Correlation Between Type of Retrieval Incision and Postoperative Outcomes in Laparoscopic Liver Surgery: A Critical Assessment

Fiorentini, Guido; Ratti, Francesca; Cipriani, Francesco; Marino, Rebecca; Cerchione, Raffaele; Catena, Marco; Paganelli, Michele; Aldrighetti, Luca

doi:10.1089/lap.2020.0470

Cited by 9 publications

(6 citation statements)

References 34 publications

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“…The laparoscopic procedures were shown to be superior to open liver resection in terms of a reduced blood loss, fewer complications, and shorter hospitalization period. In addition, the study showed significantly better pain control and mobility resumption with laparoscopic procedures compared to open liver resection 4 . In contrast, there were no significant differences in postoperative outcomes between laparoscopic liver resection patients with an upper midline incision and those with a Pfannenstiel incision.…”

Section: Discussionmentioning

confidence: 72%

“…A few studies have examined the symptoms and complications in relation to the location of the incision in laparoscopic liver resection 4,5 . Fiorentini et al conducted a study to clarify the correlation between the type of retrieval incision and postoperative outcomes.…”

Section: Discussionmentioning

confidence: 99%

“…In contrast, there were no significant differences in postoperative outcomes between laparoscopic liver resection patients with an upper midline incision and those with a Pfannenstiel incision. As a result, the authors concluded that the adoption of an upper midline incision for specimen retrieval in laparoscopic liver resection does not affect the outcomes in terms of invasiveness 4 …”

Section: Discussionmentioning

confidence: 99%

“…A few studies have examined the symptoms and complications in relation to the location of the incision in laparoscopic liver resection. 4,5 Fiorentini et al conducted a study to clarify the correlation between the type of retrieval incision and postoperative outcomes. In their study, they compared the outcomes of laparoscopic liver resection among cases with an upper midline incision or Pfannenstiel incision and cases that received open hepatectomy.…”

Section: Discussionmentioning

confidence: 99%

“…As a result, the authors concluded that the adoption of an upper midline incision for specimen retrieval in laparoscopic liver resection does not affect the outcomes in terms of invasiveness. 4 We previously reported the subjective evaluation of postoperative wound-related symptoms in living liver donors depending on the type of incision made, based on the results of an original questionnaire concerning not only the short-term symptoms, such as pain, but also long-term symptoms, such as numbness. 6 The donors who underwent hepatectomy with an upper midline incision showed less numbness of the abdominal wall compared to the donors with Mercedes-Benz incision or right subcostal incisions up to xiphoid incisions.…”

Section: Discussionmentioning

confidence: 99%

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A comparison of postoperative pain between transumbilical and suprapubic incision in laparoscopic liver resection

Soyama

Murakami

Natsuda

et al. 2022

Asian J Endoscop Surgery

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Background: In laparoscopic liver resection, few reports have investigated the influence of type of incision on postoperative pain in laparoscopic liver resection. We therefore conducted the present study to clarify the difference in postoperative pain between two types of incision.Methods: Nineteen patients who underwent laparoscopic lateral sectionectomy were enrolled. In 11 patients with a transumbilical incision and eight with a suprapubic incision, the operation duration, blood loss, length of incision, duration of intravenous fentanyl infusion immediately after surgery and rescue dosage, and period of regular oral nonsteroidal anti-inflammatory drugs were evaluated.Results: There was no significant difference between the two groups in patients' background characteristics, operation time, or amount of blood loss.The length of suprapubic incision was significantly longer than the umbilical incision. Concerning the postoperative pain management, the duration of intravenous fentanyl administration was 1 day (1-2 days) for umbilical incisions and 1.5 days (1-2 days) for suprapubic incisions, showing no significant difference. Regarding the rescue dosage of fentanyl, the results were comparable between the groups. Regarding the postoperative duration of regular nonsteroidal anti-inflammatory drug administration, there was also no significant difference between the groups (transumbilical: 14 days vs suprapubic: 8 [7-32]).Conclusions: Postoperative pain is comparable between umbilical and suprapubic incision in patients who underwent laparoscopic left lateral segmentectomy. In terms of postoperative pain, either a transumbilical incision or a suprapubic incision can be selected for specimen extraction.

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Section: Discussionmentioning

confidence: 72%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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