ArticleLangenbeck's archives of surgery2018
Laparoscopic liver resection in cirrhotic patients with specific reference to a difficulty scoring system.
Article in Langenbeck's archives of surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
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Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 18 citations in OpenAlex.
- Laparoscopic versus open in right posterior sectionectomy: a systematic review and meta-analysis.Langenbeck's archives of surgery · 2023Pooled it
- Safety and feasibility for laparoscopic versus open caudate lobe resection: a meta-analysis.Langenbeck's archives of surgery · 2021Pooled it
- Perioperative impact of liver cirrhosis on robotic liver resection for hepatocellular carcinoma: a retrospective cohort study.Surgical endoscopy · 2024Article
- Impact of Liver Cirrhosis, Severity of Cirrhosis, and Portal Hypertension on the Difficulty and Outcomes of Laparoscopic and Robotic Major Liver Resections for Primary Liver Malignancies.Annals of surgical oncology · 2024Article
- The preoperative M2BPGi score predicts operative difficulty and the incidence of postoperative complications in laparoscopic liver resection.Surgical endoscopy · 2023Article
- Minimally Invasive Liver Surgery: A Snapshot from a Major Dutch HPB and Transplant Center.World journal of surgery · 2022Article
- A novel difficulty scoring system of laparoscopic liver resection for liver tumor.Frontiers in oncology · 2022Article
- Unravelling the Complexity Myth for Minimally Invasive Right Hepatectomy: Liver Parenchymal Features and their Correlation to Objective Outcomes in Major Anatomical Resections.World journal of surgery · 2021Article
- Evaluation of the Iwate Model for Predicting the Difficulty of Laparoscopic Liver Resection: Does Tumor Size Matter?Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2021Article
- Comparative analysis of the safety and feasibility of laparoscopic versus open caudate lobe resection.Langenbeck's archives of surgery · 2020Article
- A multicenter cohort analysis of laparoscopic hepatic caudate lobe resection.Langenbeck's archives of surgery · 2020Article
- Novel patient risk factors and validation of a difficulty scoring system in laparoscopic repeat hepatectomy.Scientific reports · 2019Article
- The external validation of a difficulty scoring system for predicting the risk of intraoperative complications during laparoscopic liver resection.BMC surgery · 2019Article
Corrections and comments
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Authors and funding
9 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeLaparoscopic liver resection is widely used for liver tumors, but its utility in patients with cirrhosis remains controversial. The aim of this study was to assess the surgical outcomes of laparoscopic liver resection in patients with liver cirrhosis with specific reference to a difficulty scoring system.
methodsFrom January 2010 to March 2016, the outcomes of laparoscopic liver resection in 95 patients were retrospectively reviewed. Surgical outcomes were analyzed to identify differences between the liver cirrhosis and non-liver cirrhosis groups; these groups were further stratified to high and low difficulty scores. The surgical outcomes of both groups were compared according to the difficulty scores.
resultsOverall, 53/95 (55.8%) patients were diagnosed with liver cirrhosis. There were no significant differences in surgical duration, blood loss, postoperative hospital stay, and morbidity between groups, although liver function was worse in the liver cirrhosis group than in the non-liver cirrhosis group. Multivariate analysis showed that the difficulty score was an independent predictor of increased blood loss. In particular, blood loss in cirrhotic patients was significantly greater with a high difficulty score than with a low difficulty score.
conclusionsThe safety profile of laparoscopic liver resection was the same in patients with and without liver cirrhosis. However, patients with liver cirrhosis and a high difficulty score require extra attention, because of a higher risk for perioperative blood loss.
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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.