> Detailanzeige

Efanov, Mikhail; Salimgereeva, Diana; Alikhanov, Ruslan; Wu, Andrew G. R.; Geller, David; Cipriani, Federica; Aghayan, Davit L.; Fretland, Asmund Avdem; Sijberden, Jasper; Belli, Andrea; Marino, Marco V.; Mazzaferro, Vincenzo; Chiow, Adrian K. H.; Sucandy, Iswanto; Ivanecz, Arpad; Choi, Sung Hoon; Lee, Jae Hoon; Prieto, Mikel; Vivarelli, Marco; Giuliante, Felice; Ruzzenente, Andrea; Yong, Chee‐Chien; Fondevila, Constantino; Rotellar, Fernando; [...]

Comparison between the difficulty of laparoscopic limited liver resections of tumors located in segment 7 versus segment 8: An international multicenter propensity‐score matched study

Literatur-
verwaltung

Zur
Merkliste

Lösche von
Merkliste

Per Whatsapp teilen

Schließen

Merkliste



Sie können Bookmarks mittels Listen verwalten, loggen Sie sich dafür bitte in Ihr SLUB Benutzerkonto ein.
  • Medientyp: E-Artikel
  • Titel: Comparison between the difficulty of laparoscopic limited liver resections of tumors located in segment 7 versus segment 8: An international multicenter propensity‐score matched study
  • Beteiligte: Efanov, Mikhail; Salimgereeva, Diana; Alikhanov, Ruslan; Wu, Andrew G. R.; Geller, David; Cipriani, Federica; Aghayan, Davit L.; Fretland, Asmund Avdem; Sijberden, Jasper; Belli, Andrea; Marino, Marco V.; Mazzaferro, Vincenzo; Chiow, Adrian K. H.; Sucandy, Iswanto; Ivanecz, Arpad; Choi, Sung Hoon; Lee, Jae Hoon; Prieto, Mikel; Vivarelli, Marco; Giuliante, Felice; Ruzzenente, Andrea; Yong, Chee‐Chien; Fondevila, Constantino; Rotellar, Fernando; [...]
  • Erschienen: Wiley, 2023
  • Erschienen in: Journal of Hepato-Biliary-Pancreatic Sciences
  • Sprache: Englisch
  • DOI: 10.1002/jhbp.1210
  • ISSN: 1868-6974; 1868-6982
  • Entstehung:
  • Anmerkungen:
  • Beschreibung: <jats:title>Abstract</jats:title><jats:sec><jats:title>Background</jats:title><jats:p>Presently, according to different difficulty scoring systems, there is no difference in complexity estimation of laparoscopic liver resection (LLR) of segments 7 and 8. However, there is no published data supporting this assumption. To date, no studies have compared the outcomes of laparoscopic parenchyma‐sparing resection of the liver segments 7 and 8.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>A post hoc analysis of patients undergoing LLR of segments 7 and 8 in 46 centers between 2004 and 2020 was performed. 1:1 Propensity score matching (PSM) was used to compare isolated LLR of segments 7 and 8. Subset analyses were also performed to compare atypical resections and segmentectomies of 7 and 8.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>A total of 2411 patients were identified, and 1691 patients met the inclusion criteria. Comparison after PSM between the entire cohort of segment 7 and segment 8 resections revealed inferior results for segment 7 resection in terms of increased blood loss, blood transfusions, and conversions to open surgery. Subset analyses of only atypical resections similarly demonstrated poorer outcomes for segment 7 in terms of increased blood loss, operation time, blood transfusions, and conversions to open surgery. Conversely, a subgroup analysis of segmentectomies after PSM found better outcomes for segment 7 in terms of a shorter operation time and hospital stay.</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>Differences in the outcomes of segments 7 and 8 resections suggest a greater difficulty of laparoscopic atypical resection of segment 7 compared to segment 8, and greater difficulty of segmentectomy 8 compared to segmentectomy 7.</jats:p></jats:sec>