Laparoscopic liver resection in cirrhotics: feasibility and short-term outcomes compared to non-cirrhotics.
| Title: | Laparoscopic liver resection in cirrhotics: feasibility and short-term outcomes compared to non-cirrhotics. |
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| Authors: | Srinivasa S; Department of HPB/Transplant Surgery, Royal Infirmary of Edinburgh, The University of Edinburgh, Edinburgh, UK.; Hughes M; Department of HPB/Transplant Surgery, Royal Infirmary of Edinburgh, The University of Edinburgh, Edinburgh, UK.; Azodo IA; Department of HPB/Transplant Surgery, Royal Infirmary of Edinburgh, The University of Edinburgh, Edinburgh, UK.; Adair A; Department of HPB/Transplant Surgery, Royal Infirmary of Edinburgh, The University of Edinburgh, Edinburgh, UK.; Ravindran R; Department of HPB/Transplant Surgery, Royal Infirmary of Edinburgh, The University of Edinburgh, Edinburgh, UK.; Harrison E; Department of HPB/Transplant Surgery, Royal Infirmary of Edinburgh, The University of Edinburgh, Edinburgh, UK.; Wigmore SJ; Department of HPB/Transplant Surgery, Royal Infirmary of Edinburgh, The University of Edinburgh, Edinburgh, UK. |
| Source: | ANZ journal of surgery [ANZ J Surg] 2020 Jun; Vol. 90 (6), pp. 1104-1107. Date of Electronic Publication: 2020 Feb 18. |
| Publication Type: | Journal Article |
| Language: | English |
| Journal Info: | Publisher: Wiley-Blackwell Publishing Asia Country of Publication: Australia NLM ID: 101086634 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1445-2197 (Electronic) Linking ISSN: 14451433 NLM ISO Abbreviation: ANZ J Surg Subsets: MEDLINE |
| Imprint Name(s): | Publication: Carlton, Victoria, Australia : Wiley-Blackwell Publishing Asia; Original Publication: Carlton, Victoria, Australia : Blackwell Science Asia on behalf of the Royal Australasian College of Surgeons, c2001- |
| MeSH Terms: | Carcinoma, Hepatocellular*/surgery ; Liver Cirrhosis*/complications ; Liver Cirrhosis*/surgery ; Liver Neoplasms*/complications ; Liver Neoplasms*/surgery ; Hepatectomy* ; Laparoscopy*; Feasibility Studies ; Female ; Humans ; Length of Stay ; Male ; Retrospective Studies ; Treatment Outcome |
| Abstract: | Background: Laparoscopic liver resection (LLR) is increasingly common worldwide but its suitability in patients with cirrhosis is not clearly defined. There are minimal data in the western literature on this topic and previous work has compared LLR to open hepatectomy rather than to LLR in non-cirrhotic patients. This study compared short-term outcomes of LLR in cirrhotic patients to LLR in non-cirrhotic patients.; Methods: Retrospective review of minor LLR at the Royal Infirmary of Edinburgh from January 2006 to January 2018 was conducted. Patients were stratified by whether they had cirrhosis - defined as per radiological appearances and liver function tests. Variables of interest included baseline clinicopathological information with short-term outcomes (length of stay and complications) regarded as the primary outcome of interest.; Results: Out of 1207 liver resections in the study period, there were 120 LLR with 30 patients having cirrhosis. Patients with cirrhosis were more likely to be male and have higher median American Society of Anesthesiologists scores (3 versus 2; P |
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| Contributed Indexing: | Keywords: CRLM; cirrhosis; laparoscopic; liver resection |
| Entry Date(s): | Date Created: 20200220 Date Completed: 20210429 Latest Revision: 20210429 |
| Update Code: | 20260130 |
| DOI: | 10.1111/ans.15745 |
| PMID: | 32072750 |
| Database: | MEDLINE |
Journal Article