing textbook outcomes after laparoscopic hepatectomy-a narrative review

Mizelle D'Silva et al. Transl Cancer Res. .

Abstract

Background and objective: Guidelines are required because of the wide variability in care provided to patients with similar characteristics and similar medical conditions. Quality indicators were developed many years ago to assess the quality of care provided by hospitals. Since then, it has become evident that a composite set of factors can better characterize the patient's quality of care. The objectives of this review were to analyze the textbook outcomes (TO) applied in surgery, focusing on laparoscopic hepatectomy.

Methods: Data pertaining to quality indicators used in hospitals and their surgical applications were retrieved from medical literature by searching PubMed and Google Scholar for articles published between 1912 and 2022. Search terms included quality indicators, outcome indicators, TOs, TOs after surgery, TOs after hepatectomy, and clinical indicators.

Key content and findings: Since their inception, TO have been applied to various procedures and their impacts on patients have been assessed. TO and their implications have been studied for a variety of surgical procedures and were recently extended to laparoscopic hepatectomy. TO of laparoscopic left lateral sectionectomy and right hemihepatectomy were recently assessed, and benchmark values have been defined. TO are useful tools for assessing hospital performance and for optimizing the outcomes of patients undergoing laparoscopic hepatectomy.

Conclusions: At present, TO only consider surgeon-related factors. However, it is important to include the patient's perspective when defining TO. Although TO were recently applied to laparoscopic hepatectomy, there is still a need to further evaluate their application in this setting. Achieving TO was shown to have a positive impact on long-term outcomes and this needs to be studied for different liver resection procedures.

Keywords: Textbook outcomes; laparoscopic liver resection; outcome indicators; quality indicators.

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Conflict of interest statement

Conflicts of Interest: All authors have completed the ICMJE uniform disclosure form (available at https://tcr.amegroups.com/article/view/10.21037/tcr-22-2122/coif). The authors have no conflicts of interest to declare.

Figures

Figure 1
Figure 1
Percentage of patients achieving textbook outcomes according to clinical factors (31). TO, textbook outcomes; LOS, length of stay.
Figure 2
Figure 2
Textbook outcomes according to the indication for laparoscopic liver resection (31). HCC, hepatocellular carcinoma; TO, textbook outcomes; LOS, length of stay.
Figure 3
Figure 3
Overall survival and recurrence-free survival curves according to the achievement of textbook outcomes (11). TO, textbook outcomes.
See this image and copyright information in PMC

Comment in

  • Measuring success in hepatectomy.
    Kashif Z, Anderson K, Sheikh MR. Kashif Z, et al. Transl Cancer Res. 2023 Jul 31;12(7):1652-1655. doi: 10.21037/tcr-23-725. Epub 2023 Jun 27. Transl Cancer Res. 2023. PMID: 37588728 Free PMC article. No abstract available.

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