The difficulty grade of laparoscopic hepatectomy for hepatocellular carcinoma correlates with long-term outcomes

被引:7
作者
Lv, Xiaocui [1 ]
Zhang, Lina [1 ]
Yu, Xin [1 ]
Yu, Hong [2 ]
机构
[1] Zhejiang Univ, Sir Run Run Shaw Hosp, Dept Anesthesia, Sch Med, 3 Qingchun East Rd, Hangzhou, Zhejiang, Peoples R China
[2] Zhejiang Univ, Sir Run Run Shaw Hosp, Dept Gen Surg, Sch Med, 3 Qingchun East Rd, Hangzhou, Zhejiang, Peoples R China
关键词
Laparoscopic hepatectomy; Hepatocellular carcinoma; IWATE-difficulties scoring system; Long-term outcomes; LIVER RESECTION; INTERNATIONAL SURVEY; CONSENSUS CONFERENCE; BLOOD-LOSS; SURGERY; COMPLICATIONS; SURVIVAL; PROPOSAL; IMPACT; MODEL;
D O I
10.1007/s13304-023-01452-4
中图分类号
R61 [外科手术学];
学科分类号
摘要
The tremendous development of laparoscopic hepatectomy helps to relieve the difficulties encountered during open hepatectomy. Therefore, a difficulty scoring system was produced to assess the difficulty grade of laparoscopic hepatectomy. The aim of this study was to explore whether the IWATE-DSS is comparable to the long-term outcomes of LH for hepatocellular carcinoma. Clinical data from all consecutive patients who underwent laparoscopic hepatectomy for hepatocellular carcinoma at the Sir Run Run Shaw Hospital, Hangzhou, were prospectively collected and reviewed. The difficulty level of the operations was graded using the IWATE-DSS. The perioperative and postoperative outcomes of laparoscopic hepatectomy were compared at each difficulty level. A total of 300 patients underwent laparoscopic hepatectomy for HCC during the study period. The perioperative and postoperative outcomes were significantly different between the groups according to the IWATE-DSS. There were significant differences in both the intraoperative (bleeding control p= 0.000; surgical time p = 0.000; estimated blood loss p = 0.033) and postoperative variables (postoperative hospital stay p = 0.005) among these four groups. The 5-year disease-free survival decreased significantly along with the LH difficulty score (p = 0.000). The 5-year overall survival also decreased significantly along with the LH difficulty score (p = 0.000). IWATE-DSS was significantly correlated with short- and long-term outcomes in patients who underwent laparoscopic hepatectomy for HCC.
引用
收藏
页码:881 / 888
页数:8
相关论文
共 32 条
[1]   A novel difficulty scoring system for laparoscopic liver resection [J].
Ban, Daisuke ;
Tanabe, Minoru ;
Ito, Hiromitsu ;
Otsuka, Yuichiro ;
Nitta, Hiroyuki ;
Abe, Yuta ;
Hasegawa, Yasushi ;
Katagiri, Toshio ;
Takagi, Chisato ;
Itano, Osamu ;
Kaneko, Hironori ;
Wakabayashi, Go .
JOURNAL OF HEPATO-BILIARY-PANCREATIC SCIENCES, 2014, 21 (10) :745-753
[2]   Validation of the IWATE criteria as a laparoscopic liver resection difficulty score in a single North American cohort [J].
Barron, John O. ;
Orabi, Danny ;
Moro, Amika ;
Quintini, Cristiano ;
Berber, Eren ;
Aucejo, Federico N. ;
Sasaki, Kazunari ;
Kwon, Choon-Hyuck D. .
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2022, 36 (05) :3601-3609
[3]   Liver resective surgery: a multivariate analysis of postoperative outcome and complication [J].
Benzoni, Enrico ;
Cojutti, Alessandro ;
Lorenzin, Dario ;
Adani, Gian Luigi ;
Baccarani, Umberto ;
Favero, Alessandro ;
Zompicchiati, Aron ;
Bresadola, Fabrizio ;
Uzzau, Alessandro .
