Yoshikuni Kawaguchi1, Kiyoshi Hasegawa1, Go Wakabayashi2, Daniel Cherqui3, David A Geller4, Joseph F Buell5, Hironori Kaneko6, Ho-Seong Han7, Steven M Strasberg8, Norihiro Kokudo9. 1. Hepato-Biliary-Pancreatic Surgery Division, Department of Surgery, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan. 2. Department of Surgery, Ageo Central General Hospital, Ageo, Saitama, Japan. 3. Department of Hepato-Biliary-Pancreatic Surgery, Hepatobiliary Center-Paul Brousse Hospital, Paris, France. 4. Department of Surgery, University of Pittsburgh, Pittsburgh, USA. 5. Tulane Transplant Institute, Tulane Medical Center, and Louisiana State University and Medical Center, New Orleans, USA. 6. Department of Surgery, Toho University School of Medicine, Tokyo, Japan. 7. Department of Surgery, Seoul National University Bundang Hospital, Seongnam-si, South Korea. 8. Department of Surgery, Washington University School of Medicine, St. Louis, USA. 9. Hepato-Biliary-Pancreatic Surgery Division, Department of Surgery, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan. kokudo-2su@h.u-tokyo.ac.jp.
Abstract
BACKGROUND: The proportions of laparoscopic approach and surgical procedures in liver resections have been unknown in clinical practice. The aim of this study is to investigate liver resections performed in select centers worldwide and analyze the ratios of laparoscopic approach, major liver resection, and left lateral sectionectomy. METHODS: A questionnaire-based survey on proportions of liver resections performed between 2008 and 2013 was conducted. The data collected from 27 respondents, which joined the conference committee of the second International Consensus Conference on Laparoscopic Liver Resection (LLR), were analyzed by the working group. RESULTS: Between 2008 and 2013, 11,712 liver resections were performed in the 27 centers. Of all of these liver resections, laparoscopic approach was selected in 32.1% (n = 3,765), whereas open approach was selected in 67.9% (n = 7,947). The ratio of laparoscopic approach taken in all left lateral sectionectomy (61.8%) is higher, compared with that of laparoscopic approach taken in all liver resections (32.1%), in all minor liver resections (35.9%), and in all major liver resections (24.8%). CONCLUSIONS: Laparoscopic approach was clinically chosen for approximately 30% of all liver resections and for more than 60% of left lateral sectionectomy in selected centers worldwide.
BACKGROUND: The proportions of laparoscopic approach and surgical procedures in liver resections have been unknown in clinical practice. The aim of this study is to investigate liver resections performed in select centers worldwide and analyze the ratios of laparoscopic approach, major liver resection, and left lateral sectionectomy. METHODS: A questionnaire-based survey on proportions of liver resections performed between 2008 and 2013 was conducted. The data collected from 27 respondents, which joined the conference committee of the second International Consensus Conference on Laparoscopic Liver Resection (LLR), were analyzed by the working group. RESULTS: Between 2008 and 2013, 11,712 liver resections were performed in the 27 centers. Of all of these liver resections, laparoscopic approach was selected in 32.1% (n = 3,765), whereas open approach was selected in 67.9% (n = 7,947). The ratio of laparoscopic approach taken in all left lateral sectionectomy (61.8%) is higher, compared with that of laparoscopic approach taken in all liver resections (32.1%), in all minor liver resections (35.9%), and in all major liver resections (24.8%). CONCLUSIONS: Laparoscopic approach was clinically chosen for approximately 30% of all liver resections and for more than 60% of left lateral sectionectomy in selected centers worldwide.
Authors: Gilton Marques Fonseca; Vagner Birk Jeismann; Jaime Arthur Pirola Kruger; Fabricio Ferreira Coelho; Andre Luis Montagnini; Paulo Herman Journal: Arq Bras Cir Dig Date: 2018-06-21
Authors: Andrew A Gumbs; Eric Lorenz; Tzu-Jung Tsai; Lee Starker; Joe Flanagan; Andrea Benedetti Cacciaguerra; Ng Jing Yu; Melinda Bajul; Elie Chouillard; Roland Croner; Mohammad Abu Hilal Journal: Cancers (Basel) Date: 2022-03-08 Impact factor: 6.639