Publication: Laparoscopic versus open liver resection for treatment of liver tumors: Early experience outcomes
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Issued Date
2024-01-01
Resource Type
ISSN
1682606X
eISSN
22135413
Scopus ID
2-s2.0-85182884041
Journal Title
Formosan Journal of Surgery
Volume
57
Issue
1
Start Page
11
End Page
16
Rights Holder(s)
SCOPUS
Bibliographic Citation
Formosan Journal of Surgery Vol.57 No.1 (2024) , 11-16
Suggested Citation
Wongta K., Rattanasakalwong M., Nuchanatanon J., Charutragulchai P., Tangsirapat V. Laparoscopic versus open liver resection for treatment of liver tumors: Early experience outcomes. Formosan Journal of Surgery Vol.57 No.1 (2024) , 11-16. 16. doi:10.1097/FS9.0000000000000083 Retrieved from: https://hdl.handle.net/20.500.14740/20588
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Abstract
Abstract: Background: Although minimally invasive liver surgery has been increasingly practiced worldwide, the lack of experience is a barrier for numerous surgeons to initiate. This study aims to compare the outcome of laparoscopic liver resection (LLR) versus open liver resection (OLR) by surgeons who begin to conduct both procedures through the same period. Materials and Methods: We retrospectively analyzed the demographic data, the perioperative data, and the surgical outcomes of patients who underwent liver resection for the treatment of liver tumors. All procedures were operated by three hepatopancreatobiliary surgeons. Results: In total, 56 hepatectomies were performed, 13 patients in the LLR group with an average Iwate score of 5 and 43 patients in the OLR group were included in the study. After propensity score matching, comparing 13 patients each of the LLR and OLR groups, the operative time (316.5 vs 315.4 minutes, P = 0.98) and the amount of blood loss (929 vs 1500 mL, P = 0.23) were not different. The postoperative length of stay was significantly shorter in the LR group (6 vs 12 days, P = 0.009). The LLR group had a lower severity of the complications (P = 0.02), and the mortality rate was zero in both groups. The margin-free status did not differ between the LLR and OLR groups (92.3% vs 76.9%, P = 0.28). Conclusions: For hepatopancreatobiliary surgeons with limited experience, LLR is safe to meticulously proceed for liver lesions. The advantage of LLR is less severity of the complications, decrease postoperative hospital stays, and most importantly the margin-free status is comparable between both groups.