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Defining Global Benchmarks for Laparoscopic Liver Resections: An International Multicenter Study

Authors
 Brian K P Goh  ;  Ho-Seong Han  ;  Kuo-Hsin Chen  ;  Darren W Chua  ;  Chung-Yip Chan  ;  Federica Cipriani  ;  Davit L Aghayan  ;  Asmund A Fretland  ;  Jasper Sijberden  ;  Mizelle D'Silva  ;  Tiing Foong Siow  ;  Yutaro Kato  ;  Chetana Lim  ;  Phan Phuoc Nghia  ;  Paulo Herman  ;  Marco V Marino  ;  Vincenzo Mazzaferro  ;  Adrian K H Chiow  ;  Iswanto Sucandy  ;  Arpad Ivanecz  ;  Sung Hoon Choi  ;  Jae Hoon Lee  ;  Mikel Gastaca  ;  Marco Vivarelli  ;  Felice Giuliante  ;  Andrea Ruzzenente  ;  Chee-Chien Yong  ;  Mengqui Yin  ;  Zewei Chen  ;  Constantino Fondevila  ;  Mikhail Efanov  ;  Fernando Rotellar  ;  Gi-Hong Choi  ;  Ricardo R Campos  ;  Xiaoying Wang  ;  Robert P Sutcliffe  ;  Johann Pratschke  ;  Eric Lai  ;  Charing C Chong  ;  Mathieu D'Hondt  ;  Kazuteru Monden  ;  Santiago Lopez-Ben  ;  Fabricio F Coelho  ;  Thomas Peter Kingham  ;  Rong Liu  ;  Tran Cong Duy Long  ;  Alessandro Ferrero  ;  Giovanni B Levi Sandri  ;  Mansour Saleh  ;  Daniel Cherqui  ;  Olivier Scatton  ;  Olivier Soubrane  ;  Go Wakabayashi  ;  Roberto I Troisi  ;  Tan-To Cheung  ;  Atsushi Sugioka  ;  Mohammad Abu Hilal  ;  David Fuks  ;  Bjørn Edwin  ;  Luca Aldrighetti 
Citation
 ANNALS OF SURGERY, Vol.277(4) : e839-e848, 2023-04 
Journal Title
ANNALS OF SURGERY
ISSN
 0003-4932 
Issue Date
2023-04
MeSH
Benchmarking ; Hepatectomy / methods ; Humans ; Laparoscopy* / methods ; Length of Stay ; Liver / surgery ; Liver Neoplasms* / surgery ; Postoperative Complications ; Retrospective Studies ; Treatment Outcome
Abstract
Objective: To establish global benchmark outcomes indicators after laparoscopic liver resections (L-LR).

Background: There is limited published data to date on the best achievable outcomes after L-LR.

Methods: This is a post hoc analysis of a multicenter database of 11,983 patients undergoing L-LR in 45 international centers in 4 continents between 2015 and 2020. Three specific procedures: left lateral sectionectomy (LLS), left hepatectomy (LH), and right hepatectomy (RH) were selected to represent the 3 difficulty levels of L-LR. Fifteen outcome indicators were selected to establish benchmark cutoffs.

Results: There were 3519 L-LR (LLS, LH, RH) of which 1258 L-LR (40.6%) cases performed in 34 benchmark expert centers qualified as low-risk benchmark cases. These included 659 LLS (52.4%), 306 LH (24.3%), and 293 RH (23.3%). The benchmark outcomes established for operation time, open conversion rate, blood loss ≥500 mL, blood transfusion rate, postoperative morbidity, major morbidity, and 90-day mortality after LLS, LH, and RH were 209.5, 302, and 426 minutes; 2.1%, 13.4%, and 13.0%; 3.2%, 20%, and 47.1%; 0%, 7.1%, and 10.5%; 11.1%, 20%, and 50%; 0%, 7.1%, and 20%; and 0%, 0%, and 0%, respectively.

Conclusions: This study established the first global benchmark outcomes for L-LR in a large-scale international patient cohort. It provides an up-to-date reference regarding the "best achievable" results for L-LR for which centers adopting L-LR can use as a comparison to enable an objective assessment of performance gaps and learning curves.

Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.
Full Text
https://journals.lww.com/annalsofsurgery/Fulltext/2023/04000/Defining_Global_Benchmarks_for_Laparoscopic_Liver.40
DOI
10.1097/SLA.0000000000005530
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Choi, Gi Hong(최기홍) ORCID logo https://orcid.org/0000-0002-1593-3773
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/196024
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