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- W2894943886 abstract "Aims: Laparoscopic liver surgery is possibly associated with overall decreased morbidity and an earlier recovery. However major laparoscopic liver surgery has been limited to a few centres of excellence. This study aimed to compare outcomes of a consecutive series of patients undergoing major laparoscopic and open liver surgery performed in a tertiary centre. Methods: Prospective data of patients undergoing liver resection were analysed from 2014-2017 (48 months). All patients who underwent major liver resection (anatomical right and left hepatectomies) were identified. Lotus ultrasonic energy device with the specially designed liver blade and CUSA were utilised in laparoscopic & open transections respectively. Results: Twenty 'matched' patients in each group Lap & open (total n=40) were identified. There was no difference in the median age in the study population. The median hospital stay was significantly shorter in the laparoscopic group (lap=6 days, open=10 days, p=0.04). There was no difference in the intra-operative blood loss (lap=100ml, open=300ml, p=0.42). Parenchymal transection time (lap. =100 min, open=35 min, p=0.0004) and pringle time (lap =56 min, open=26.5min, p=0.0059) were significantly shorter in the open surgery group. Lotus liver blade was significantly more cost effective than CUSA (£5,300 vs £20,300 respectively, p< 0.001). Zero mortality was recorded in either group. Conclusion: Major laparoscopic liver surgery using a Lotus Liver blade compared to open liver resection is associated with an increased operating & Pringle time but hospital stay is significantly decreased in the laparoscopic group. Major laparoscopic hepatectomy initially appears safe and feasible with a possible cost saving." @default.
- W2894943886 created "2018-10-12" @default.
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- W2894943886 date "2018-09-01" @default.
- W2894943886 modified "2023-09-26" @default.
- W2894943886 title "Comparative analysis between matched open and laparoscopic major liver resections: the Manchester experience" @default.
- W2894943886 doi "https://doi.org/10.1016/j.hpb.2018.06.212" @default.
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