International multicenter propensity score matched study on laparoscopic versus open left lateral sectionectomy

Poel, Marcel J. van der; Fichtinger, R.; Görgec, Burak; Rawashdeh, Arab; Tanis, Pieter J.; Busch, Olivier R.; Gulik, Thomas M. van; Verhoef, Cornelis; Boer, Marieke T. de; D’Hondt, Mathieu; Hilal, Mohammed Abu; Terkivatan, Türkan; Dam, Ronald M. van; Besselink, Marc G.

doi:10.1016/j.hpb.2020.09.006

Cited by 1 publication

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“…In the case of left lateral sectionectomies performed on donors with a normal background liver, the frequency of biliary complications, including bile leak, is reported to be 1.4% to 4.3% [ 9 - 11 ]. In addition, van der Poel et al [ 12 ] found that the frequency of severe complications (abdominal fluid collection requiring drainage, bleeding requiring reoperation, respiratory insufficiency, and sepsis) was 13%, and the mortality rate within 90 days was 1%. In our study, there were no severe complications.…”

Section: Discussionmentioning

confidence: 99%

Is left lateral sectionectomy of the liver without operative site drainage safe and effective?

Noh

Park

Seo

2022

Ann Hepatobiliary Pancreat Surg

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Despite its limited benefits, operative site drainage after elective hepatectomy is routinely used. This study aimed to investigate the safety and effectiveness of left lateral sectionectomy without operative site drainage. Methods: This study retrospectively collected data from 31 patients who underwent elective left lateral sectionectomy between January 2017 and June 2020. Based on whether operative site drainage was used, the patients were divided into two groups: drainage and non-drainage of the operative site and a comparative analysis was conducted. Results: A total of 31 patients underwent left lateral sectionectomy during the study period. Of these, 22 patients were diagnosed with hepatocellular carcinoma; three, with intrahepatic cholangiocarcinoma; three, with liver metastasis; and three, with benign liver disease. Ten patients underwent laparoscopy. No significant differences were observed between the open and laparoscopic surgery groups. In the univariate analysis, there were no significant differences in the pre-, intra-, and postoperative clinicopathological factors between the non-drainage and drainage groups. The hospitalization period in the non-drainage group was significantly shorter than in the drainage group (8.44 days vs. 5.87 days, p < 0.05). In the operative site drainage non-use group, there were no cases of intraperitoneal fluid collection requiring additional procedures. Conclusions: Routine use of surgical drainage for left lateral sectionectomy of the liver to prevent intraperitoneal fluid collection is unnecessary.

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