ArticleFrontiers in oncology2022
A novel difficulty scoring system of laparoscopic liver resection for liver tumor.
Article in Frontiers in oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- From difficulty score to clinical outcome: Evaluating IWATE-criteria correlation with postoperative complications and revision surgery in anatomical liver resection.Annals of hepato-biliary-pancreatic surgery · 2026Article
- Validation and applicability of the Tampa Difficulty Score for assessing procedural complexity in robotic liver surgery.Surgical endoscopy · 2026Article
- Clinical Application of the Right Liver Hanging Maneuver for Laparoscopic Resection of Segment 6 Hepatocellular Carcinoma.OncoTargets and therapy · 2026Article
- Impact of preoperative biliary drainage on surgical risk in pancreaticoduodenectomy for resectable periampullary tumors.Translational gastroenterology and hepatology · 2026Article
- A precise surgical planning system for hepatectomy coupled with liver tissue in the hepato-portal vein territories.Quantitative imaging in medicine and surgery · 2025Article
- Should lymphadenectomy be recommended in radical surgery of intrahepatic cholangiocarcinoma patients? A retrospective study.Journal of cancer research and clinical oncology · 2025Article
- Difficulty score for the treatment of multiple gingival recessions with the Modified Coronally Advanced Tunnel technique: a preliminary reliability study.Clinical oral investigations · 2025Article
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Authors and funding
12 authors.
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Abstract
Objectives: To develop a novel difficulty scoring system (NDSS) to predict the surgical difficulty of laparoscopic hepatectomy. Patients and methods: A total of 138 patients with liver tumors performed liver resection (LLR) between March 2017 to June 2022 were selected from Affiliated Hospital of Jiangnan University and Wujin Hospital Affiliated with Jiangsu University.Patient demographics, laboratory tests, intraoperative variables, pathological characteristics were assessed. We also assessed the Child Pugh score and the DSS-B score. Results: Patients were divided into training and testing cohort according to their hospital. Patients in training cohort were divided into high and low difficult groups based on operation time, blood loss and conversion. Higher percentage of patients with malignant liver tumor (87.0% vs. 58.1%; Conclusions: We developed a nomogram with the NDSS that can predict the difficulty of LLR. This system could more accurately reflect the difficulty of surgery and help liver surgeons to make the surgical plan and ensure the safety of the operation.
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