International experience for laparoscopic major liver resection
Identifieur interne : 003D80 ( Main/Exploration ); précédent : 003D79; suivant : 003D81International experience for laparoscopic major liver resection
Auteurs : Ibrahim Dagher [France] ; Brice Gayet [France] ; Dimitrios Tzanis [France] ; Hadrien Tranchart [France] ; David Fuks [France] ; Olivier Soubrane [France] ; Ho-Seong Han [Corée du Sud] ; Ki-Hun Kim [Corée du Sud] ; Daniel Cherqui [France] ; Nicholas O'Rourke [Australie] ; Roberto I. Troisi [Belgique] ; Luca Aldrighetti [Italie] ; Edwin Bjorn [Norvège] ; Mohammed Abu Hilal [Royaume-Uni] ; Giulio Belli [Italie] ; Hironori Kaneko [Japon] ; William R. Jarnagin [États-Unis] ; Charles Lin ; Juan Pekolj [Argentine] ; Joseph F. Buell [États-Unis] ; Go Wakabayashi [Japon]Source :
- Journal of Hepato‐Biliary‐Pancreatic Sciences [ 1868-6974 ] ; 2014-10.
Abstract
Although minor laparoscopic liver resections (LLRs) appear as standardized procedures, major LLRs are still limited to few expert teams. The aim of this study was to report the combined data of 18 international centers performing major LLR. Variables evaluated were number and type of LLR, surgical indications, number of synchronous colorectal resections, details on technical points, conversion rates, operative time, blood loss and surgical margins. From 1996 to 2014, a total of 5388 LLR were carried out including 1184 major LLRs. The most frequent indication for laparoscopic right hepatectomy (LRH) was colorectal liver metastases (37.0%). Seven centers used hand assistance or hybrid approach selectively for LRH mostly at the beginning of their experience. Seven centers apply Pringle's maneuver routinely. The conversion rate for all major LLRs was 10% and mean operative time was 291 min. Mean estimated blood loss for all major LLR was 327 ml and negative surgical margin rate was 96.5%. Major LLRs still remain challenging procedures requiring important experience in both laparoscopy and liver surgery. Stimulating the younger generation to learn and accomplish these techniques is the better way to guarantee further development of this surgical field.
Url:
DOI: 10.1002/jhbp.140
Affiliations:
- Argentine, Australie, Belgique, Corée du Sud, France, Italie, Japon, Norvège, Royaume-Uni, États-Unis
- Lombardie, Région capitale de Séoul, Région de Kantō, État de New York, Île-de-France, Østlandet
- Milan, Orsay, Oslo, Paris, Séoul, Tokyo
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Le document en format XML
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type="city">Orsay</settlement></placeName></affiliation><affiliation wicri:level="1"><country wicri:rule="url">France</country></affiliation></author><author><name sortKey="Gayet, Brice" sort="Gayet, Brice" uniqKey="Gayet B" first="Brice" last="Gayet">Brice Gayet</name><affiliation wicri:level="3"><country xml:lang="fr">France</country><wicri:regionArea>Department of Digestive Diseases, Institut Mutualiste Montsouris, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Tzanis, Dimitrios" sort="Tzanis, Dimitrios" uniqKey="Tzanis D" first="Dimitrios" last="Tzanis">Dimitrios Tzanis</name><affiliation wicri:level="1"><country xml:lang="fr">France</country><wicri:regionArea>Department of Minimally Invasive Digestive Surgery, Antoine Béclère Hospital, AP‐HP157 rue de la Porte de Trivaux, F‐92141, Clamart</wicri:regionArea><wicri:noRegion>92141, Clamart</wicri:noRegion><wicri:noRegion>Clamart</wicri:noRegion></affiliation><affiliation wicri:level="3"><country xml:lang="fr">France</country><wicri:regionArea>Paris‐Sud University, Orsay</wicri:regionArea><placeName><settlement type="city">Orsay</settlement></placeName></affiliation></author><author><name sortKey="Tranchart, Hadrien" sort="Tranchart, Hadrien" uniqKey="Tranchart H" first="Hadrien" last="Tranchart">Hadrien Tranchart</name><affiliation wicri:level="1"><country xml:lang="fr">France</country><wicri:regionArea>Department of Minimally Invasive Digestive Surgery, Antoine Béclère Hospital, AP‐HP157 rue de la Porte de Trivaux, F‐92141, Clamart</wicri:regionArea><wicri:noRegion>92141, Clamart</wicri:noRegion><wicri:noRegion>Clamart</wicri:noRegion></affiliation><affiliation