The practice of laparoscopic liver surgery in Belgium: a national survey

Tomassini, Federico; Scuderi, Vincenzo; Berardi, Giammauro; Dili, Alexandra; D’Hondt, Mathieu; Sergeant, Gregory; Hubert, Catherine; Huysentruyt, Frederik; Berrevoet, Frederik; Lucidi, Valério; Troisi, Roberto

doi:10.1080/00015458.2016.1202478

Cited by 5 publications

(4 citation statements)

References 18 publications

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“…Thirty-seven centres undertook two or fewer MILS/month (849 patients; median (i.q.r.) 18 (12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31) patients per centre, 0⋅7 (0⋅4-1⋅0) MILS procedures per month per centre), including 26 centres that carried out less than one MILS/month (403 patients).…”

Section: Resultsmentioning

confidence: 99%

“…Consensus has been reached regarding the efficacy of MILS, and it is a standard for limited resections of anterolateral segments and left lateral sectionectomies. There is robust evidence to support the adoption of MILS in patients with colorectal liver metastases and even in those with cirrhosis.…”

Section: Discussionmentioning

confidence: 99%

“…Guidelines recommend that laparoscopic liver surgery should be undertaken in centres with expertise in both laparoscopic and liver surgery. However, the distribution of MILS is heterogeneous; minimally invasive procedures are performed in and out of hepatopancreatobiliary units, and their proportion is variable, ranging from 10 per cent of liver resections up to 80 per cent in some centres. The impact of the hospital case volume on MILS outcomes is not known.…”

Section: Introductionmentioning

confidence: 99%

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Multicentre evaluation of case volume in minimally invasive hepatectomy

Viganò

Cimino

Aldrighetti

et al. 2020

Journal of British Surgery

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Background Surgical outcomes may be associated with hospital volume and the influence of volume on minimally invasive liver surgery (MILS) is not known. Methods Patients entered into the prospective registry of the Italian Group of MILS from 2014 to 2018 were considered. Only centres with an accrual period of at least 12 months and stable MILS activity during the enrolment period were included. Case volume was defined by the mean number of minimally invasive liver resections performed per month (MILS/month). Results A total of 2225 MILS operations were undertaken by 46 centres; nine centres performed more than two MILS/month (1376 patients) and 37 centres carried out two or fewer MILS/month (849 patients). The proportion of resections of anterolateral segments decreased with case volume, whereas that of major hepatectomies increased. Left lateral sectionectomies and resections of anterolateral segments had similar outcome in the two groups. Resections of posterosuperior segments and major hepatectomies had higher overall and severe morbidity rates in centres performing two or fewer MILS/month than in those undertaking a larger number (posterosuperior segments resections: overall morbidity 30·4 versus 18·7 per cent respectively, and severe morbidity 9·9 versus 4·0 per cent; left hepatectomy: 46 versus 22 per cent, and 19 versus 5 per cent; right hepatectomy: 42 versus 34 per cent, and 25 versus 15 per cent). Conclusion A volume–outcome association existed for minimally invasive hepatectomy. Complex and major resections may be best managed in high‐volume centres.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Multicentre evaluation of case volume in minimally invasive hepatectomy

Viganò

Cimino

Aldrighetti

et al. 2020

Journal of British Surgery

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“…Minimal access liver surgery (MALS), better recognized as minimal invasive liver surgery (MILS), has grown its popularity and is now routinely performed in several surgical units [1-5]. As a consequence of that, nowadays, procedures like limited resections of anteroinferior segments and left lateral sectionectomies are somehow considered a standard once approached by MALS [6-8].…”

mentioning

confidence: 99%