Early results of the implementation of laparoscopic major liver resection program

World J Surg Oncol. 2022 Mar 3;20(1):65. doi: 10.1186/s12957-022-02505-5.

Abstract

Background: Laparoscopic liver resections offer potential benefits but may require advanced laparoscopic skills and are volume dependent.

Methods: This retrospective study included 12 patients who underwent major laparoscopic resection and 24 patients after open major liver resection for liver malignancy in the time period between September 2020 and May 2021. The primary outcomes were complications according to Clavien-Dindo classification and duration of hospital stay.

Results: Median duration of hospital stay in laparoscopic resection group (6 days) was significantly shorter than in open resection group (8 days) (p = 0.046). Complications classified as grade II or higher were significantly less frequent in the laparoscopic resection group (2 patients) versus open resection group (13 patients) (p = 0.031).

Conclusions: Although laparoscopic major liver resections should be limited to expert hepatobiliary centers and are characterized by long learning curve, this approach may offer favorable short-term outcomes even during launching a new program.

Keywords: Complications; Laparoscopy; Liver resection.

MeSH terms

  • Hepatectomy / methods
  • Humans
  • Laparoscopy* / adverse effects
  • Laparoscopy* / methods
  • Length of Stay
  • Liver
  • Liver Neoplasms* / complications
  • Liver Neoplasms* / surgery
  • Postoperative Complications / etiology
  • Postoperative Complications / surgery
  • Retrospective Studies
  • Treatment Outcome