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Complications of Liver Resection: Laparoscopic Versus Open Procedures
- Source :
- JSLS : Journal of the Society of Laparoendoscopic Surgeons
- Publication Year :
- 2013
- Publisher :
- The Society of Laparoscopic and Robotic Surgeons, 2013.
-
Abstract
- Complications appear to be lower in laparoscopic cases versus open cases for anterolateral and posterosuperior hepatic segment surgery.<br />Background and Objective: Minimally invasive surgery for liver resection remains controversial. This study was designed to compare open versus laparoscopic surgical approaches to liver resection. Methods: We performed a single-center retrospective chart review. Results: We compared 45 laparoscopic liver resections with 17 open cases having equivalent resections based on anatomy and diagnosis. The overall complication rate was 25.8%. More open resection patients had complications (52.9% vs 15.5%, P < .008). The conversion rate was 11.1%. The mean blood loss was 667.1 ± 1450 mL in open cases versus 47.8 ± 89 mL in laparoscopic cases (P < .0001). Measures of intravenous narcotic use, intensive care unit length of stay, and hospital length of stay all favored the laparoscopic group. Patients were more likely to have complications or morbidity in the open resection group than in the laparoscopic group for both the anterolateral (P < .085) and posterosuperior (P < .002) resection subgroups. Conclusion: In this series comparing laparoscopic and open liver resections, there were fewer complications, more rapid recovery, and lower morbidity in the laparoscopic group, even for those resections involving the posterosuperior segments of the liver.
- Subjects :
- Adult
Male
medicine.medical_specialty
Carcinoma, Hepatocellular
Blood Loss, Surgical
Liver resections
LigaSure
law.invention
Resection
Laparoscopic
Postoperative Complications
Blood loss
law
Open Resection
Scientific Papers
Carcinoma
medicine
Hepatectomy
Humans
Laparoscopy
Aged
Retrospective Studies
Liver resection
medicine.diagnostic_test
business.industry
General surgery
Liver Neoplasms
Retrospective cohort study
Length of Stay
Middle Aged
medicine.disease
Intensive care unit
Surgery
Treatment Outcome
Female
business
Subjects
Details
- ISSN :
- 19383797 and 10868089
- Volume :
- 17
- Database :
- OpenAIRE
- Journal :
- JSLS : Journal of the Society of Laparoendoscopic Surgeons
- Accession number :
- edsair.doi.dedup.....5b6a43964f5808417c6b94ec3a527dc8