LIVER RESECTION IN BRAZIL: A NATIONAL SURVEY
ABSTRACT Background: Liver surgery has developed significantly in the past decades. In Brazil, the interest on it has grown significantly, but there is no study regarding its clinical practice. Despite intrinsic limitations, surveys are well suited to descriptive studies and allow understanding the...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Colégio Brasileiro de Cirurgia Digestiva
2018-06-01
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| Series: | ABCD: Arquivos Brasileiros de Cirurgia Digestiva |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202018000100316&tlng=pt |
| _version_ | 1798016231864795136 |
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| author | Gilton Marques FONSECA Vagner Birk JEISMANN Jaime Arthur Pirola KRUGER Fabricio Ferreira COELHO Andre Luis MONTAGNINI Paulo HERMAN |
| author_facet | Gilton Marques FONSECA Vagner Birk JEISMANN Jaime Arthur Pirola KRUGER Fabricio Ferreira COELHO Andre Luis MONTAGNINI Paulo HERMAN |
| author_sort | Gilton Marques FONSECA |
| collection | DOAJ |
| description | ABSTRACT Background: Liver surgery has developed significantly in the past decades. In Brazil, the interest on it has grown significantly, but there is no study regarding its clinical practice. Despite intrinsic limitations, surveys are well suited to descriptive studies and allow understanding the current scenario. Aim: To provide an overview on the current spread of liver surgery in Brazil, focusing on groups´ profile, operative techniques and availability of resources. Method: From May to November 2016, was conducted a national survey about liver surgery profile in Brazil composed by 28 questions concerning surgical team characteristics, technical preferences, surgical volume, results and available institutional resources. The survey was sent by e-mail to 84 liver surgery team leaders from different centers including all regions of the country. Results: Forty-three study participants (51.2%), from all Brazilian regions, responded the survey. Most centers have residency/fellowship programs (86%), perform and do laparoscopic procedures (91%); however, laparoscopy is still responsible for a little amount of surgeries (1-9% of laparoscopic procedures over all liver resections in 39.5% of groups). Only seven centers (16.3%) perform more than 50 liver resections/year. Postoperative mortality rate is between 1-3% in 55% of the centers. Conclusion: This is the first depiction of liver surgery in Brazil. It showed a surgical practice aligned with worldwide excellence centers, concentrated on hospitals dedicated to academic practice. |
| first_indexed | 2024-04-11T15:47:25Z |
| format | Article |
| id | doaj.art-ecd5df89c74c434fa39cc5c21ddfc353 |
| institution | Directory Open Access Journal |
| issn | 0102-6720 |
| language | English |
| last_indexed | 2024-04-11T15:47:25Z |
| publishDate | 2018-06-01 |
| publisher | Colégio Brasileiro de Cirurgia Digestiva |
| record_format | Article |
| series | ABCD: Arquivos Brasileiros de Cirurgia Digestiva |
| spelling | doaj.art-ecd5df89c74c434fa39cc5c21ddfc3532022-12-22T04:15:30ZengColégio Brasileiro de Cirurgia DigestivaABCD: Arquivos Brasileiros de Cirurgia Digestiva0102-67202018-06-0131110.1590/0102-672020180001e1355LIVER RESECTION IN BRAZIL: A NATIONAL SURVEYGilton Marques FONSECAVagner Birk JEISMANNJaime Arthur Pirola KRUGERFabricio Ferreira COELHOAndre Luis MONTAGNINIPaulo HERMANABSTRACT Background: Liver surgery has developed significantly in the past decades. In Brazil, the interest on it has grown significantly, but there is no study regarding its clinical practice. Despite intrinsic limitations, surveys are well suited to descriptive studies and allow understanding the current scenario. Aim: To provide an overview on the current spread of liver surgery in Brazil, focusing on groups´ profile, operative techniques and availability of resources. Method: From May to November 2016, was conducted a national survey about liver surgery profile in Brazil composed by 28 questions concerning surgical team characteristics, technical preferences, surgical volume, results and available institutional resources. The survey was sent by e-mail to 84 liver surgery team leaders from different centers including all regions of the country. Results: Forty-three study participants (51.2%), from all Brazilian regions, responded the survey. Most centers have residency/fellowship programs (86%), perform and do laparoscopic procedures (91%); however, laparoscopy is still responsible for a little amount of surgeries (1-9% of laparoscopic procedures over all liver resections in 39.5% of groups). Only seven centers (16.3%) perform more than 50 liver resections/year. Postoperative mortality rate is between 1-3% in 55% of the centers. Conclusion: This is the first depiction of liver surgery in Brazil. It showed a surgical practice aligned with worldwide excellence centers, concentrated on hospitals dedicated to academic practice.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202018000100316&tlng=ptHepatectomyLiverSurveys and questionnairesLaparoscopy. |
| spellingShingle | Gilton Marques FONSECA Vagner Birk JEISMANN Jaime Arthur Pirola KRUGER Fabricio Ferreira COELHO Andre Luis MONTAGNINI Paulo HERMAN LIVER RESECTION IN BRAZIL: A NATIONAL SURVEY ABCD: Arquivos Brasileiros de Cirurgia Digestiva Hepatectomy Liver Surveys and questionnaires Laparoscopy. |
| title | LIVER RESECTION IN BRAZIL: A NATIONAL SURVEY |
| title_full | LIVER RESECTION IN BRAZIL: A NATIONAL SURVEY |
| title_fullStr | LIVER RESECTION IN BRAZIL: A NATIONAL SURVEY |
| title_full_unstemmed | LIVER RESECTION IN BRAZIL: A NATIONAL SURVEY |
| title_short | LIVER RESECTION IN BRAZIL: A NATIONAL SURVEY |
| title_sort | liver resection in brazil a national survey |
| topic | Hepatectomy Liver Surveys and questionnaires Laparoscopy. |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202018000100316&tlng=pt |
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