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01-12-2017

Laparoscopic left liver resections: how far can we go?

Authors: Giada Pattaro, David Fuks, Hadrien Tranchart, Giuseppe Maria Ettorre, Amal Suhool, Christophe Bourdeaux, Panagiotis Lainas, Ibrahim Dagher, Brice Gayet

Published in: Surgical Endoscopy | Issue 12/2017

Abstract

Introduction

The aim of this study was to analyse the outcomes of laparoscopic anatomic hepatectomies of the left liver segments.

Methods

This is a retrospective multicentre study including all patients operated on laparoscopically divided into unisegmentectomy of 2, 3 or 4 (Group 1), left lobectomy (or left lateral sectionectomy LLS) (Group 2), left hepatectomy (Group 3) and extended left hepatectomy (Group 4) between 2000 and 2016. These four groups were compared in terms of demographics, intraoperative data and postoperative outcomes.

Results

Among the 190 selected patients, the groups 1, 2, 3, 4 included 25 (13.2%), 116 (61.0%), 27 (14.2%) and 22 (11.6%) patients, respectively. The cohorts were comparable except for the number of lesions (p = 0.001) and tumour diameter (p = 0.004). The operative time, blood loss and the use of vascular clamping were more frequent in the Groups 3 and 4 (p = 0.0001), as is the rate of conversion to laparotomy (p = 0.001). Total morbidity was 23.3%, and major complications were more frequent in Group 4 (p = 0.0001). The prevalence of hepatic complications (11.6%), intra-abdominal collections (7.4%) and respiratory complications (3.7%) was proportionally correlated to the hepatectomy extension (p = 0.0001).

Conclusion

All laparoscopic left liver resections seem safe and feasible even though extended hepatectomy is associated with a significant morbidity.

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Title: Laparoscopic left liver resections: how far can we go?
Authors: Giada Pattaro
David Fuks
Hadrien Tranchart
Giuseppe Maria Ettorre
Amal Suhool
Christophe Bourdeaux
Panagiotis Lainas
Ibrahim Dagher
Brice Gayet
Publication date: 01-12-2017
Publisher: Springer US
Published in: Surgical Endoscopy / Issue 12/2017
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-017-5606-x

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Laparoscopic left liver resections: how far can we go?

Abstract

Introduction

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Methods

Results

Conclusion

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