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BMC Surgery
Published in: BMC Surgery 1/2009

Open Access 01-12-2009 | Research article

Laparoscopic versus open left lateral segmentectomy

Authors: Kirstin A Carswell, Filippos G Sagias, Beth Murgatroyd, Mohamed Rela, Nigel Heaton, Ameet G Patel

Published in: BMC Surgery | Issue 1/2009

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Abstract

Background

Laparoscopic liver surgery is becoming increasingly common. This cohort study was designed to directly compare perioperative outcomes of the left lateral segmentectomy via laparoscopic and open approach.

Methods

Between 2002 and 2006 43 left lateral segmentectomies were performed at King's College Hospital. Those excluded from analysis included previous liver resections, polycystic liver disease, liver cirrhosis and synchronous operations. Of 20 patients analysed, laparoscopic (n = 10) were compared with open left lateral segmentectomy (n = 10). Both groups had similar patient characteristics.

Results

Morbidity rates were similar with no wound or chest infection in either group. The conversion rate was 10% (1/10). There was no difference in operating time between the groups (median time 220 minutes versus 179 minutes, p = 0.315). Surgical margins for all lesions were clear. Less postoperative opiate analgesics were required in the laparoscopic group (median 2 days versus 5 days, p = 0.005). The median postoperative in-hospital stay was less in the laparoscopic group (6 days vs 9 days, p = 0.005). There was no mortality.

Conclusion

Laparoscopic left lateral segmentectomy is safe and feasible. Laparoscopic patients may benefit from requiring less postoperative opiate analgesia and a shorter post-operative in-hospital stay.
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Metadata
Title
Laparoscopic versus open left lateral segmentectomy
Authors
Kirstin A Carswell
Filippos G Sagias
Beth Murgatroyd
Mohamed Rela
Nigel Heaton
Ameet G Patel
Publication date
01-12-2009
Publisher
BioMed Central
Published in
BMC Surgery / Issue 1/2009
Electronic ISSN: 1471-2482
DOI
https://doi.org/10.1186/1471-2482-9-14

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