Posterosuperior Segments of the Liver: Comparison of Short-Term Outcomes between Open and Minimally Invasive Surgery Performed by a Single Surgeon
Laparoscopic posterosuperior liver segment resection is considered technically challenging. This is a retrospective single-center single-surgeon study. The aim of the present study is to investigate the short-term outcomes in a single institution between laparoscopic (LLR) and open (OLR) posterosupe...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-11-01
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| Series: | Livers |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2673-4389/3/4/44 |
| _version_ | 1827574344462630912 |
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| author | Mario Giuffrida Maurizio Iaria Raffaele Dalla Valle |
| author_facet | Mario Giuffrida Maurizio Iaria Raffaele Dalla Valle |
| author_sort | Mario Giuffrida |
| collection | DOAJ |
| description | Laparoscopic posterosuperior liver segment resection is considered technically challenging. This is a retrospective single-center single-surgeon study. The aim of the present study is to investigate the short-term outcomes in a single institution between laparoscopic (LLR) and open (OLR) posterosuperior liver segments (PSSs) resections performed by a single surgeon at Parma University Hospital. The patients were divided into Group 1 (OLR) and Group 2 (LLR) and stratified in two different time settings according to the experience of the surgeon (2010–2015 and 2016–2021). A total 112 patients were included in the study. The 75.3% of OLR were performed in the first period, while 70.2% of LLR were carried out during the second period (2016–2021). The Iwate score was significantly (<i>p</i> < 0.001) higher in OLR group compared to the LLR group. Most of the advanced (77%) and expert (100%) LLRs were performed during the second period. LOS was shorter in LLR group comparing to OLR group (<i>p</i> < 0.001). The postoperative morbidity rate was similar in both groups (<i>p</i> > 0.05). The presence of liver cirrhosis and multiple lesions were identified as risk factors for severe postoperative complications. PSS-LLR has become much safer and more effective due to increasing surgeon’s expertise along with the implementation of cutting-edge technology and innovative surgical techniques. |
| first_indexed | 2024-03-08T20:34:51Z |
| format | Article |
| id | doaj.art-70e65820a9fa44b0a287994b36a35cb7 |
| institution | Directory Open Access Journal |
| issn | 2673-4389 |
| language | English |
| last_indexed | 2024-03-08T20:34:51Z |
| publishDate | 2023-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Livers |
| spelling | doaj.art-70e65820a9fa44b0a287994b36a35cb72023-12-22T14:21:32ZengMDPI AGLivers2673-43892023-11-013467468610.3390/livers3040044Posterosuperior Segments of the Liver: Comparison of Short-Term Outcomes between Open and Minimally Invasive Surgery Performed by a Single SurgeonMario Giuffrida0Maurizio Iaria1Raffaele Dalla Valle2Department of General and Specialized Surgery, Parma University Hospital, 43126 Parma, ItalyDepartment of General and Specialized Surgery, Parma University Hospital, 43126 Parma, ItalyDepartment of General and Specialized Surgery, Parma University Hospital, 43126 Parma, ItalyLaparoscopic posterosuperior liver segment resection is considered technically challenging. This is a retrospective single-center single-surgeon study. The aim of the present study is to investigate the short-term outcomes in a single institution between laparoscopic (LLR) and open (OLR) posterosuperior liver segments (PSSs) resections performed by a single surgeon at Parma University Hospital. The patients were divided into Group 1 (OLR) and Group 2 (LLR) and stratified in two different time settings according to the experience of the surgeon (2010–2015 and 2016–2021). A total 112 patients were included in the study. The 75.3% of OLR were performed in the first period, while 70.2% of LLR were carried out during the second period (2016–2021). The Iwate score was significantly (<i>p</i> < 0.001) higher in OLR group compared to the LLR group. Most of the advanced (77%) and expert (100%) LLRs were performed during the second period. LOS was shorter in LLR group comparing to OLR group (<i>p</i> < 0.001). The postoperative morbidity rate was similar in both groups (<i>p</i> > 0.05). The presence of liver cirrhosis and multiple lesions were identified as risk factors for severe postoperative complications. PSS-LLR has become much safer and more effective due to increasing surgeon’s expertise along with the implementation of cutting-edge technology and innovative surgical techniques.https://www.mdpi.com/2673-4389/3/4/44liversurgeryposterosuperior segmentslaparoscopyIwate |
| spellingShingle | Mario Giuffrida Maurizio Iaria Raffaele Dalla Valle Posterosuperior Segments of the Liver: Comparison of Short-Term Outcomes between Open and Minimally Invasive Surgery Performed by a Single Surgeon Livers liver surgery posterosuperior segments laparoscopy Iwate |
| title | Posterosuperior Segments of the Liver: Comparison of Short-Term Outcomes between Open and Minimally Invasive Surgery Performed by a Single Surgeon |
| title_full | Posterosuperior Segments of the Liver: Comparison of Short-Term Outcomes between Open and Minimally Invasive Surgery Performed by a Single Surgeon |
| title_fullStr | Posterosuperior Segments of the Liver: Comparison of Short-Term Outcomes between Open and Minimally Invasive Surgery Performed by a Single Surgeon |
| title_full_unstemmed | Posterosuperior Segments of the Liver: Comparison of Short-Term Outcomes between Open and Minimally Invasive Surgery Performed by a Single Surgeon |
| title_short | Posterosuperior Segments of the Liver: Comparison of Short-Term Outcomes between Open and Minimally Invasive Surgery Performed by a Single Surgeon |
| title_sort | posterosuperior segments of the liver comparison of short term outcomes between open and minimally invasive surgery performed by a single surgeon |
| topic | liver surgery posterosuperior segments laparoscopy Iwate |
| url | https://www.mdpi.com/2673-4389/3/4/44 |
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