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Sub-classification of laparoscopic left hepatectomy based on hierarchic interaction of tumor location and size with perioperative outcomes
DC Field | Value | Language |
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dc.contributor.author | 최기홍 | - |
dc.date.accessioned | 2024-05-30T06:53:41Z | - |
dc.date.available | 2024-05-30T06:53:41Z | - |
dc.date.issued | 2023-09 | - |
dc.identifier.issn | 1868-6974 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/199426 | - |
dc.description.abstract | Background: The aim of this multicentric study was to investigate the impact of tumor location and size on the difficulty of Laparoscopic- Left Hepatectomy (L- LH).Methods: Patients who underwent L- LH performed across 46 centers from 2004 to 2020 were analyzed. Of 1236 L- LH, 770 patients met the study criteria. Baseline clinical and surgical characteristics with a potential impact on LLR were included in a multi-label conditional interference tree. Tumor size cut -off was algorithmically determined. Results: Patients were stratified into 3 groups based on tumor location and dimension: 457 in antero-lateral location (Group 1), 144 in postero-superior segment (4a) with tumor size = 40 mm (Group 2), and 169 in postero-superior segment (4a) with tumor size >40 mm (Group 3). Patients in the Group 3 had higher conversion rate (7.0% vs. 7.6% vs. 13.0%, p- value .048), longer operating time (median, 240 min vs. 285 min vs. 286 min, p-value <.001), greater blood loss (median, 150 mL vs. 200 mL vs. 250 mL, p-value <.001) and higher intraoperative blood transfusion rate (5.7% vs. 5.6% vs. 11.3%, p- value .039). Pringle's maneu-ver was also utilized more frequently in Group 3 (66.7%), compared to Group 1 (53.2%) and Group 2 (51.8%) (p = .006). There were no significant differences in postoperative stay, major morbidity, and mortality between the three groups. Conclusion: L- LH for tumors that are >40 mm in diameter and located in PS Segment 4a are associated with the highest degree of technical difficulty. However, post-operative outcomes were not different from L- LH of smaller tumors located in PS segments, or tumors located in the antero-lateral segments. | - |
dc.description.statementOfResponsibility | restriction | - |
dc.language | English | - |
dc.publisher | Wiley Japan | - |
dc.relation.isPartOf | JOURNAL OF HEPATO-BILIARY-PANCREATIC SCIENCES | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.subject.MESH | Carcinoma, Hepatocellular* / pathology | - |
dc.subject.MESH | Carcinoma, Hepatocellular* / surgery | - |
dc.subject.MESH | Hepatectomy | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Laparoscopy* | - |
dc.subject.MESH | Length of Stay | - |
dc.subject.MESH | Liver Neoplasms* / pathology | - |
dc.subject.MESH | Liver Neoplasms* / surgery | - |
dc.subject.MESH | Operative Time | - |
dc.subject.MESH | Postoperative Complications / surgery | - |
dc.subject.MESH | Retrospective Studies | - |
dc.title | Sub-classification of laparoscopic left hepatectomy based on hierarchic interaction of tumor location and size with perioperative outcomes | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Surgery (외과학교실) | - |
dc.contributor.googleauthor | Andrea Ruzzenente | - |
dc.contributor.googleauthor | Bernardo Dalla Valle | - |
dc.contributor.googleauthor | Edoardo Poletto | - |
dc.contributor.googleauthor | Nicholas L Syn | - |
dc.contributor.googleauthor | Tousif Kabir | - |
dc.contributor.googleauthor | Atsushi Sugioka | - |