wicri:level="3"><country xml:lang="fr">France</country><wicri:regionArea>Paris‐Sud University, Orsay</wicri:regionArea><placeName><settlement type="city">Orsay</settlement></placeName></affiliation></author><author><name sortKey="Fuks, David" sort="Fuks, David" uniqKey="Fuks D" first="David" last="Fuks">David Fuks</name><affiliation wicri:level="3"><country xml:lang="fr">France</country><wicri:regionArea>Department of Digestive Diseases, Institut Mutualiste Montsouris, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Soubrane, Olivier" sort="Soubrane, Olivier" uniqKey="Soubrane O" first="Olivier" last="Soubrane">Olivier Soubrane</name><affiliation wicri:level="3"><country xml:lang="fr">France</country><wicri:regionArea>Department of Liver Surgery, Beaujon Hospital, AP‐HP, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Han, Ho Eong" sort="Han, Ho Eong" uniqKey="Han H" first="Ho-Seong" last="Han">Ho-Seong Han</name><affiliation wicri:level="1"><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Surgery, Seoul National University Bundang Hospital, Seongnam</wicri:regionArea><wicri:noRegion>Seongnam</wicri:noRegion></affiliation></author><author><name sortKey="Kim, Ki Un" sort="Kim, Ki Un" uniqKey="Kim K" first="Ki-Hun" last="Kim">Ki-Hun Kim</name><affiliation wicri:level="3"><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Surgery, Ulsan University and Asan Medical Center, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Cherqui, Daniel" sort="Cherqui, Daniel" uniqKey="Cherqui D" first="Daniel" last="Cherqui">Daniel Cherqui</name><affiliation wicri:level="1"><country xml:lang="fr">France</country><wicri:regionArea>Hepatobiliary Center, Paul Brousse Hospital, Villejuif</wicri:regionArea><wicri:noRegion>Villejuif</wicri:noRegion><wicri:noRegion>Villejuif</wicri:noRegion></affiliation></author><author><name sortKey="O Rourke, Nicholas" sort="O Rourke, Nicholas" uniqKey="O Rourke N" first="Nicholas" last="O'Rourke">Nicholas O'Rourke</name><affiliation wicri:level="1"><country xml:lang="fr">Australie</country><wicri:regionArea>Department of Surgery, Wesley Medical Centre, Queensland, Auchenflower</wicri:regionArea><wicri:noRegion>Auchenflower</wicri:noRegion></affiliation></author><author><name sortKey="Troisi, Roberto I" sort="Troisi, Roberto I" uniqKey="Troisi R" first="Roberto I." last="Troisi">Roberto I. Troisi</name><affiliation wicri:level="1"><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of General and Hepatobiliary Surgery, Ghent University Hospital and Medical School, Ghent</wicri:regionArea><wicri:noRegion>Ghent</wicri:noRegion></affiliation></author><author><name sortKey="Aldrighetti, Luca" sort="Aldrighetti, Luca" uniqKey="Aldrighetti L" first="Luca" last="Aldrighetti">Luca Aldrighetti</name><affiliation wicri:level="3"><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Surgery, San Raffaele Hospital, Milan</wicri:regionArea><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation></author><author><name sortKey="Bjorn, Edwin" sort="Bjorn, Edwin" uniqKey="Bjorn E" first="Edwin" last="Bjorn">Edwin Bjorn</name><affiliation wicri:level="3"><country xml:lang="fr">Norvège</country><wicri:regionArea>The Intervention Centre, Oslo University Hospital, Oslo</wicri:regionArea><placeName><settlement type="city">Oslo</settlement><region nuts="2">Østlandet</region></placeName></affiliation></author><author><name sortKey="Abu Hilal, Mohammed" sort="Abu Hilal, Mohammed" uniqKey="Abu Hilal M" first="Mohammed" last="Abu Hilal">Mohammed Abu Hilal</name><affiliation wicri:level="1"><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Surgery, University Hospital Southampton NHS Foundation Trust, Southampton</wicri:regionArea><wicri:noRegion>Southampton</wicri:noRegion></affiliation></author><author><name sortKey="Belli, Giulio" sort="Belli, Giulio" uniqKey="Belli G" first="Giulio" last="Belli">Giulio Belli</name><affiliation wicri:level="1"><country xml:lang="fr">Italie</country><wicri:regionArea>Division of General Surgery, S. Maria di Loreto Nuevo Hospital, Naples</wicri:regionArea><wicri:noRegion>Naples</wicri:noRegion></affiliation></author><author><name sortKey="Kaneko, Hironori" sort="Kaneko, Hironori" uniqKey="Kaneko