ArticleSurgical endoscopy2017
Safely extending the indications of laparoscopic liver resection: When should we start laparoscopic major hepatectomy?
Article in Surgical endoscopy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 2 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
39 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Efficacy of Laparoscopic HepatectomyFrontiers in oncology · 2021Pooled it
- Learning Curve in Laparoscopic Liver Resection, Educational Value of Simulation and Training Programmes: A Systematic Review.World journal of surgery · 2019Pooled it
- Advanced liver dissection with left triangular ligament section for enhanced surgical access to right posterior lesions.Langenbeck's archives of surgery · 2026Article
- Laparoscopic versus open minor liver resections of colorectal cancer liver metastases in a state at war: A prospective cohort study.Surgery open science · 2026Article
- Single-port versus multi-port laparoscopic left lateral sectionectomy using articulating instruments: a comparative study.Langenbeck's archives of surgery · 2026Article
- Adoption of pure laparoscopic liver resections: a single-institution experience with the first 1000 consecutive resections.Surgical endoscopy · 2026Article
- Association between surgical difficulty and tumor location based on subsegments of the Glisson branches in laparoscopic liver resection.Annals of gastroenterological surgery · 2025Article
- Indications for and limitations of laparoscopic anatomical liver resection: assessment of postoperative complications stratified by complexity of liver resection.Surgical endoscopy · 2025Article
- Short-term outcomes of laparoscopic central hepatectomy: a comparison with open surgery.Langenbeck's archives of surgery · 2025Article
- Utility of a novel scoring system for difficulty of pure laparoscopic hepatectomy for intrahepatic cholangiocarcinoma.Scientific reports · 2024Article
- Towards a Standardization of Learning Curve Assessment in Minimally Invasive Liver Surgery.Annals of surgery · 2024Article
- OCRClassifier: integrating statistical control chart into machine learning framework for better detecting open chromatin regions.Frontiers in genetics · 2024Article
- Risk-Adjusted Assessment of the Learning Curve for Pure Laparoscopic Donor Hepatectomy for Adult Recipients.World journal of surgery · 2023Article
- An Ex Situ Cadaver Liver Training Model Continuously Pressurized to Simulate Specific Skills Involved in Laparoscopic Liver Resection: the Lap-Liver Trainer.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2023Article
- Cost analysis of robotic versus open hepatectomy: Is the robotic platform more expensive?Journal of robotic surgery · 2022Article
- Learning process of laparoscopic liver resection and postoperative outcomes: chronological analysis of single-center 15-years' experience.Surgical endoscopy · 2022Article
- Standardized single-incision plus one-port laparoscopic left lateral sectionectomy: a safe alternative to the conventional procedure.Langenbeck's archives of surgery · 2022Article
- Operative Time, Age, and Serum Albumin Predict Surgical Morbidity After Laparoscopic Liver Surgery.Surgical innovation · 2021Article
- Initial experience with a robotic hepatectomy program at a high-volume laparoscopic center: single-center experience and surgical tips.Annals of translational medicine · 2021Article
- [Advantages and future perspectives of laparoscopic liver surgery].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2021Review
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLaparoscopic major hepatectomy (LMH) is an innovative procedure that is still in the exploration phase. Although new surgical techniques have learning curves, safety should be maintained from the onset. This retrospective study was conducted to evaluate the safe introduction of LMH.
methodsWe retrospectively reviewed data from 245 consecutive patients who underwent pure laparoscopic liver resection. Patients were divided into three groups: Phase I, the first 64 cases, all minor hepatectomies; Phase II, cases from the first LMH case to the midmost of the LMH cases (n = 69, including 22 LMHs); Phase III, the most recent 112 cases, including 22 LMHs. Patient characteristics and surgical results were evaluated, and the learning curve was analysed with the cumulative sum (CUSUM) method.
resultsThe first LMH was adopted after sufficient preparatory experience was gained from performing 64 minor hepatectomies. In cases of LMH, there were no significant differences in the surgical time between Phases II and III (356 vs. 309 min; P = 0.318), morbidity rate (22.7 vs. 31.8 %; P = 0.736), or major morbidity rate (18.2 vs. 9.1 %; P = 0.664); however, estimated blood loss was significantly reduced from Phase II to Phase III (236 vs. 68 mL; P = 0.018). The CUSUM for morbidity also showed similar outcomes through Phases II and III.
conclusionThere is a learning curve associated with laparoscopic liver resection. To maintain a low morbidity rate, 60 laparoscopic minor hepatectomies could provide adequate experience before the adoption of LMH.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.