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. 2024 Jun 28.
doi: 10.1097/SLA.0000000000006418. Online ahead of print.

Defining Global Benchmarks for Laparoscopic Right Posterior Sectionectomy/H67: An International Multicenter Study

Jianping Zhao  1 , Yuanxiang Lu  1 , Wanguang Zhang  1 , Darren W Chua  2 , Qu Liu  3 , Rong Liu  3 , Johann Pratschke  4 , Francesca Ratti  5 , Giuseppe Zimmitti  6 , Davit L Aghayan  7 , Bjørn Edwin  7 , Tiing-Foong Siow  8 , Olivier Scatton  9 , Paulo Herman  10 , Marco V Marino  11 , Vincenzo Mazzaferro  12 , Adrian K H Chiow  13 , Iswanto Sucandy  14 , Arpad Ivanecz  15 , Sung Hoon Choi  16 , Jae Hoon Lee  17 , Mikel Gastaca  18 , Marco Vivarelli  19 , Felice Giuliante  20 , Andrea Ruzzenente  21 , Chee-Chien Yong  22 , Mengqiu Yin  23 , Constantino Fondevila  24 , Mikhail Efanov  25 , Zenichi Morise  26 , Fabrizio Di Benedetto  27 , Raffaele Brustia  28 , Raffaele Dalla Valle  29 , Ugo Boggi  30 , David Geller  31 , Andrea Belli  32 , Riccardo Memeo  33 , Alejandro Mejia  34 , James O Park  35 , Fernando Rotellar  36 , Gi-Hong Choi  37 , Ricardo Robles-Campos  38 , Xiaoying Wang  39 , Robert P Sutcliffe  40 , Eric C H Lai  41 , Charing C N Chong  42 , Mathieu D'Hondt  43 , Kazuteru Monden  44 , Santiago Lopez-Ben  45 , T Peter Kingham  46 , Alessandro Ferrero  47 , Giuseppe Maria Ettorre  48 , Daniel Cherqui  49 , Xiao Liang  50 , Olivier Soubrane  51 , David Fuks  51 , Go Wakabayashi  52 , Roberto I Troisi  53 , Tan-To Cheung  54 , Atsushi Sugioka  54 , Tran Cong Duy Long  55 , Mohammad Abu Hilal  6   56 , Luca Aldrighetti  5 , Kuo-Hsin Chen  8 , Ho-Seong Han  57 , Brian K P Goh  2   58 ; International robotic and laparoscopic liver resection study group investigators
Collaborators, Affiliations
Free article

Defining Global Benchmarks for Laparoscopic Right Posterior Sectionectomy/H67: An International Multicenter Study

Jianping Zhao et al. Ann Surg. .
Free article

Abstract

Objective: We aimed to establish global benchmark outcomes indicators for L-RPS/H67.

Background: Minimally invasive liver resections has seen an increase in uptake in recent years. Over time, challenging procedures as laparoscopic right posterior sectionectomies (L-RPS)/H67 are also increasingly adopted.

Methods: This is a post hoc analysis of a multicenter database of 854 patients undergoing minimally invasive RPS (MI-RPS) in 57 international centers in 4 continents between 2015 and 2021. There were 651 pure L-RPS and 160 robotic RPS (R-RPS). Sixteen outcome indicators of low-risk L-RPS cases were selected to establish benchmark cutoffs. The 75th percentile of individual center medians for a given outcome indicator was set as the benchmark cutoff.

Results: There were 573 L-RPS/H67 performed in 43 expert centers, of which 254 L-RPS/H67 (44.3%) cases qualified as low risk benchmark cases. The benchmark outcomes established for operation time, open conversion rate, blood loss ≥500 mL, blood transfusion rate, postoperative morbidity, major morbidity, 90-day mortality and textbook outcome after L-RPS were 350.8 minutes, 12.5%, 53.8%, 22.9%, 23.8%, 2.8%, 0% and 4% respectively.

Conclusions: The present study established the first global benchmark values for L-RPS/H6/7. The benchmark provided an up-to-date reference of best achievable outcomes for surgical auditing and benchmarking.

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Conflict of interest statement

The authors report no conflicts of interest.