Propensity score analysis of outcomes following laparoscopic or open liver resection for hepatocellular carcinoma

Sposito, Carlo; Battiston, Carlo; Facciorusso, Antonio; Mazzola, Michele; Muscarà, Cecilia; Scotti, Maddalena; Romito, Raffaele; Mariani, Luigi; Mazzaferro, Vincenzo

doi:10.1002/bjs.10137

Cited by 134 publications

(92 citation statements)

References 30 publications

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“…LLR also resulted in significantly less bleeding, shorter hospital stays, and fewer complications, with no difference in survival rates. Similar results were reported by Sposito et al (11).…”

supporting

confidence: 92%

Laparoscopic liver resection in the treatment of HCC with liver cirrhosis: would it provide superiority to conventional open hepatectomy?

Otsuka

Kaneko

2017

Hepatobiliary Surg. Nutr.

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supporting

confidence: 92%

Laparoscopic liver resection in the treatment of HCC with liver cirrhosis: would it provide superiority to conventional open hepatectomy?

Otsuka

Kaneko

2017

Hepatobiliary Surg. Nutr.

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“…described the utility of LLR for HCC. A later systematic review and meta‐analysis of LLR and open liver resection (OLR) showed no significant difference in surgical curability, but LLR was associated with less invasive than OLR 80, 81, 82. These reports are considered the main evidence supporting the utility of LLR in the setting of HCC, because it is unrealistic to conduct a randomized controlled trial comparing the outcomes of OLR and LLR.…”

Section: Indications and Oncological Outcomesmentioning

confidence: 99%

Evolution and revolution of laparoscopic liver resection in Japan

Kaneko

Otsuka

Kubota

et al. 2017

Annals of Gastroent Surgery

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Due to important technological developments and improved endoscopic techniques, laparoscopic liver resection (LLR) is now considered the approach of choice and is increasingly performed worldwide. Recent systematic reviews and meta‐analyses of observational data reported that LLR was associated with less bleeding, fewer complications, and no oncological disadvantage; however, no prospective randomized trials have been conducted. LLR will continue to evolve as a surgical approach that improves patient's quality of life. LLR will not totally supplant open liver surgery, and major LLR remains to be technically challenging procedure. The success of LLR depends on individual learning curves and adherence to surgical indications. A recent study proposed a scoring system for stepwise application of LLR, which was based on experience at high‐volume Japanese centers. A cluster of deaths after major LLR was sensationally reported by the Japanese media in 2014. In response, the Japanese Society of Hepato‐Biliary‐Pancreatic Surgery conducted emergency data collection on operative mortality. The results demonstrated that mortality was not higher than that for open procedures except for hemi‐hepatectomy with biliary reconstruction. An online prospective registry system for LLR was established in 2015 to be transparent for patients who might potentially undergo treatment with this newly developed, technically demanding surgical procedure.

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“…Dies spiegelt zum einen die starke Verbreitung der minimalinvasiven Leberchirurgie in asiatischen Län-dern, mit einem hohen Anteil an Patienten mit lebereigenen Tumoren wider, zum anderen erscheint die Laparoskopie gerade bei diesen Patienten Vorteile zu versprechen [28,32]. Das unstrittig geringere Zugangstrauma in der laparoskopischen Chirurgie mit daraus resultierendem geringerem Schmerzmittelbedarf, früherer Mobilisation und kürzeren Liegezeiten reduziert das Komplikationsrisiko bei Patienten mit Leberzirrhose erheblich [14,33].AucheingeringererBlutverlust, der reduzierte Bedarf an Flüssig-keitsgaben, frühere Darmtätigkeit und die Möglichkeit wiederholter Resektionen mit nur geringer Verwachsungsbildung tragen zum besseren Gesamtergebnis der laparoskopischen Leberchirurgie bei Patienten mit HCC und Leberzirrhose bei [28,32]. Daher sollte gerade bei dieser Patientengruppe die laparokopische Resektion der offenen Resektion vorgezogen werden.…”

Section: Hepatozelluläres Karzinomunclassified

Laparoskopische Leberchirurgie

Schön

Justinger

2017

Chirurg

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Propensity score analysis of outcomes following laparoscopic or open liver resection for hepatocellular carcinoma

Abstract: In comparison with the open approach, laparoscopic minor liver resections for HCC improved short-term outcomes, with similar survival results.

Cited by 134 publications

References 30 publications

Laparoscopic liver resection in the treatment of HCC with liver cirrhosis: would it provide superiority to conventional open hepatectomy?

Laparoscopic liver resection in the treatment of HCC with liver cirrhosis: would it provide superiority to conventional open hepatectomy?

Evolution and revolution of laparoscopic liver resection in Japan

Laparoskopische Leberchirurgie

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