ArticleSurgical endoscopy2019
Laparoscopic liver resection of hepatocellular carcinoma located in unfavorable segments: a propensity score-matched analysis from the I Go MILS (Italian Group of Minimally Invasive Liver Surgery) Registry.
Article in Surgical endoscopy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.
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Who cites it
26 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The risk factors of intraoperative conversion during laparoscopic hepatectomy: a systematic review and meta-analysis.Langenbeck's archives of surgery · 2022Pooled it
- Current difficulty scoring systems may underestimate the technical complexity of segment 6 laparoscopic hepatectomy in patients with hepatocellular carcinoma.Surgical endoscopy · 2026Article
- A multicenter case-controlled study on laparoscopic hepatectomy versus open liver resection as first-line therapy for solitary hepatocellular carcinoma in elderly patients.Surgical endoscopy · 2026Article
- The differential benefit of laparoscopic over open minor liver resection for lesions situated in the anterolateral or posterosuperior segments.Hepatobiliary surgery and nutrition · 2024Article
- Integrating the new systemic treatment landscape and surgical therapy in hepatocellular carcinoma.Turkish journal of surgery · 2024Review
- Application of dynamic enhanced scanning with GD-EOB-DTPA MRI based on deep learning algorithm for lesion diagnosis in liver cancer patients.Frontiers in oncology · 2024Article
- Optimal treatment for small HCC (<3 cm): Resection, liver transplantation, or locoregional therapy?JHEP reports : innovation in hepatology · 2023Review
- Near-zero open conversion rate of laparoscopic liver resection: a high-volume single-center experience of the past 5 years.Surgical endoscopy · 2023Article
- Challenging Scenarios and Debated Indications for Laparoscopic Liver Resections for Hepatocellular Carcinoma.Cancers · 2023Review
- Indications for open hepatectomy in the era of laparoscopic liver resection: a high volume single institutional study.Journal of liver cancer · 2022Article
- Pure laparoscopic vs. hand-assisted liver surgery for segments 7 and 8: propensity score matching analysis.Surgical endoscopy · 2022Article
- Segmental Distribution of Hepatocellular Carcinoma in Cirrhotic Livers.Diagnostics (Basel, Switzerland) · 2022Article
- Is minimally invasive liver surgery a reasonable option in recurrent HCC? A snapshot from the I Go MILS registry.Updates in surgery · 2022Article
- How important is the role of iterative liver direct surgery in patients with hepatocellular carcinoma for a transplant center located in an area with a low rate of deceased donation?Frontiers in oncology · 2022Article
- Minimally invasive robotic-assisted combined colorectal and liver excision surgery: feasibility, safety and surgical technique in a pilot series.Updates in surgery · 2021Article
- Preoperative transarterial chemoembolization for laparoscopic liver resection in Child A cirrhotic patients with hepatocellular carcinoma.Langenbeck's archives of surgery · 2021Article
- Six months as a cutoff time point to define early recurrence after liver resection of hepatocellular carcinoma based on post-recurrence survival.Updates in surgery · 2021Article
- Is minimally invasive surgery of lesions in the right superior segments of the liver justified? A multi-institutional study of 245 patients.Journal of surgical oncology · 2020Article
- Laparoscopic liver resection: indications, limitations, and economic aspects.Langenbeck's archives of surgery · 2020Review
- Management of primary hepatic malignancies during the COVID-19 pandemic: recommendations for risk mitigation from a multidisciplinary perspective.The lancet. Gastroenterology & hepatology · 2020Review
Corrections and comments
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Authors and funding
13 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveLaparoscopic liver resection (LLR) for Hepatocellular Carcinoma (HCC) is one of the most important indications for the minimally invasive approach. Our study aims to analyze the experience of the Italian Group of Minimally Invasive Liver Surgery with laparoscopic surgical treatment of HCC, with a focus on tumor location and how it affects morbidity and mortality.
methods38 centers participated in this study; 372 cases of LLR for HCC were prospectively enrolled. Patients were divided into two groups according to the HCC nodule location. Group 1 favorable location and group 2 unfavorable location. Perioperative outcomes were compared between the two groups before and after a propensity score match (PS) 1:1.
resultsBefore PS in group 2 surgical time was longer; conversion rate was higher; postoperative transfusion and comprehensive complication index were also higher. PS was performed with a cohort of 298 patients (from 18 centers), with 66 and 232 patients with HCC in unfavorable and favorable locations, respectively. After PS matching, 62 patients from group 1 and group 2 each were compared. Operative and postoperative course were similar in patients with HCC in favorable and unfavorable LLR locations. Surgical margins were found to be identical before and after PS.
conclusionsThese results show that LLR in patients with HCC can be safely performed in all segments because of the extensive experience of all surgeons from multiple centers in performing traditional open liver surgery as well as laparoscopic surgery.
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