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Propensity score-matched analysis of laparoscopic-assisted and hand-assisted laparoscopic liver resection versus pure laparoscopic liver resection: an international multicenter study
DC Field | Value | Language |
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dc.contributor.author | 최기홍 | - |
dc.date.accessioned | 2024-05-30T06:59:02Z | - |
dc.date.available | 2024-05-30T06:59:02Z | - |
dc.date.issued | 2023-07 | - |
dc.identifier.issn | 0930-2794 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/199498 | - |
dc.description.abstract | BackgroundLaparoscopic-assisted (LALR) and hand-assisted (HALR) liver resections have been utilized during the early adoption phase by surgeons when transitioning from open surgery to pure LLR. To date, there are limited data reporting on the outcomes of LALR or HALR compared to LLR. The objective was to compare the perioperative outcomes after LALR and HALR versus pure LLR.MethodsThis is an international multicentric analysis of 6609 patients undergoing minimal-invasive liver resection at 21 centers between 2004 and 2019. Perioperative outcomes were analyzed after propensity score matching (PSM) comparison between LALR and HALR versus LLR.Results5279 cases met study criteria of whom 5033 underwent LLR (95.3%), 146 underwent LALR (2.8%) and 100 underwent HALR (1.9%). After 1:4 PSM, LALR was associated with inferior outcomes as evidenced by the longer postoperative stay, higher readmission rate, higher major morbidity rate and higher in-hospital mortality rate. Similarly, 1:6 PSM comparison between HALR and LLR also demonstrated poorer outcomes associated with HALR as demonstrated by the higher open conversion rate and higher blood transfusion rate. All 3 approaches technical variants demonstrated the same oncological radicality (R1 rate).ConclusionLALR and HALR performed during the learning curve was associated with inferior perioperative outcomes compared to pure LLR. | - |
dc.description.statementOfResponsibility | restriction | - |
dc.language | English | - |
dc.publisher | Springer | - |
dc.relation.isPartOf | SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.subject.MESH | Carcinoma, Hepatocellular* / surgery | - |
dc.subject.MESH | Hand-Assisted Laparoscopy* | - |
dc.subject.MESH | Hepatectomy | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Laparoscopy* | - |
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.title | Propensity score-matched analysis of laparoscopic-assisted and hand-assisted laparoscopic liver resection versus pure laparoscopic liver resection: an international multicenter study | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Surgery (외과학교실) | - |
dc.contributor.googleauthor | Felix Krenzien | - |
dc.contributor.googleauthor | Moritz Schmelzle | - |
dc.contributor.googleauthor | Johann Pratschke | - |
dc.contributor.googleauthor | Nicholas L Syn | - |
dc.contributor.googleauthor | Iswanto Sucandy | - |
dc.contributor.googleauthor | Adrian K H Chiow | - |
dc.contributor.googleauthor | Marco V Marino | - |
dc.contributor.googleauthor | Mikel Gastaca | - |
dc.contributor.googleauthor | Xiaoying Wang | - |
dc.contributor.googleauthor | Jae Hoon Lee | - |
dc.contributor.googleauthor | Charing C Chong | - |
dc.contributor.googleauthor | David Fuks | - |
dc.contributor.googleauthor | Gi Hong Choi | - |
dc.contributor.googleauthor | Mikhail Efanov | - |
dc.contributor.googleauthor | T Peter Kingham | - |
dc.contributor.googleauthor | Mathieu D'Hondt | - |
dc.contributor.googleauthor | Roberto I Troisi | - |
dc.contributor.googleauthor | Sung Hoon Choi | - |
dc.contributor.googleauthor | Robert P Sutcliffe | - |
dc.contributor.googleauthor | Rong Liu | - |
dc.contributor.googleauthor | Tan-To Cheung | - |
dc.contributor.googleauthor | Chung Ngai Tang | - |
dc.contributor.googleauthor | Ho-Seong Han | - |
dc.contributor.googleauthor | Brian K P Goh | - |
dc.contributor.googleauthor | International robotic and laparoscopic liver resection study group investigators | - |
dc.identifier.doi | 10.1007/s00464-023-10028-7 | - |
dc.contributor.localId | A04046 | - |
dc.relation.journalcode | J02703 | - |
dc.identifier.eissn | 1432-2218 | - |
dc.identifier.pmid | 37043008 | - |
dc.identifier.url | https://link.springer.com/article/10.1007/s00464-023-10028-7 | - |
dc.subject.keyword | Hand-assisted | - |
dc.subject.keyword | Hybrid | - |
dc.subject.keyword | Laparoscopic liver resection | - |
dc.subject.keyword | Laparoscopic-assisted | - |
dc.subject.keyword | Liver | - |
dc.subject.keyword | Minimal-invasive | - |
dc.subject.keyword | Oncology | - |
dc.contributor.alternativeName | Choi, Gi Hong | - |
dc.contributor.affiliatedAuthor | 최기홍 | - |
dc.citation.volume | 37 | - |
dc.citation.number | 7 | - |
dc.citation.startPage | 5482 | - |
dc.citation.endPage | 5493 | - |
dc.identifier.bibliographicCitation | SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, Vol.37(7) : 5482-5493, 2023-07 | - |
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