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Laparoscopic Hepatectomy: Current State in Japan Based on the 4th Nationwide Questionnaire
- Source :
- Gastroenterology Research and Practice, Gastroenterology Research and Practice, Vol 2017 (2017)
- Publication Year :
- 2017
- Publisher :
- Hindawi Limited, 2017.
-
Abstract
- Purpose. Since laparoscopic hepatectomy (LH) became covered by national health insurance in April 2010 in Japan, the numbers of applied cases and institutions performing it have increased and the indication has expanded. We surveyed the current state and safety of LH in Japan. Methods. A questionnaire survey was performed in 41 institutions related to the Japanese Endoscopic Liver Surgery Study Group and 747 institutions certified by the Japanese Society of Gastroenterological Surgery, and responses concerning all 2962 cases of LH performed by August 2011 were obtained. Results. The surgical procedure employed was hemihepatectomy in 234 (8%), segmentectomy in 88 (3%), left lateral segmentectomy in 434 (15%), segmentectomy in 156 (5%), and partial resection in 1504 (51%) cases. The approach was pure laparoscopy in 1835 (63%), hand-assisted laparoscopic surgery in 201 (7%), and laparoscopy-assisted surgery in 926 (31%). Regarding perioperative complications, surgery was switched to laparotomy in 59 (2.0%), reoperation was performed in 4 (0.1%), and surgery-related death occurred in 2 (0.07%). Intraoperative accidents occurred in 68 (2.3%), and postoperative complications developed in 94 (3.2%). Conclusions. When the selection of cases is appropriate, LH for liver diseases can be safely performed.
- Subjects :
- Liver surgery
Laparoscopic surgery
medicine.medical_specialty
Article Subject
medicine.medical_treatment
Laparoscopic hepatectomy
030230 surgery
03 medical and health sciences
0302 clinical medicine
Laparotomy
medicine
lcsh:RC799-869
Laparoscopy
Hepatology
medicine.diagnostic_test
business.industry
General surgery
Gastroenterology
Perioperative
Partial resection
Surgery
National health insurance
030220 oncology & carcinogenesis
lcsh:Diseases of the digestive system. Gastroenterology
business
Research Article
Subjects
Details
- ISSN :
- 1687630X and 16876121
- Volume :
- 2017
- Database :
- OpenAIRE
- Journal :
- Gastroenterology Research and Practice
- Accession number :
- edsair.doi.dedup.....ed56b27f0f2e434a7c48fad03621e8f9