Short-term outcomes of laparoscopic repeat liver resection after open liver resection: a systematic review

Wakabayashi, Taiga; Felli, Emanuele; Méméo, Riccardo; Mascagni, Pietro; Abe, Yuta; Kitagawa, Yuko; Pessaux, Patrick

doi:10.1007/s00464-019-06754-6

Cited by 26 publications

(15 citation statements)

References 30 publications

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“…In 2018, Noda et al [37] , and Ome et al [38] , reported their findings on the comparison between laparoscopic RLR and open RLR in their institutions indicating that blood loss was less and hospital stay shorter with laparoscopic RLR; there were no differences in operative duration and postoperative complications. Thereafter, similar results have been reported from several single centers [7,12,39] . In 2019, a multicenter propensity score-matched study compared laparoscopic and open RLR for colorectal liver metastasis [40] .…”

Section: Advances In Laparoscopic Repeat Liver Resectionsupporting

confidence: 87%

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Current status of laparoscopic repeat liver resection for recurrent hepatocellular carcinoma

Hokuto¹,

Nomi²,

Yoshikawa³

et al. 2020

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Repeat liver resection (RLR) is an effective treatment approach for recurrent hepatocellular carcinoma (HCC) and can provide acceptable long-term outcomes in select patients. Recent randomized controlled trials comparing RLR with radiofrequency ablation revealed that the latter approach was associated with a higher rate of early recurrence compared with RLR. With recent advances in laparoscopic liver resection (LLR), RLR has been increasingly performed using laparoscopy. Several propensity score-matched studies reported that laparoscopic RLR achieved lower blood loss and shorter hospital stays compared to open RLR. However, laparoscopic RLR requires more advanced techniques because of adhesions formed after the previous liver resection, changes in anatomical landmarks, and deformity of the remnant liver. The recently described difficulty classification of laparoscopic RLR is based on five factors including type of previous liver resection (open or laparoscopic), number of previous liver resections, surgical procedure used in previous liver resections, tumor location in previous liver resections, and difficulty score of LLR for recurrent HCC. We reviewed the available literature to summarize available evidence suggesting that laparoscopic RLR might be considered a more minimally invasive surgical treatment approach for recurrent HCC as long as the indication for laparoscopic RLR is carefully determined.

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Section: Advances In Laparoscopic Repeat Liver Resectionsupporting

confidence: 87%

“…In fact, several studies have reported high morbidity rates after RLR [4][5][6] . With advances in laparoscopic liver resection (LLR), RLR has been increasingly performed laparoscopically [7] . LLR is a less invasive procedure that is associated with better short-term outcomes compared with open liver resection (OLR) [8,9] .…”

Section: Introductionmentioning

confidence: 99%

Current status of laparoscopic repeat liver resection for recurrent hepatocellular carcinoma

Hokuto¹,

Nomi²,

Yoshikawa³

et al. 2020

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“…The minimal invasiveness of LLR can influence whether or not morbidity ensues. Reports of LRLR are increasing, and investigators have noted that LLR with its magnified view facilitates meticulous dissection of adhesions strained by the pneumoperitoneum and that adhesiolysis can be avoided when the adhesion does not affect the operative procedure. Two propensity score matching analyses of LRLR for colorectal metastases, and a meta‐analysis that included patients with HCC, intrahepatic cholangiocarcinoma and metastases, have been reported to date.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic repeat liver resection for hepatocellular carcinoma: a multicentre propensity score-based study

