ArticleSurgical endoscopy2024
Evolution of minimally invasive liver surgery in France over the last decade.
Article in Surgical endoscopy, 2024. 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.
- Tracking Technological Change in Liver Surgery: Robotic Adoption and Case-Mix Evolution in the I Go MILS Registry.Cancers · 2026Article
- Clinical and biological impact of conversion on outcomes of minimally invasive liver surgery: a multimodal analysis.Updates in surgery · 2026Article
- Nationwide implementation of minimally invasive liver surgery: population-based analysis.BJS open · 2025Article
- Association of operative approach with adverse events following hepatic resections.Surgery open science · 2025Article
- Laparoscopic Left Trisectionectomy Associated with Biliary Confluence Resection and Bilio-Biliary Reconstruction (H123458-B).Annals of surgical oncology · 2025Article
- Utility of intraoperative ultrasonography in laparoscopic nonanatomical liver resection - results from National Polish registry of minimally invasive liver surgery.Langenbeck's archives of surgery · 2025Observational
- Cost-effectiveness and clinical impact of robotic-assisted hepatectomy.Journal of robotic surgery · 2025Article
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Authors and funding
11 authors.
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Abstract
backgroundDespite evidence of benefits on postoperative outcomes, minimally invasive liver surgery (MILS) had a very low diffusion up to 2014, and recent evolution is unknown. Our aim was to analyze the recent diffusion and adoption of MILS and compare the trends in indications, extent of resection, and institutional practice with open liver surgery (OLS).
methodsWe analyzed the French nationwide, exhaustive cohort of all patients undergoing a liver resection in France between January 1, 2013 and December 31, 2022. Average annual percentage changes (AAPC) in the incidence of MILS and OLS were compared using mixed-effects log-linear regression models. Time trends were analyzed in terms of extent of resection, indication, and institutional practice.
resultsMILS represented 25.2% of 74,671 liver resections and year incidence doubled from 16.5% in 2013 to 35.4% in 2022. The highest AAPC were observed among major liver resections [+ 22.2% (19.5; 24.9) per year], primary [+ 10.2% (8.5; 12.0) per year], and secondary malignant tumors [+ 9.9% (8.2; 11.6) per year]. The highest increase in MILS was observed in university hospitals [+ 14.7% (7.7; 22.2) per year] performing 48.8% of MILS and in very high-volume (> 150 procedures/year) hospitals [+ 12.1% (9.0; 15.3) per year] performing 19.7% of MILS. OLS AAPC decreased for all indications and institutions and accelerated over time from - 1.8% (- 3.9; - 0.3) per year in 2013-2018 to - 5.9% (- 7.9; - 3.9) per year in 2018-2022 (p = 0.013).
conclusionsThis is the first reported trend reversal between MILS and OLS. MILS has considerably increased at a national scale, crossing the 20% tipping point of adoption rate as defined by the IDEAL framework.
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