Comparative Short-term Benefits of Laparoscopic Liver Resection
University of Córdoba · Iwate Medical University · +5 more institutions
Abstract
To perform a systematic review of worldwide literature on laparoscopic liver resections (LLR) and compare short-term outcomes against open liver resections (OLR) by meta-analyses. SUMMARY BACKGROUND DATA: There are no updated pooled data since 2009 about the current status and short-term outcomes of LLR worldwide. PATIENTS AND METHODS: All English language publications on LLR were screened. Descriptive worldwide data and short-term outcomes were obtained. Separate analyses were performed for minor-only and major-only resection series, and series in which minor/major resections were not differentiated. Apparent case duplications were excluded.
A set of 463 published manuscripts were reviewed. One hundred seventy-nine single-center series were identified that accounted for 9527 LLR cases worldwide. Minor-only, major-only, and combined major-minor series were 61, 18, and 100, respectively, including 32, 8, and 43 comparative series, respectively. Of the total 9527 LLR cases reported, 6190 (65%) were for malignancy and 3337 (35%) were for benign indications. There were 37 deaths reported (mortality rate = 0.4%). From the meta-analysis comparing case-matched LLR to OLR (N = 2900 cases), there was no increased mortality and significantly less complications, transfusions, blood loss, and hospital stay observed in LLR vs OLR.
Citation impact
- FWCI
- 26.68
- Percentile
- 100%
- References
- 189
Authors
5- RCRubén CiriaCorresponding
University of Córdoba, Iwate Medical University, University of Pittsburgh Medical Center, Instituto Maimónides de Investigación Biomédica de Córdoba, Hôpital Paul-Brousse, Assistance Publique – Hôpitaux de Paris, Université Paris Cité
- DCDaniel Cherqui
Iwate Medical University, University of Pittsburgh Medical Center, Université Paris Cité, Hôpital Paul-Brousse, Assistance Publique – Hôpitaux de Paris, Instituto Maimónides de Investigación Biomédica de Córdoba, University of Córdoba
- DADavid A. Geller
Iwate Medical University, Assistance Publique – Hôpitaux de Paris, Université Paris Cité, University of Pittsburgh Medical Center, Instituto Maimónides de Investigación Biomédica de Córdoba, Hôpital Paul-Brousse, University of Córdoba
- JBJavier Briceño
University of Pittsburgh Medical Center, Assistance Publique – Hôpitaux de Paris, Instituto Maimónides de Investigación Biomédica de Córdoba, University of Córdoba, Hôpital Paul-Brousse, Université Paris Cité, Iwate Medical University
- GWGo Wakabayashi
Iwate Medical University, University of Pittsburgh Medical Center, University of Córdoba, Université Paris Cité, Hôpital Paul-Brousse, Assistance Publique – Hôpitaux de Paris, Instituto Maimónides de Investigación Biomédica de Córdoba
Topics & keywords
- Medicine
- Malignancy
- Surgery
- Blood loss
- General surgery
- Internal medicine
- Good health and well-being