Morise

Aldrighetti

Belli

et al. 2020

British Journal of Surgery

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Background: In the absence of randomized controlled data and even propensity-matched data, indications for, and outcomes of, laparoscopic repeat liver resection for hepatocellular carcinoma (HCC) remain uncertain. This study aimed to clarify the current indications for laparoscopic repeat liver resection for HCC, and to evaluate outcomes.Methods: Forty-two liver surgery centres around the world registered patients who underwent repeat liver resection for HCC. Patient characteristics, preoperative liver function, tumour characteristics, surgical method, and short-and long-term outcomes were recorded. Results: Analyses showed that the laparoscopic procedure was generally used in patients with relatively poor performance status and liver function, but favourable tumour characteristics. Intraoperative blood loss (mean(s.d.) 254(551) versus 748(1128) ml; P < 0⋅001), duration of operation (248(156) versus 285(167) min; P < 0⋅001), morbidity (12⋅7 versus 18⋅1 per cent; P = 0⋅006) and duration of postoperative hospital stay (10⋅1(14⋅3) versus 11⋅8(11⋅8) days; P = 0⋅013) were significantly reduced for laparoscopic compared with open procedures, whereas survival time was comparable (median 10⋅04 versus 8⋅94 years; P = 0⋅297). Propensity score matching showed that laparoscopic repeat liver resection for HCC resulted in less intraoperative blood loss (268(730) versus 497(784) ml; P = 0⋅001) and a longer operation time (272(187) versus 232(129); P = 0⋅007) than the open approach, and similar survival time (12⋅55 versus 8⋅94 years; P = 0⋅086). Conclusion: Laparoscopic repeat liver resection is feasible in selected patients with recurrent HCC. * Members of the ILLS-Tokyo Collaborator group are co-authors of this article and can be found under the heading Collaborators.

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“…This may be caused from that laparoscopic direct access to working space, after minimal adhesiolysis, can be enabled especially in small surface LRLR [ Figure 1] [22][23][24] . We think it could be an advantage of LRLR over open repeat LR [24][25][26][27] . However, conversion rate and Morise et al [28] 2020 Br J Surg Multicenter PSM HCC 934:648 Blood loss: LRLR favor operation time: ORLR favor OS no significant difference DFS no significant difference Inoue et al [31] 2019 J Gastrointest Surg Hallet et al [33] 2017 World J Surg Multicenter PSM…”

Section: Our Own Experiencesmentioning

confidence: 99%

“…Similarly, direct access with minimal adhesiolysis to the working space can be enabled, especially in small surface LRLR [ Figure 1] [22][23][24] . It could be an advantage of LRLR over open repeat LR [24][25][26][27] .…”

Section: Introductionmentioning

confidence: 99%

Current status of laparoscopic repeat liver resection for hepatocellular carcinoma

Morise¹

2020

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Although liver resection (LR) is often adopted to recurrent hepatocellular carcinomas, risks of complications and conversion reportedly increase in laparoscopic repeat LR (LRLR). The indication is not agreed upon even with the recent advances of laparoscopic LR. We conducted an international propensity score matching study of LRLR and open repeat LR for hepatocellular carcinoma with 1,582 patients from 42 world centers. Propensity-score matched LRLR patients have smaller blood loss and longer operation time than open repeat LR patients. Median overall survival time was 8.94 years in open and 12.55 years in LRLR; although the difference was not significant, the P-value was 0.0855 and the better curve of LRLR is clearly separated from that of open. In our institution, we experienced 34 LRLR and 12 cases of three times or more repeat LR until 2019. There are no significant differences in operation time, blood loss, hospital stay, conversion, and morbidity rates among first, second, and third or higher laparoscopic LR, which is different from the open situation. However, postoperative bile leakage and intraoperative bleeding causing conversion did happen in the cases with repeat extended exposure of Glissonian pedicle. LRLR is feasible for selected patients. However, the procedure is under developing stage and further accumulation of experiences and evaluation are needed.

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Short-term outcomes of laparoscopic repeat liver resection after open liver resection: a systematic review

Cited by 26 publications

References 30 publications

Current status of laparoscopic repeat liver resection for recurrent hepatocellular carcinoma

Current status of laparoscopic repeat liver resection for recurrent hepatocellular carcinoma

Laparoscopic repeat liver resection for hepatocellular carcinoma: a multicentre propensity score-based study

Current status of laparoscopic repeat liver resection for hepatocellular carcinoma

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