Laparoscopic liver resection: lessons learnt after 100 cases

Chan, Fiona; Cheng, Kai-Chi; Yeung, Y

doi:10.12809/hkmj134066

Cited by 9 publications

(10 citation statements)

References 13 publications

(18 reference statements)

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“…Few studies have analyzed the learning curve effect in LLR, [16][17][18][19] the most rigorous of which was limited to data collected during the time when the LLR technique was being developed and standardized. 16 We therefore aimed to analyze the learning curve effect of the current LLR technique.…”

Section: Introductionmentioning

confidence: 99%

“Idealized” vs. “True” learning curves: the case of laparoscopic liver resection

Villani

Bohnen

Torabi

et al. 2016

HPB

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Section: Introductionmentioning

confidence: 99%

“Idealized” vs. “True” learning curves: the case of laparoscopic liver resection

Villani

Bohnen

Torabi

et al. 2016

HPB

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“…Similar results were reported in the literature, affirming that laparoscopic liver resection could be performed without compromising the resection margin with careful planning and frequent intraoperative sonographic assessment.On the other hand, the 5-year overall survival for LLR was better than OH (84.9% vs. 61.1%, p=0.036) in our series. This could be attributed to the five perioperative mortalities in the OH group, which occurred all in the first half of our hepatectomy experience 9. Some of the post-operative complications, such as chest infection and pleural effusions, could be related to the increased trauma and stress induced by open surgical assess.…”

mentioning

confidence: 95%

Laparoscopic hepatectomy versus open hepatectomy for hepatocellular carcinoma: A propensity case-matched analysis of the long-term survival

Cheng

Chan

et al. 2021

Ann Hepatobiliary Pancreat Surg

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Backgrounds/Aims: Despite the widespread popularity of laparoscopic surgery, laparoscopic liver resection (LLR) remains in evolution. This study aimed to compare the long-term outcomes for patients undergoing laparoscopic versus open hepatectomy for hepatocellular carcinoma (HCC) ≤7 cm. Methods: Patients diagnosed with HCC treated by hepatectomy from October 2000 to May 2019 were included. Excluding tumors larger than 7 cm, 1:2 propensity score matching was performed between laparoscopic and open hepatectomies. The perioperative outcomes, 5-year overall survival (OS) and disease-free survival (DFS) of the two groups were compared. Results: Forty-five patients who underwent LLR were matched to 90 open hepatectomy (OH) during the same period. LLR group had shorter median hospital stay (5 days vs. 9 days, p=0.00) but required longer operative time (326.0 minutes vs. 272.5 minutes, p=0.018) than the OH group. The 5-year overall survival was better in the LLR group (84.9% vs. 61.1%; p=0.036), though there was no significant difference in the 5-year disease free survival (20.0% vs. 22.2%, p=0.613). The rate of R0 resection was comparable between the 2 groups with a slightly better margin distance in the LLR (5 mm vs. 3 mm, p=0.043). Conclusions: Laparoscopic liver resection is safe and feasible for cirrhotic patients with HCC size up to 7 cm. It has better short-term outcomes and comparable perioperative blood loss and complication rates. The resection margin is not jeopardized and the 5-year overall and disease-free survivals are comparable with the open group.

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“…The selection criteria and operative technique for LLR in our center were described previously ( 15 ). In general, liver resection was first considered in all cases.…”

Section: Methodsmentioning

confidence: 99%

“…Data on post-operative complications were classified according to the Clavien-Dindo Grading ( 16 ). Both groups of patients followed the same post-treatment surveillance protocol ( 15 ). In general, 6-monthly triphasic contrast CT scans and chest X-rays were performed.…”

Section: Methodsmentioning

confidence: 99%

Pure laparoscopic liver resection versus percutaneous radiofrequency ablation for small hepatocellular carcinoma: a propensity score and multivariate analysis

Cheng¹,

Ho²

2022

Transl Cancer Res TCR

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Laparoscopic liver resection: lessons learnt after 100 cases

Abstract: Objective: To share our institutional experience in laparoscopic liver resection and our learning curve after the first 100 cases of laparoscopic liver resection.Design: Case series with internal comparison.

Cited by 9 publications

References 13 publications

“Idealized” vs. “True” learning curves: the case of laparoscopic liver resection

“Idealized” vs. “True” learning curves: the case of laparoscopic liver resection

Laparoscopic hepatectomy versus open hepatectomy for hepatocellular carcinoma: A propensity case-matched analysis of the long-term survival

Pure laparoscopic liver resection versus percutaneous radiofrequency ablation for small hepatocellular carcinoma: a propensity score and multivariate analysis

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