H" first="Hironori" last="Kaneko">Hironori Kaneko</name><affiliation wicri:level="3"><country xml:lang="fr">Japon</country><wicri:regionArea>Division of General and Gastroenterological Surgery, Department of Surgery, Toho University School of Medicine, Tokyo</wicri:regionArea><placeName><settlement type="city">Tokyo</settlement><region type="région">Région de Kantō</region></placeName></affiliation></author><author><name sortKey="Jarnagin, William R" sort="Jarnagin, William R" uniqKey="Jarnagin W" first="William R." last="Jarnagin">William R. Jarnagin</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York</wicri:regionArea><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Lin, Charles" sort="Lin, Charles" uniqKey="Lin C" first="Charles" last="Lin">Charles Lin</name><affiliation><wicri:noCountry code="subField">Taipei</wicri:noCountry></affiliation></author><author><name sortKey="Pekolj, Juan" sort="Pekolj, Juan" uniqKey="Pekolj J" first="Juan" last="Pekolj">Juan Pekolj</name><affiliation wicri:level="1"><country xml:lang="fr">Argentine</country><wicri:regionArea>General Surgery Department, Buenos Aires Italian Hospital, Buenos Aires</wicri:regionArea><wicri:noRegion>Buenos Aires</wicri:noRegion></affiliation></author><author><name sortKey="Buell, Joseph F" sort="Buell, Joseph F" uniqKey="Buell J" first="Joseph F." last="Buell">Joseph F. Buell</name><affiliation wicri:level="1"><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Surgery, Tulane University, Louisiana, New Orleans</wicri:regionArea><wicri:noRegion>New Orleans</wicri:noRegion></affiliation></author><author><name sortKey="Wakabayashi, Go" sort="Wakabayashi, Go" uniqKey="Wakabayashi G" first="Go" last="Wakabayashi">Go Wakabayashi</name><affiliation wicri:level="1"><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Surgery, Iwate Medical University School of Medicine, Iwate</wicri:regionArea><wicri:noRegion>Iwate</wicri:noRegion></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Journal of Hepato‐Biliary‐Pancreatic Sciences</title><title level="j" type="alt">JOURNAL OF HEPATO-BILIARY-PANCREATIC SCIENCES</title><idno type="ISSN">1868-6974</idno><idno type="eISSN">1868-6982</idno><imprint><biblScope unit="vol">21</biblScope><biblScope unit="issue">10</biblScope><biblScope unit="page" from="732">732</biblScope><biblScope unit="page" to="736">736</biblScope><biblScope unit="page-count">5</biblScope><date type="published" when="2014-10">2014-10</date></imprint><idno type="ISSN">1868-6974</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1868-6974</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract">Although minor laparoscopic liver resections (LLRs) appear as standardized procedures, major LLRs are still limited to few expert teams. The aim of this study was to report the combined data of 18 international centers performing major LLR. Variables evaluated were number and type of LLR, surgical indications, number of synchronous colorectal resections, details on technical points, conversion rates, operative time, blood loss and surgical margins. From 1996 to 2014, a total of 5388 LLR were carried out including 1184 major LLRs. The most frequent indication for laparoscopic right hepatectomy (LRH) was colorectal liver metastases (37.0%). Seven centers used hand assistance or hybrid approach selectively for LRH mostly at the beginning of their experience. Seven centers apply Pringle's maneuver routinely. The conversion rate for all major LLRs was 10% and mean operative time was 291 min. Mean estimated blood loss for all major LLR was 327 ml and negative surgical margin rate was 96.5%. Major LLRs still remain challenging procedures requiring important experience in both laparoscopy and liver surgery. Stimulating the younger generation to learn and accomplish these techniques is the better way to guarantee further development of this surgical field.