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Early results of the implementation of laparoscopic major liver resection program.
Morawski, Marcin; Grat, Michal; Krasnodebski, Maciej; Kobryn, Konrad; Holówko, Waclaw; Rykowski, Pawel; Dec, Marta; Nowosad, Malgorzata; Figiel, Wojciech; Patkowski, Waldemar; Zieniewicz, Krzysztof.
Afiliação
  • Morawski M; Department of General, Transplant, and Liver Surgery, Medical University of Warsaw, Banacha 1a Street, 02-097, Warsaw, Poland. marcin.morawski@wum.edu.pl.
  • Grat M; Department of General, Transplant, and Liver Surgery, Medical University of Warsaw, Banacha 1a Street, 02-097, Warsaw, Poland.
  • Krasnodebski M; Department of General, Transplant, and Liver Surgery, Medical University of Warsaw, Banacha 1a Street, 02-097, Warsaw, Poland.
  • Kobryn K; Department of General, Transplant, and Liver Surgery, Medical University of Warsaw, Banacha 1a Street, 02-097, Warsaw, Poland.
  • Holówko W; Department of General, Transplant, and Liver Surgery, Medical University of Warsaw, Banacha 1a Street, 02-097, Warsaw, Poland.
  • Rykowski P; Department of General, Transplant, and Liver Surgery, Medical University of Warsaw, Banacha 1a Street, 02-097, Warsaw, Poland.
  • Dec M; 2nd Department of Anaesthesiology and Intensive Care, Medical University of Warsaw, 02-07, Warsaw, Poland.
  • Nowosad M; Department of General, Transplant, and Liver Surgery, Medical University of Warsaw, Banacha 1a Street, 02-097, Warsaw, Poland.
  • Figiel W; Department of General, Transplant, and Liver Surgery, Medical University of Warsaw, Banacha 1a Street, 02-097, Warsaw, Poland.
  • Patkowski W; Department of General, Transplant, and Liver Surgery, Medical University of Warsaw, Banacha 1a Street, 02-097, Warsaw, Poland.
  • Zieniewicz K; Department of General, Transplant, and Liver Surgery, Medical University of Warsaw, Banacha 1a Street, 02-097, Warsaw, Poland.
World J Surg Oncol ; 20(1): 65, 2022 Mar 03.
Article em En | MEDLINE | ID: mdl-35241093
ABSTRACT

BACKGROUND:

Laparoscopic liver resections offer potential benefits but may require advanced laparoscopic skills and are volume dependent.

METHODS:

This retrospective study included 12 patients who underwent major laparoscopic resection and 24 patients after open major liver resection for liver malignancy in the time period between September 2020 and May 2021. The primary outcomes were complications according to Clavien-Dindo classification and duration of hospital stay.

RESULTS:

Median duration of hospital stay in laparoscopic resection group (6 days) was significantly shorter than in open resection group (8 days) (p = 0.046). Complications classified as grade II or higher were significantly less frequent in the laparoscopic resection group (2 patients) versus open resection group (13 patients) (p = 0.031).

CONCLUSIONS:

Although laparoscopic major liver resections should be limited to expert hepatobiliary centers and are characterized by long learning curve, this approach may offer favorable short-term outcomes even during launching a new program.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Laparoscopia / Neoplasias Hepáticas Idioma: En Ano de publicação: 2022 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Laparoscopia / Neoplasias Hepáticas Idioma: En Ano de publicação: 2022 Tipo de documento: Article