Single-Centre Comparative Study of Laparoscopic Versus Open Right Hepatectomy

Hilal, Mohammed Abu; Fabio, Francesco Di; Teng, Mabel; Lykoudis, Pavlos; Primrose, John; Pearce, Neil

doi:10.1007/s11605-011-1468-z

Cited by 86 publications

(51 citation statements)

References 23 publications

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“…Many researchers have pointed out the reason for conversion to laparotomy, including bleeding, poor progression during the parenchyma transaction, and abdominal adhesions. [12][13][14][15] The laparotomy was promptly transferred and the patient recovered very well.…”

Section: Discussion Of the Study Resultsmentioning

confidence: 98%

Pure Laparoscopic Versus Open Liver Resection in Treatment of Hepatolithiasis Within the Left Lobes

Ding

Cai

Qin

2015

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

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Laparoscopic liver resection displays similar safety and feasibility for hepatolithiasis within the left lateral lobes, and they were also similar with respect to the overall complications, but the laparoscopic group has an advantage in the operating time, the amount of bleeding, and the length of their staying in hospital. It is, however, agreed between the authors of this paper that further studies with larger number of patients and longer follow-up observations are necessary to make a definitive conclusion.

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Section: Discussion Of the Study Resultsmentioning

confidence: 98%

Pure Laparoscopic Versus Open Liver Resection in Treatment of Hepatolithiasis Within the Left Lobes

Ding

Cai

Qin

2015

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

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“…These are interesting findings, and one of the explanations for this phenomenon is selection bias. Even in experienced centers the surgeons tend to choose fitter patients for a technique still considered as a novelty [17]. This bias could have been eliminated by a prospective randomized trial comparing open and laparoscopic liver resections.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic and open liver resection – a literature review with meta-analysis

Komorowski¹,

Mituś²,

Wysocki³

et al. 2017

aoms

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IntroductionIn recent years laparoscopic approach to liver resections has gained important attention from surgeons worldwide. The aim of this review was to compare the results of laparoscopic and open liver resections.Material and methodsWe have performed a search in Medline, Embase and the Cochrane Library databases. Studies comparing laparoscopic and open liver resections were included.ResultsNo randomized clinical trial were identified. In the 16 observational studies included in the analysis there were 927 laparoscopic and 1049 open liver resections. The laparoscopy group had lower blood loss (MD = 244.93 ml, p < 0.00001), lower odds of transfusion (OR = 0.35, p = 0.0002), lower odds of positive margins on pathology report (OR = 0.22, p < 0.00001), lower odds of readmission (OR = 0.36, p = 0.04), lower odds of pulmonary (OR = 0.38, p = 0.003) and cardiac complications (OR = 0.30, p = 0.02) and lower odds of postoperative liver failure (OR = 0.24, p = 0.001), but in many cases the results were based on a low number of events reported in included studies.ConclusionsLaparoscopic resection of liver yields complications rates comparable to open resection, but the results are based on low quality evidence from nonrandomised studies.

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“…In addition, our willingness to undertake more technically demanding laparoscopic right hepatectomy has increased during this series. However, without a hand port most authors still report operating times in excess of 6 h [24] for right hepatectomy. It is imperative that these patients have a very careful pre-operative assessment because of the need for a prolonged pneumoperitoneum.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Liver Resection: Is There a Learning Curve?

et al. 2012

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Background: Laparoscopic liver resection (LLR) is becoming an accepted treatment option for resecting both benign and malignant tumours. However, it is critical that the laparoscopic approach does not compromise the technical quality of the liver resection. The aim of this paper was to review the learning curve of LLR in a specialist HPB unit. Methods: A prospective database was searched to identify patients undergoing LLR over a 4-year period. To assess the effect of the learning curve on outcome, the series was evaluated during two eras – early versus late. Results: Fifty-one (27 males, median age 68 years) patients were identified with 37 having LLR. The most common indication was for colorectal liver metastases, and the most common procedure was a non-anatomical metastectomy. Changes in management decisions (n = 14) occurred more frequently during the first era (9 vs. 5; p > 0.05). More patients underwent right hepatectomy in the late group (3 vs. 1; p < 0.05). There did not appear to be any difference in duration of surgery for laparoscopic left lateral resection between the eras (200 vs. 240 min; p > 0.05) which probably reflected trainees performing more operations during the late era. Left hepatectomy was most commonly performed in the early era compared to more right hepatectomies during the late era. Conclusion: LLR is associated with a learning curve, but once this has been overcome it can be safely utilised in the management of malignant liver lesions even for major resections, surgical training and simultaneous resections.

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Single-Centre Comparative Study of Laparoscopic Versus Open Right Hepatectomy

Abstract: LRH can be a safe, effective, and oncologically efficient alternative to open resection in selected cases. Extensive experience in hepatic and laparoscopic surgery is required.

Cited by 86 publications

References 23 publications

Pure Laparoscopic Versus Open Liver Resection in Treatment of Hepatolithiasis Within the Left Lobes

Pure Laparoscopic Versus Open Liver Resection in Treatment of Hepatolithiasis Within the Left Lobes

Laparoscopic and open liver resection – a literature review with meta-analysis

Laparoscopic Liver Resection: Is There a Learning Curve?

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