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- Title
A comparison of laparoscopic resection of posterior segments with formal laparoscopic right hepatectomy for colorectal liver metastases: a single-institution study.
- Authors
Portigliotti, Luca; Fuks, David; Gayet, Brice; Slivca, Oleg; Bourdeaux, Christophe; Nomi, Takeo; Bennamoun, Mostefa; Gentilli, Sergio
- Abstract
<bold>Introduction: </bold>The benefit of by laparoscopic resection for lesions located in postero-superior segments is unclear. The present series aimed at comparing intraoperative and post-operative results in patients undergoing either laparoscopic RPS or laparoscopic RH for colorectal liver metastases located in the right postero-superior segments.<bold>Methods: </bold>From 2000 to 2015, patients who underwent laparoscopic resection of segment 6 and/or 7 (RPS group) were compared with those with right hepatectomy (RH group) in terms of tumour characteristics, surgical treatment, and short-term outcomes.<bold>Results: </bold>Among the 177 selected patients, 78 (44.1 %) had laparoscopic RPS and 99 (55.9 %) a laparoscopic RH. Among RPS patients, 26 (33.3 %) underwent anatomical resection of either segment 7, 8 or both. Three (3 %) patients undergoing RH died in the post-operative course and none in the RPS group. Sixty-three (35.5 %) patients experienced post-operative complications, including major complications in 24 (13.5 %) patients. Liver failure (17.1 vs. 0 %, p = 000.1), biliary leakage (6.0 vs. 1.2 %, p = 00.1), intra-abdominal collection (19.1 vs. 2.5 %, p = 000.1), and pulmonary complication (16.1 vs. 1.2 %, p = 000.1) were significantly increased in the RH group.<bold>Conclusion: </bold>The present series suggests that patients who underwent laparoscopic resection of CRLM located in the postero-superior segments developed significantly less complications than patients undergoing formal RH.
- Subjects
FRANCE; LIVER surgery; LAPAROSCOPIC surgery; POSTOPERATIVE period; LIVER metastasis; LIVER cancer; TREATMENT effectiveness; THERAPEUTICS; COLON tumors; COMPARATIVE studies; HEPATECTOMY; HEPATOCELLULAR carcinoma; LAPAROSCOPY; LIVER tumors; RESEARCH methodology; MEDICAL cooperation; METASTASIS; RESEARCH; SURGICAL complications; SURVIVAL analysis (Biometry); EVALUATION research
- Publication
Surgical Endoscopy & Other Interventional Techniques, 2017, Vol 31, Issue 6, p2560
- ISSN
1866-6817
- Publication type
journal article
- DOI
10.1007/s00464-016-5261-7