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01-03-2014 | Original Article

Pure laparoscopic liver resection reduces surgical site infections and hospital stay. Results of a case-matched control study in 50 patients

Authors: Santiago López-Ben, Oscar Palacios, Antonio Codina-Barreras, M. Teresa Albiol, Laia Falgueras, Ernesto Castro, Joan Figueras

Published in: Langenbeck's Archives of Surgery | Issue 3/2014

Abstract

Background

Laparoscopic resection is an emerging tool in surgical oncology, but its role in liver tumors is far from being universally accepted.

Methods

We designed a case-matched control study, comparing laparoscopic (LAP) vs. open hepatectomies (OP) performed in the same center during the same period of time.

Fifty LAP were performed (34 liver metastases, 7 hepatocellular carcinomas, 2 hydatid cysts, and 5 benign tumors). Cases were compared with 100 OP matched according to: diagnosis, number of lesions, type of resection, age, ASA score, and ECOG performance status. We evaluated intraoperative and postoperative parameters, focusing on morbidity and mortality.

Results

Preoperative data were comparable in both groups. Operative features were similar in terms of overall morbidity 18 (36 %) vs. 36 (36 %), p = 1; intraoperative bleeding, 401 (18–2192) vs. 475 (20–2000) mL, p = 0.89; pedicle clamping, 37 (74 %) vs. 88 (88 %), p = 0.55; margin, 0.6 (0–5) vs. 0.65 (0–5) cm, p = 0.94, and mortality p = 0.65 for the LAP and OP groups, respectively. There was a significant decrease in surgical site infections 1 (2 %) vs. 18 (18 %) p = 0.007 in the LAP group. Operative time was longer: 295 (120–600) vs. 200 (70–450) min (p = 0.0001), and hospital stay significantly shorter: 4 (1–60) vs. 7 (3–44) days, p = 0.0001 with less readmissions (0 vs. 7 %) in the LAP.

Discussion

In adequately selected patients, laparoscopic hepatectomy is feasible, safe, shortens hospital stay, and decreases surgical site infections.

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Title: Pure laparoscopic liver resection reduces surgical site infections and hospital stay. Results of a case-matched control study in 50 patients
Authors: Santiago López-Ben
Oscar Palacios
Antonio Codina-Barreras
M. Teresa Albiol
Laia Falgueras
Ernesto Castro
Joan Figueras
Publication date: 01-03-2014
Publisher: Springer Berlin Heidelberg
Published in: Langenbeck's Archives of Surgery / Issue 3/2014
Print ISSN: 1435-2443
Electronic ISSN: 1435-2451
DOI: https://doi.org/10.1007/s00423-014-1169-7

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Pure laparoscopic liver resection reduces surgical site infections and hospital stay. Results of a case-matched control study in 50 patients

Abstract

Background

Methods

Results

Discussion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Results

Discussion

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