Comparison study between open and laparoscopic liver resection in a Saudi tertiary center

Abstract

Objectives: To compare King Saud University Medical City experience in laparoscopic liver resection with our previously established database for open resections. Methods: A retrospective study was conducted at King Saud University Medical City, Riyadh, Saudi Arabia. All adult patients who underwent liver resection from 2006 to 2017 were included. Patients who had their procedure converted to open were excluded. Results: Among the 111 liver resections included, 22 (19.8%) were performed laparoscopically and 89 (80.1%) were performed using the open technique. Malignancy was the most common indication in both groups (78.5%). The mean operative time was 275 min (SD 92.2) in the laparoscopic group versus 315 min (SD 104.3) in the open group. Intraoperative blood transfusion was required in the laparoscopic (9%) and open groups (31.4%). The morbidity rate was 13.6% in the laparoscopic group and 31.4% in the open group, and the mortality rate was 0% in the laparoscopic group and 5.6% in the open group. Conclusion: Laparoscopic liver resection appears to be a safe technique and can be performed in various benign and malignant cases.

Comparing outcomes of single-port insufflation endoscopic breast-conserving surgery and conventional open approach for breast cancer

“…All our patients in the SIE-BCS group had a single axillary incision, so there was no surgical incision on the breast surface, which is a novel advantage of this technique. From a clinical standpoint, the SIE-BCS technique increased the operation time as compared to conventional surgery [ 24 ]; this phenomenon has been reported extensively, and examples of this can be found in gastrointestinal [ 25 ], hepatobiliary [ 26 ], and thyroid surgeries [ 27 ]. However, our clinical care teams do not begrudge the additional time and effort, in light of the benefits to the postoperative well-being of the patients (personal communications).…”

Successful Outcomes of Single‐Port Insufflation Endoscopic Breast‐Conserving Surgery for Breast Cancer

“…This indicates that the length of operation time was related to the operation method. It has been shown in other elds, such as gastrointestinal [21], hepatobiliary [22], and thyroid surgery [23], that the use of endoscopy increases the operation time when compared to conventional surgery.…”

Saudi Association for the Study of Liver diseases and Transplantation practice guidelines on the diagnosis and management of hepatocellular carcinoma

“…[ 191 192 ] Similar efficacy and safety outcomes were seen in a Saudi review when comparing laparoscopic liver resection with open surgery on patients with HCC. [ 193 ]…”