</div></front></TEI><affiliations><list><country><li>Argentine</li><li>Australie</li><li>Belgique</li><li>Corée du Sud</li><li>France</li><li>Italie</li><li>Japon</li><li>Norvège</li><li>Royaume-Uni</li><li>États-Unis</li></country><region><li>Lombardie</li><li>Région capitale de Séoul</li><li>Région de Kantō</li><li>État de New York</li><li>Île-de-France</li><li>Østlandet</li></region><settlement><li>Milan</li><li>Orsay</li><li>Oslo</li><li>Paris</li><li>Séoul</li><li>Tokyo</li></settlement></list><tree><noCountry><name sortKey="Lin, Charles" sort="Lin, Charles" uniqKey="Lin C" first="Charles" last="Lin">Charles Lin</name></noCountry><country name="France"><noRegion><name sortKey="Dagher, Ibrahim" sort="Dagher, Ibrahim" uniqKey="Dagher I" first="Ibrahim" last="Dagher">Ibrahim Dagher</name></noRegion><name sortKey="Cherqui, Daniel" sort="Cherqui, Daniel" uniqKey="Cherqui D" first="Daniel" last="Cherqui">Daniel Cherqui</name><name sortKey="Dagher, Ibrahim" sort="Dagher, Ibrahim" uniqKey="Dagher I" first="Ibrahim" last="Dagher">Ibrahim Dagher</name><name sortKey="Dagher, Ibrahim" sort="Dagher, Ibrahim" uniqKey="Dagher I" first="Ibrahim" last="Dagher">Ibrahim Dagher</name><name sortKey="Dagher, Ibrahim" sort="Dagher, Ibrahim" uniqKey="Dagher I" first="Ibrahim" last="Dagher">Ibrahim Dagher</name><name sortKey="Fuks, David" sort="Fuks, David" uniqKey="Fuks D" first="David" last="Fuks">David Fuks</name><name sortKey="Gayet, Brice" sort="Gayet, Brice" uniqKey="Gayet B" first="Brice" last="Gayet">Brice Gayet</name><name sortKey="Soubrane, Olivier" sort="Soubrane, Olivier" uniqKey="Soubrane O" first="Olivier" last="Soubrane">Olivier Soubrane</name><name sortKey="Tranchart, Hadrien" sort="Tranchart, Hadrien" uniqKey="Tranchart H" first="Hadrien" last="Tranchart">Hadrien Tranchart</name><name sortKey="Tranchart, Hadrien" sort="Tranchart, Hadrien" uniqKey="Tranchart H" first="Hadrien" last="Tranchart">Hadrien Tranchart</name><name sortKey="Tzanis, Dimitrios" sort="Tzanis, Dimitrios" uniqKey="Tzanis D" first="Dimitrios" last="Tzanis">Dimitrios Tzanis</name><name sortKey="Tzanis, Dimitrios" sort="Tzanis, Dimitrios" uniqKey="Tzanis D" first="Dimitrios" last="Tzanis">Dimitrios Tzanis</name></country><country name="Corée du Sud"><noRegion><name sortKey="Han, Ho Eong" sort="Han, Ho Eong" uniqKey="Han H" first="Ho-Seong" last="Han">Ho-Seong Han</name></noRegion><name sortKey="Kim, Ki Un" sort="Kim, Ki Un" uniqKey="Kim K" first="Ki-Hun" last="Kim">Ki-Hun Kim</name></country><country name="Australie"><noRegion><name sortKey="O Rourke, Nicholas" sort="O Rourke, Nicholas" uniqKey="O Rourke N" first="Nicholas" last="O'Rourke">Nicholas O'Rourke</name></noRegion></country><country name="Belgique"><noRegion><name sortKey="Troisi, Roberto I" sort="Troisi, Roberto I" uniqKey="Troisi R" first="Roberto I." last="Troisi">Roberto I. Troisi</name></noRegion></country><country name="Italie"><region name="Lombardie"><name sortKey="Aldrighetti, Luca" sort="Aldrighetti, Luca" uniqKey="Aldrighetti L" first="Luca" last="Aldrighetti">Luca Aldrighetti</name></region><name sortKey="Belli, Giulio" sort="Belli, Giulio" uniqKey="Belli G" first="Giulio" last="Belli">Giulio Belli</name></country><country name="Norvège"><region name="Østlandet"><name sortKey="Bjorn, Edwin" sort="Bjorn, Edwin" uniqKey="Bjorn E" first="Edwin" last="Bjorn">Edwin Bjorn</name></region></country><country name="Royaume-Uni"><noRegion><name sortKey="Abu Hilal, Mohammed" sort="Abu Hilal, Mohammed" uniqKey="Abu Hilal M" first="Mohammed" last="Abu Hilal">Mohammed Abu Hilal</name></noRegion></country><country name="Japon"><region name="Région de Kantō"><name sortKey="Kaneko, Hironori" sort="Kaneko, Hironori" uniqKey="Kaneko H" first="Hironori" last="Kaneko">Hironori Kaneko</name></region><name sortKey="Wakabayashi, Go" sort="Wakabayashi, Go" uniqKey="Wakabayashi G" first="Go" last="Wakabayashi">Go Wakabayashi</name></country><country name="États-Unis"><region name="État de New York"><name sortKey="Jarnagin, William R" sort="Jarnagin, William R" uniqKey="Jarnagin W" first="William R." last="Jarnagin">William R. Jarnagin</name></region><name sortKey="Buell, Joseph F" sort="Buell, Joseph F" uniqKey="Buell J" first="Joseph F." last="Buell">Joseph F. Buell</name></country><country name="Argentine"><noRegion><name sortKey="Pekolj, Juan" sort="Pekolj, Juan" uniqKey="Pekolj J" first="Juan" last="Pekolj">Juan Pekolj</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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