|
|
第57卷 第2期 2024-3
Necrotizing fasciitis resulted from foreign body ingestion and intestinal perforation in an incisional hernia: Report of a case |
| ......................... |
|
第57卷 第2期 2024-3
Application of artificial intelligence in endodontic microsurgery |
| ......................... |
|
第57卷 第2期 2024-3
A rare case of cerebral metastasis of malignant peripheral nerve sheath tumor in a patient with neurofibromatosis type 1 |
| ......................... |
|
第57卷 第2期 2024-3
Ethic in commenting and clinical surgery journal publication: Emerging issue in the era of social media—A story from “Beall” to “Jaime” and independent researcher |
| ......................... |
|
第57卷 第2期 2024-3
Ophidascaris robertsi, the new emerging human parasite and neurosurgery |
| ......................... |
|
第57卷 第2期 2024-3
Tetanus toxoid IgG, usefulness in clinical surgery, and diagnostic property limitation |
| ......................... |
|
第57卷 第2期 2024-3
Deaths among surgeons while on duty: An important issue in surgery and occupational medicine that should not be disregarded |
| ......................... |
|
第57卷 第2期 2024-3
ChatGPT and its use in clinical surgery: A comment on its pro and con |
| ......................... |
|
第57卷 第2期 2024-3
Isolated spinal neurocysticercosis and pseudotumor cerebri: Tropical problem to be noted |
| ......................... |
|
第57卷 第2期 2024-3
Management of massive hemothorax resulting from traumatic diaphragm rupture with kidney avulsion injury by combined anterior thoracoabdominal approaches |
| ......................... |
|
第57卷 第2期 2024-3
Laparoscopic partial splenectomy for sclerosing angiomatoid nodular transformation: A case report and literature review |
| ......................... |
|
第57卷 第2期 2024-3
Using three-dimensional versus two-dimensional laparoscopy in sleeve gastrectomy: A case matched comparison |
| ......................... |
|
第57卷 第2期 2024-3
Effectiveness of placing prophylactic mesh with the Sugarbaker technique via laparoscopic abdominoperineal resection for rectal cancer: 1-year results |
| ......................... |
|
第57卷 第2期 2024-3
Nylon cable ties–assisted delay primary closure of fasciotomy wound in patients of forearm compartment syndrome |
| ......................... |
|
第57卷 第2期 2024-3
Prefabricated venous fl ap, an advanced free venous fl ap for distant transfer: An experimental rat study |
| ......................... |
|
第57卷 第1期 2024-1
Isolated lower leg monoplegia due to traumatic intraparenchymal hemorrhage |
| ......................... |
|
第57卷 第1期 2024-1
Reflections on the association between cholecystectomy, cholelithiasis, and colorectal cancer |
| ......................... |
|
第57卷 第1期 2024-1
Molluscum contagiosum, false positive, and incidence: Concern in surgery |
| ......................... |
|
第57卷 第1期 2024-1
New form of COVID-19 vaccine: A new advanced technology for fighting the remained problem |
| ......................... |
|
第57卷 第1期 2024-1
COVID-19 vaccination, acute appendicitis, interrelationship, and jointed probability: A concern |
| ......................... |
|
 |
| 篇名 |
Laparoscopic versus open liver resection for treatment of liver tumors: Early experience outcomes |
| 作者 |
Kitti Wongta, Mati Rattanasakalwong, Jantaluck Nuchanatanon, Papot Charutragulchai, Vorapatu Tangsirapat |
| 卷期/出版年月 |
57卷1期 (2024/1) |
| 頁次 |
11-16 |
| 摘要 |
Background: Although minimally invasive liver surgery has been increasingly practiced worldwide, the lack of experience is a barrier for
numerous surgeons to initiate. This study aims to compare the outcome of laparoscopic liver resection (LLR) versus open liver resection
(OLR) by surgeons who begin to conduct both procedures through the same period.
MaterialsandMethods:We retrospectively analyzed the demographic data, the perioperative data, and the surgical outcomes of patients
who underwent liver resection for the treatment of liver tumors. All procedures were operated by three hepatopancreatobiliary surgeons.
Results: In total, 56 hepatectomieswere performed, 13 patients in the LLR group with an average Iwate score of 5 and 43 patients in the
OLR group were included in the study. After propensity score matching, comparing 13 patients each of the LLR and OLR groups, the operative
time (316.5 vs 315.4minutes, P = 0.98) and the amount of blood loss (929 vs 1500 mL, P = 0.23) were not different. The postoperative
length of stay was significantly shorter in the LR group (6 vs 12 days, P = 0.009). The LLR group had a lower severity of the complications
( P = 0.02), and the mortality rate was zero in both groups. The margin-free status did not differ between the LLR and OLR groups
(92.3% vs 76.9%, P = 0.28).
Conclusions: For hepatopancreatobiliary surgeons with limited experience, LLR is safe to meticulously proceed for liver lesions. The
advantage of LLR is less severity of the complications, decrease postoperative hospital stays, and most importantly themargin-free status
is comparable between both groups. |
| 關鍵詞 |
General surgery; Hepatectomy; Laparoscopy; Learning curve; Liver neoplasms |
| 分類 |
Original Article |
|
