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Comparison Between Minimally Invasive Right Anterior and Right Posterior Sectionectomy vs Right Hepatectomy: An International Multicenter Propensity Score-Matched and Coarsened-Exact-Matched Analysis of 1,100 Patients
DC Field | Value | Language |
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dc.contributor.author | 최기홍 | - |
dc.date.accessioned | 2023-03-21T07:19:20Z | - |
dc.date.available | 2023-03-21T07:19:20Z | - |
dc.date.issued | 2022-12 | - |
dc.identifier.issn | 1072-7515 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/193313 | - |
dc.description.abstract | Background: The role of minimally invasive right anterior and right posterior sectionectomy (MI-RAS/MI-RPS) for right-sided liver lesions remains debatable. Although technically more demanding, these procedures might result in faster recovery and lower postoperative morbidity compared with minimally invasive right hemihepatectomy. Study design: This is an international multicenter retrospective analysis of 1,114 patients undergoing minimally invasive right hemihepatectomy, MI-RAS, and MI-RPS at 21 centers between 2006 and 2019. Minimally invasive surgery included pure laparoscopic, robotic, hand-assisted, or a hybrid approach. A propensity-matched and coarsened-exact-matched analysis was performed. Results: A total of 1,100 cases met study criteria, of whom 759 underwent laparoscopic, 283 robotic, 11 hand-assisted, and 47 laparoscopic-assisted (hybrid) surgery. There were 632 right hemihepatectomies, 373 right posterior sectionectomies, and 95 right anterior sectionectomies. There were no differences in baseline characteristics after matching. In the MI-RAS/MI-RPS group, median blood loss was higher (400 vs 300 mL, p = 0.001) as well as intraoperative blood transfusion rate (19.6% vs 10.7%, p = 0.004). However, the overall morbidity rate was lower including major morbidity (7.1% vs 14.3%, p = 0.007) and reoperation rate (1.4% vs 4.6%, p = 0.029). The rate of close/involved margins was higher in the MI-RAS/MI-RPS group (23.4% vs 8.9%, p < 0.001). These findings were consistent after both propensity and coarsened-exact matching. Conclusions: Although technically more demanding, MI-RAS/MI-RPS is a valuable alternative for minimally invasive right hemihepatectomy in right-sided liver lesions with lower postoperative morbidity, possibly due to the preservation of parenchyma. However, the rate of close/involved margins is higher in these procedures. These findings might guide surgeons in preoperative counselling and in selecting the appropriate procedure for their patients. | - |
dc.description.statementOfResponsibility | restriction | - |
dc.language | English | - |
dc.publisher | Elsevier | - |
dc.relation.isPartOf | JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.subject.MESH | Hepatectomy / methods | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Laparoscopy* / methods | - |
dc.subject.MESH | Length of Stay | - |
dc.subject.MESH | Liver Neoplasms* / surgery | - |
dc.subject.MESH | Postoperative Complications / epidemiology | - |
dc.subject.MESH | Postoperative Complications / etiology | - |
dc.subject.MESH | Postoperative Complications / surgery | - |
dc.subject.MESH | Propensity Score | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Treatment Outcome | - |
dc.title | Comparison Between Minimally Invasive Right Anterior and Right Posterior Sectionectomy vs Right Hepatectomy: An International Multicenter Propensity Score-Matched and Coarsened-Exact-Matched Analysis of 1,100 Patients | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Surgery (외과학교실) | - |
dc.contributor.googleauthor | Edward Willems | - |
dc.contributor.googleauthor | Mathieu D'Hondt | - |
dc.contributor.googleauthor | T Peter Kingham | - |
dc.contributor.googleauthor | David Fuks | - |
dc.contributor.googleauthor | Gi-Hong Choi | - |
dc.contributor.googleauthor | Nicholas L Syn | - |
dc.contributor.googleauthor | Iswanto Sucandy | - |
dc.contributor.googleauthor | Marco V Marino | - |
dc.contributor.googleauthor | Mikel Prieto | - |
dc.contributor.googleauthor | Charing C Chong | - |
dc.contributor.googleauthor | Jae Hoon Lee | - |
dc.contributor.googleauthor | Mikhail Efanov | - |
dc.contributor.googleauthor | Adrian K H Chiow | - |
dc.contributor.googleauthor | Sung Hoon Choi | - |
dc.contributor.googleauthor | Robert P Sutcliffe | - |
dc.contributor.googleauthor | Roberto I Troisi | - |
dc.contributor.googleauthor | Johann Pratschke | - |
dc.contributor.googleauthor | Tan-To Cheung | - |
dc.contributor.googleauthor | Xiaoying Wang | - |
dc.contributor.googleauthor | Chung-Ngai Tang | - |
dc.contributor.googleauthor | Rong Liu | - |
dc.contributor.googleauthor | Ho-Seong Han | - |
dc.contributor.googleauthor | Brian K P Goh | - |
dc.identifier.doi | 10.1097/XCS.0000000000000394 | - |
dc.contributor.localId | A04046 | - |
dc.relation.journalcode | J01772 | - |
dc.identifier.eissn | 1879-1190 | - |
dc.identifier.pmid | 36102506 | - |
dc.identifier.url | https://journals.lww.com/journalacs/Fulltext/2022/12000/Comparison_Between_Minimally_Invasive_Right.6.aspx | - |
dc.contributor.alternativeName | Choi, Gi Hong | - |
dc.contributor.affiliatedAuthor | 최기홍 | - |
dc.citation.volume | 235 | - |
dc.citation.number | 6 | - |
dc.citation.startPage | 859 | - |
dc.citation.endPage | 868 | - |
dc.identifier.bibliographicCitation | JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS, Vol.235(6) : 859-868, 2022-12 | - |
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