Laparoscopic versus open liver resections of posterolateral liver segments - a systematic review and meta-analysis.
Wideochir Inne Tech Maloinwazyjne
; 15(3): 395-402, 2020 Sep.
Article
em En
| MEDLINE
| ID: mdl-32904535
ABSTRACT
INTRODUCTION:
Laparoscopic resection has become an accepted approach to liver tumour surgery. However, it is considered difficult, especially in unfavourably located lesions.AIM:
To compare the outcomes of laparoscopic (LLR) and open liver resection (OLR) of posterolateral segments. MATERIAL ANDMETHODS:
We searched the PubMed, EMBASE, and Scopus databases from inception to 30 September 2019. Full text articles and conference abstracts were included for further analysis. This review follows the PRISMA guidelines.RESULTS:
From 643 articles, 15 studies (N = 1196 patients) were included in the meta-analysis. All of them were non-randomised. Our findings showed that LLR had significantly lowered overall morbidity compared to OLR (MD = 0.66; 95% CI 0.51-0.86; p = 0.002). Length of hospital stay (MD = 2.48; 95% CI -3.87, -1.08; p < 0.001) was also shorter in the LLR group. Operative time (MD = 55.65; 95% CI 24.14-87.16; p < 0.001) was significantly shorter in the OLR group. In terms of blood loss, major complications, R0 resection rates, and resection margin, there were no significant differences.CONCLUSIONS:
Our meta-analysis showed that the laparoscopic approach to resections of posterolateral liver segments is beneficial. However, the results are based on non-randomised trials, and further research is needed to fully establish their clinical application.
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MEDLINE
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En
Ano de publicação:
2020
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Article