Comparison between the difficulty of laparoscopic limited liver resections of tumors located in segment 7 versus segment 8: An international multicenter propensity-score matched study

被引：13

作者：

Efanov, Mikhail ^{[1
]}

Salimgereeva, Diana ^{[1
]}

Alikhanov, Ruslan ^{[1
]}

Wu, Andrew G. R. ^{[2
]}

Geller, David ^{[3
]}

Cipriani, Federica ^{[4
]}

Aghayan, Davit L. ^{[5
,6
,7
]}

Fretland, Asmund Avdem ^{[5
,6
,7
]}

Sijberden, Jasper ^{[8
]}

Belli, Andrea ^{[9
]}

Marino, Marco V. ^{[10
]}

Mazzaferro, Vincenzo ^{[11
,12
,13
]}

Chiow, Adrian K. H. ^{[14
]}

Sucandy, Iswanto ^{[15
]}

Ivanecz, Arpad ^{[16
]}

Choi, Sung Hoon ^{[17
]}

Lee, Jae Hoon ^{[18
]}

Prieto, Mikel ^{[19
]}

Vivarelli, Marco ^{[20
]}

Giuliante, Felice ^{[21
]}

Ruzzenente, Andrea ^{[22
]}

Yong, Chee-Chien ^{[23
]}

Fondevila, Constantino ^{[24
,25
]}

Rotellar, Fernando ^{[26
,27
]}

Choi, Gi-Hong ^{[28
]}

Robless Campos, Ricardo ^{[29
]}

Wang, Xiaoying ^{[30
]}

Sutcliffe, Robert P. ^{[31
]}

Pratschke, Johann ^{[32
,33
,34
,35
]}

Lai, Eric ^{[36
]}

Chong, Charing C. ^{[37
]}

D'Hondt, Mathieu ^{[38
]}

Monden, Kazuteru ^{[39
]}

Lopez-Ben, Santiago ^{[40
]}

Herman, Paulo ^{[41
]}

Di Benedetto, Fabrizio ^{[42
]}

Kingham, T. Peter ^{[43
]}

Liu, Rong ^{[44
]}

Long, Tran Cong Duy ^{[45
]}

Ferrero, Alessandro ^{[46
]}

Levi Sandri, Giovanni Battista ^{[47
]}

Cherqui, Daniel

Scatton, Olivier ^{[48
]}

Wakabayashi, Go ^{[49
]}

Troisi, Roberto I. ^{[50
]}

Cheung, Tan-To ^{[51
]}

Sugioka, Atsushi ^{[52
]}

Han, Ho-Seong ^{[53
]}

Abu Hilal, Mohammad ^{[8
,54
]}

Soubrane, Olivier ^{[55
]}

机构：

[1] Moscow Clin Sci Ctr, Dept Hepatopancreatobiliary Surg, Moscow, Russia

[2] Natl Univ Singapore, Med Sch, Yong Loo Lin Sch Med, Singapore, Singapore

[3] Univ Pittsburgh, Med Ctr, Dept Surg, Pittsburgh, PA USA

[4] IRCCS San Raffaele Hosp, Hepatobiliary Surg Div, Milan, Italy

[5] Oslo Univ Hosp, Intervent Ctr, Oslo, Norway

[6] Oslo Univ Hosp, Dept HPB Surg, Oslo, Norway

[7] Univ Oslo, Inst Clin Med, Oslo, Norway

[8] Fdn Poliambulanza, Dept Surg, Brescia, Italy

[9] Natl Canc Ctr IRCCS G Pascale, Div Hepatopancreatobiliary Surg Oncol, Dept Abdominal Oncol, Naples, Italy

[10] Azienda Osped Osped Riuniti Villa Sofia Cervello, Gen Surg Dept, Palermo, Italy

[11] P Giaccone Univ Hosp, Oncol Surg Dept, Palermo, Italy

[12] Fdn IRCCS Ist Nazl Tumori Milano, HPB Surg & Liver Transplantat, Milan, Italy

[13] Univ Milan, Milan, Italy

[14] Changi Gen Hosp, Dept Surg, Hepatopancreatobiliary Unit, Singapore, Singapore

[15] AdventHlth Tampa, Digest Hlth Inst, Tampa, FL USA

[16] Univ Med Ctr Maribor, Dept Abdominal & Gen Surg, Maribor, Slovenia

[17] CHA Univ, CHA Bundang Med Ctr, Sch Med, Dept Gen Surg, Seongnam, South Korea

[18] Univ Ulsan, Coll Med, Asan Med Ctr, Dept Surg,Div Hepatobiliary & Pancreat Surg, Seoul, South Korea

[19] Univ Basque Country, Cruces Univ Hosp, Biocruces Bizkaia Hlth Res Inst, Hepatobiliary Surg & Liver Transplantat Unit, Bilbao, Spain

[20] Polytech Univ Marche, United Hosp Ancona, HPB Surg & Transplantat Unit, Dept Sperimental & Clin Med, Ancona, Italy

[21] Univ Cattolica Sacro Cuore, IRCCS, Fdn Policlin Univ A Gemelli, Hepatobiliary Surg Unit,Surg Unit, Rome, Italy

[22] Univ Verona, GB Rossi Hosp, Dept Surg Dent Gynecol & Pediat, Genl & Hepatobiliary Surg, Verona, Italy

