Is minimally invasive surgery of lesions in the right superior segments of the liver justified? A multi-institutional study of 245 patients Journal Article
| Authors: | Gholami, S.; Judge, S. J.; Lee, S. Y.; Mashayekhi, K.; Goh, B. K. P.; Chan, C. Y.; Nuño, M. A.; Gönen, M.; Balachandran, V. P.; Allen, P. J.; Drebin, J. A.; Jarnagin, W. R.; D'Angelica, M. I.; Kingham, T. P. |
| Article Title: | Is minimally invasive surgery of lesions in the right superior segments of the liver justified? A multi-institutional study of 245 patients |
| Abstract: | Background: Controversy exists regarding the safety and feasibility of minimally invasive resection for lesions in segments 7 or 8. We compare outcomes of minimally invasive surgery (MIS) and Open parenchymal sparing liver resections at two high-volume centers. Methods: From 2003 to 2016 we identified patients who underwent MIS or Open resections for lesions in segments 7 or 8 at two institutions (MSKCC and SGH). Outcomes were compared using univariate and multivariate analyses. Results: Two-hundred and forty-five patients underwent resection of lesions in segments 7 or 8 (MIS 30% and Open 70%). Compared to the Open group, the MIS group had longer operative time (223 ± 88 vs 188 ± 72 minutes, P =.003), lower blood loss (297 ± 287 vs 448 ± 670 mL, P =.03), and shorter mean length of stay (5.2 ± 7.4 vs 8.3 ± 11.7 days, P <.001), which remained significant on multivariate analysis. No differences in Pringle time, rate of postoperative complications, or R0 resections were detected. Conclusions: With appropriately selected patients treated by experienced MIS hepatopancreatobiliary surgeons, MIS resection of segments 7 or 8 is safe with similar rates of complications and R0 resections, with significantly less blood loss and shorter length of stay. © 2020 Wiley Periodicals LLC |
| Keywords: | laparoscopic liver resection; liver segments 7/8; minimally invasive surgery liver resection; parenchymal sparing liver resection; posterior-superior liver segments |
| Journal Title: | Journal of Surgical Oncology |
| Volume: | 122 |
| Issue: | 7 |
| ISSN: | 0022-4790 |
| Publisher: | Wiley Blackwell |
| Date Published: | 2020-12-01 |
| Start Page: | 1428 |
| End Page: | 1434 |
| Language: | English |
| DOI: | 10.1002/jso.26154 |
| PROVIDER: | scopus |
| PMCID: | PMC7978501 |
| PUBMED: | 33459363 |
| DOI/URL: | |
| Notes: | Article -- Export Date: 4 January 2021 -- Source: Scopus |
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1028Gonen -
501Allen -
903Jarnagin -
777D'Angelica -
609Kingham -
251Balachandran -
165Drebin
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