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Short-term Outcomes and Difficulty of Repeat Laparoscopic Liver Resection.
| Content Provider | Europe PMC |
|---|---|
| Author | Mori, Shozo Mishima, Kohei Ozaki, Takahiro Fujiyama, Yoshiki Wakabayashi, Go |
| Copyright Year | 2022 |
| Abstract | Objectives: To investigate the feasibility of repeat laparoscopic liver resection (Rep-LLR), including repeat anatomical resection (Rep-AR), as compared to initial-LLR (Ini-LLR). Background: The indications of LLR have expanded to treatment of recurrent liver tumors. However, the feasibility of Rep-LLR, including Rep-AR, has not yet been adequately assessed. Methods: Data of 297 patients who had undergone LLR were reviewed. Among the 297 patients, 235 (AR: 168) had undergone Ini-LLR and 62 (AR: 27) had undergone Rep-LLR, and the surgical outcomes were compared between the groups. In addition, multivariate analysis was performed to identify predictors of the difficulty of Rep-LLR based on the operation time and volume of blood loss. Results: Of the 62 patients who had undergone Rep-LLR, 44, 14, and 4 had undergone second, third, and fourth repeat LRs, respectively. No significant intergroup differences were observed in regard to the operation time, blood loss, conversion rate to open surgery, postoperative morbidity, or postoperative hospital stay. However, the proportion of patients in whom the Pringle maneuver was used was significantly lower in the Rep-LLR group than in the Ini-LLR group. Multivariate analysis identified surgical procedure ≥sectionectomy at the initial/previous LR and an IWATE difficulty score of ≥6 as being independent predictors of the difficulty of Rep-LLR. Use of adhesion barriers at the initial/previous LR was associated with a decreased risk of failure to perform the Pringle maneuver during Rep-LLR. Conclusions: Rep-LLR can offer outcomes comparable to those of Ini-LLR over the short term. |
| Related Links | https://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC10431396&blobtype=pdf |
| Volume Number | 3 |
| PubMed Central reference number | PMC10431396 |
| Issue Number | 3 |
| PubMed reference number | 37601155 |
| Journal | Annals of Surgery Open [Ann Surg Open] |
| e-ISSN | 26913593 |
| DOI | 10.1097/as9.0000000000000191 |
| Language | English |
| Publisher | Wolters Kluwer Health, Inc. |
| Publisher Date | 2022-08-01 |
| Publisher Place | Philadelphia |
| Access Restriction | Open |
| Rights License | This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. Copyright © 2022 The Author(s). Published by Wolters Kluwer Health, Inc. |
| Subject Keyword | laparoscopic liver resection repeat liver resection difficulty score adhesion barrier Pringle maneuver |
| Content Type | Text |
| Resource Type | Article |
| Subject | Surgery |