[23] Chang Gung Mem Hosp, Dept Surg, Kaohsiung, Taiwan

[24] Hosp Univ La Paz, Gen & Digest Surg, IdiPAZ, Madrid, Spain

[25] Univ Barcelona, Hosp Clin, Gen & Digest Surg, IDIBAPS,CIBERehd, Barcelona, Spain

[26] Univ Navarra, Clin Univ Navarra, HPB & Liver Transplant Unit, Dept Gen Surg, Pamplona, Spain

[27] Inst Hlth Res Navarra IdisNA, Pamplona, Spain

[28] Yonsei Univ, Coll Med, Severance Hosp, Div Hepatopancreatobiliary Surg,Dept Surg, Seoul, South Korea

[29] Clin & Univ Hosp Virgen Arrixaca, IMIB ARRIXACA, Dept Gen Visceral & Transplantat Surg, El Palmar, Spain

[30] Fudan Univ, Liver Canc Inst, Zhongshan Hosp, Dept Liver Surg & Transplantat, Shanghai, Peoples R China

[31] Univ Hosp Birmingham NHS Fdn Trust, Dept Hepatopancreatobiliary & Liver Transplant Su, Birmingham, W Midlands, England

[32] Charite, Dept Surg, Campus Charite Mitte, Berlin, Germany

[33] Charite, Campus Virchow Klinikum, Berlin, Germany

[34] Free Univ Berlin, Berlin, Germany

[35] Berlin Inst Hlth, Berlin, Germany

[36] Pamela Youde Nethersole Eastern Hosp, Dept Surg, Hong Kong, Peoples R China

[37] Chinese Univ Hong Kong, Prince Wales Hosp, Dept Surg, Hong Kong, Peoples R China

[38] Groeninge Hosp, Dept Digest & Hepatobiliary Pancreat Surg, Kortrijk, Belgium

[39] Fukuyama City Hosp, Dept Surg, Hiroshima, Japan

[40] Dr Josep Trueta Hosp, Dept Surg, Hepatobiliary & Pancreat Surg Unit, IdIBGi, Girona, Spain

[41] Univ Sao Paulo, Dept Gastroenterol, Liver Surg Unit, Sch Med, Sao Paulo, Brazil

[42] Univ Modena & Reggio Emilia, Hepatopancreatobiliary Surg & Liver Transplant Un, Modena, Italy

[43] Mem Sloan Kettering Canc Ctr, Dept Surg, 1275 York Ave, New York, NY 10021 USA

[44] Chinese Peoples Liberat Army PLA Gen Hosp, Med Ctr 1, Fac Hepatopancreatobiliary Surg, Beijing, Peoples R China

[45] Univ Med & Pharm, Univ Med Ctr, HPB Surg Dept, Ho Chi Minh City, Vietnam

[46] Mauriziano Hosp, Dept Gen & Oncol Surg, Turin, Italy

[47] San Camillo Hosp, Div Gen Surg & Liver Transplantat, Rome, Italy

[48] Sorbonne Univ, Department Digest HBP & Liver Transplantat, Hop Pitie Salpetriere, Paris, France

[49] Ageo Cent Gen Hosp, Ctr Adv Treatment Hepatobiliary & Pancreat Dis, Saitama, Japan

[50] Federico II Univ Hosp Naples, Dept Clin Med & Surg, Div HPB Minimally Invas & Robot Surg, Naples, Italy

来源：

JOURNAL OF HEPATO-BILIARY-PANCREATIC SCIENCES | 2023年 / 30卷 / 02期

关键词：

hepatectomy; laparoscopy; liver resection; posterosuperior segments; risk score; GLISSONEAN PEDICLE APPROACH; PROPOSAL;

D O I：

10.1002/jhbp.1210

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Background Presently, according to different difficulty scoring systems, there is no difference in complexity estimation of laparoscopic liver resection (LLR) of segments 7 and 8. However, there is no published data supporting this assumption. To date, no studies have compared the outcomes of laparoscopic parenchyma-sparing resection of the liver segments 7 and 8. Methods A post hoc analysis of patients undergoing LLR of segments 7 and 8 in 46 centers between 2004 and 2020 was performed. 1:1 Propensity score matching (PSM) was used to compare isolated LLR of segments 7 and 8. Subset analyses were also performed to compare atypical resections and segmentectomies of 7 and 8. Results A total of 2411 patients were identified, and 1691 patients met the inclusion criteria. Comparison after PSM between the entire cohort of segment 7 and segment 8 resections revealed inferior results for segment 7 resection in terms of increased blood loss, blood transfusions, and conversions to open surgery. Subset analyses of only atypical resections similarly demonstrated poorer outcomes for segment 7 in terms of increased blood loss, operation time, blood transfusions, and conversions to open surgery. Conversely, a subgroup analysis of segmentectomies after PSM found better outcomes for segment 7 in terms of a shorter operation time and hospital stay. Conclusion Differences in the outcomes of segments 7 and 8 resections suggest a greater difficulty of laparoscopic atypical resection of segment 7 compared to segment 8, and greater difficulty of segmentectomy 8 compared to segmentectomy 7.

引用

页码：177 / 191

页数：15

共 22 条

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