LANGENBECKS ARCHIVES OF SURGERY, 2007, 392 (01) :45-54
[4]   The International Position on Laparoscopic Liver Surgery The Louisville Statement, 2008 [J].
Buell, Joseph F. ;
Cherqui, Daniel ;
Geller, David A. ;
O'Rourke, Nicholas ;
Iannitti, David ;
Dagher, Ibrahim ;
Koffron, Alan J. ;
Thomas, Mark ;
Gayet, Brice ;
Han, Ho Seong ;
Wakabayashi, Go ;
Belli, Giulio ;
Kaneko, Hironori ;
Ker, Chen-Guo ;
Scatton, Olivier ;
Laurent, Alexis ;
Abdalla, Eddie K. ;
Chaudhury, Prosanto ;
Dutson, Erik ;
Gamblin, Clark ;
D'Angelica, Michael ;
Nagorney, David ;
Testa, Giuliano ;
Labow, Daniel ;
Manas, Derrik ;
Poon, Ronnie T. ;
Nelson, Heidi ;
Martin, Robert ;
Clary, Bryan ;
Pinson, Wright C. ;
Martinie, John ;
Vauthey, Jean-Nicolas ;
Goldstein, Robert ;
Roayaie, Sasan ;
Barlet, David ;
Espat, Joseph ;
Abecassis, Michael ;
Rees, Myrddin ;
Fong, Yuman ;
McMasters, Kelly M. ;
Broelsch, Christoph ;
Busuttil, Ron ;
Belghiti, Jacques ;
Strasberg, Steven ;
Chari, Ravi S. .
ANNALS OF SURGERY, 2009, 250 (05) :825-830
[5]   Laparoscopic hepatectomy versus open hepatectomy for hepatocellular carcinoma in 157 patients: A case controlled study with propensity score matching at two Chinese centres [J].
Deng, Zhi-cheng ;
Jiang, Wen-zhu ;
Tang, Xiao-dong ;
Liu, Shuang-hai ;
Qin, Lei ;
Qian, Hai-xin .
INTERNATIONAL JOURNAL OF SURGERY, 2018, 56 :203-207
[6]   Classification of surgical complications - A new proposal with evaluation in a cohort of 6336 patients and results of a survey [J].
Dindo, D ;
Demartines, N ;
Clavien, PA .
ANNALS OF SURGERY, 2004, 240 (02) :205-213
[7]   How Surgical Technology Translates Into Practice The Model of Laparoscopic Liver Resections Performed in France [J].
Farges, Olivier ;
Goutte, Nathalie ;
Dokmak, Safi ;
Bendersky, Noelle ;
Falissard, Bruno .
ANNALS OF SURGERY, 2014, 260 (05) :916-922
[8]   Ultrasound liver map technique for laparoscopic liver resections: perioperative outcomes are not impaired by technical complexity [J].
Ferrero, Alessandro ;
Russolillo, Nadia ;
Langella, Serena ;
Forchino, Fabio ;
Stasi, Matteo ;
Fazio, Federico ;
Lo Tesoriere, Roberto .
UPDATES IN SURGERY, 2019, 71 (01) :49-56
[9]   Ultrasound-guided laparoscopic liver resections [J].
Ferrero, Alessandro ;
Lo Tesoriere, Roberto ;
Russolillo, Nadia ;
Vigano, Luca ;
Forchino, Fabio ;
Capussotti, Lorenzo .
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2015, 29 (04) :1002-1005
[10]   Impact of intraoperative blood loss on the short-term outcomes of laparoscopic liver resection [J].
Gupta, Rahul ;
Fuks, David ;
Bourdeaux, Christophe ;
Radkani, Pejman ;
Nomi, Takeo ;
Lamer, Christian ;
Gayet, Brice .
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2017, 31 (11) :4451-4457