dc.contributor.googleauthor | Federica Cipriani | - |
dc.contributor.googleauthor | Daniel Cherqui | - |
dc.contributor.googleauthor | Ho-Seong Han | - |
dc.contributor.googleauthor | Thomas Armstrong | - |
dc.contributor.googleauthor | Tran Cong Duy Long | - |
dc.contributor.googleauthor | Olivier Scatton | - |
dc.contributor.googleauthor | Paolo Herman | - |
dc.contributor.googleauthor | Johann Pratschke | - |
dc.contributor.googleauthor | Davit L Aghayan | - |
dc.contributor.googleauthor | Rong Liu | - |
dc.contributor.googleauthor | Marco V Marino | - |
dc.contributor.googleauthor | Adrian K H Chiow | - |
dc.contributor.googleauthor | Iswanto Sucandy | - |
dc.contributor.googleauthor | Arpad Ivanecz | - |
dc.contributor.googleauthor | Marco Vivarelli | - |
dc.contributor.googleauthor | Fabrizio Di Benedetto | - |
dc.contributor.googleauthor | Sung-Hoon Choi | - |
dc.contributor.googleauthor | Jae Hoon Lee | - |
dc.contributor.googleauthor | Mikel Prieto | - |
dc.contributor.googleauthor | Constantino Fondevila | - |
dc.contributor.googleauthor | Mikhail Efanov | - |
dc.contributor.googleauthor | Fernando Rotellar | - |
dc.contributor.googleauthor | Gi-Hong Choi | - |
dc.contributor.googleauthor | Ricardo Robles-Campos | - |
dc.contributor.googleauthor | Xiaoying Wang | - |
dc.contributor.googleauthor | Robert P Sutcliffe | - |
dc.contributor.googleauthor | Eric C H Lai | - |
dc.contributor.googleauthor | Charing C Chong | - |
dc.contributor.googleauthor | Mathieu D'Hondt | - |
dc.contributor.googleauthor | Chee Chien Yong | - |
dc.contributor.googleauthor | Roberto I Troisi | - |
dc.contributor.googleauthor | T Peter Kingham | - |
dc.contributor.googleauthor | Alessandro Ferrero | - |
dc.contributor.googleauthor | Giovanni Battista Levi Sandri | - |
dc.contributor.googleauthor | Olivier Soubrane | - |
dc.contributor.googleauthor | Mengqiu Yin | - |
dc.contributor.googleauthor | Santiago Lopez-Ben | - |
dc.contributor.googleauthor | Vincenzo Mazzaferro | - |
dc.contributor.googleauthor | Felice Giuliante | - |
dc.contributor.googleauthor | Kazateru Monden | - |
dc.contributor.googleauthor | Kohei Mishima | - |
dc.contributor.googleauthor | Go Wakabayashi | - |
dc.contributor.googleauthor | Tan-To Cheung | - |
dc.contributor.googleauthor | David Fuks | - |
dc.contributor.googleauthor | Mohammad Abu Hilal | - |
dc.contributor.googleauthor | Kuo-Hsin Chen | - |
dc.contributor.googleauthor | Luca Aldrighetti | - |
dc.contributor.googleauthor | Bjorn Edwin | - |
dc.contributor.googleauthor | Brian K P Goh | - |
dc.contributor.googleauthor | International robotic and laparoscopic liver resection study group investigators are co-authors of this study | - |
dc.identifier.doi | 10.1002/jhbp.1323 | - |
dc.contributor.localId | A04046 | - |
dc.relation.journalcode | J01440 | - |
dc.identifier.eissn | 1868-6982 | - |
dc.identifier.pmid | 36872098 | - |
dc.identifier.url | https://onlinelibrary.wiley.com/doi/10.1002/jhbp.1323 | - |
dc.subject.keyword | difficulty | - |
dc.subject.keyword | laparoscopy | - |
dc.subject.keyword | left hepatectomy | - |
dc.subject.keyword | location | - |
dc.subject.keyword | tumor size | - |
dc.contributor.alternativeName | Choi, Gi Hong | - |
dc.contributor.affiliatedAuthor | 최기홍 | - |
dc.citation.volume | 30 | - |
dc.citation.number | 9 | - |
dc.citation.startPage | 1098 | - |
dc.citation.endPage | 1110 | - |
dc.identifier.bibliographicCitation | JOURNAL OF HEPATO-BILIARY-PANCREATIC SCIENCES, Vol.30(9) : 1098-1110, 2023-09 | - |
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