AustralieFrV1, Main, Exploration, bibRecord, 008246

Laparoscopic Major Hepatectomy: An Evolution in Standard of Care

Identifieur interne : 008246 ( Main/Exploration ); précédent : 008245; suivant : 008247

Laparoscopic Major Hepatectomy: An Evolution in Standard of Care

Auteurs : Ibrahim Dagher [France] ; Nicholas O'Rourke [Australie] ; David A. Geller [États-Unis] ; Daniel Cherqui [France] ; Giulio Belli [Italie] ; T. Clark Gamblin [États-Unis] ; Panagiotis Lainas [France] ; Alexis Laurent [France] ; Kevin Tri Nguyen [États-Unis] ; Michael R. Marvin [États-Unis] ; Mark Thomas [États-Unis] ; Kadyalia Ravindra [États-Unis] ; George Fielding [États-Unis] ; Dominique Franco [France] ; Joseph F. Buell [États-Unis]

Source :

Annals of surgery [ 0003-4932 ] ; 2009.

RBID : Pascal:09-0456864

Descripteurs français

Pascal (Inist)
- Laparoscopie, Evolution, Médecine, Chirurgie, Traitement, Soin standard, Hépatectomie.
Wicri :
- topic : Médecine, Chirurgie.

English descriptors

KwdEn :
- Evolution, Hepatectomy, Laparoscopy, Medicine, Surgery, Treatment.

Abstract

Objective: To analyze the results of 6 international surgical centers performing laparoscopic major liver resections. Summary Background Data: The safety and feasibility of laparoscopy for minor liver resections has been previously demonstrated. Major anatomic liver resections, initially considered to be unsuitable for laparoscopy, are increasingly reported by several centers worldwide. Methods: Prospective databases of 3 European, 2 U.S., and 1 Australian centers were combined. Between 1997 and 2008, 210 major liver resections were performed: 136 right and 74 left hepatectomies. Results and differences in surgical techniques between the 6 centers are outlined. Results: Surgical duration was 250 minutes (range: 90-655 minutes). Operative blood loss was 300 mL (range: 20-2500 mL). Thirty patients (14.3%) received blood transfusion. Conversion to open surgery was required in 26 patients (12.4%). Portal triad clamping was performed in 24 patients (11.4%). Median tumor size was 5.4 cm (range: 1-25 cm) and surgical margin was 10.5 mm (range: 0-70 mm). Two patients died during the postoperative period from pulmonary embolism and urosepsis. Liver-specific and general complications occurred in 17 (8.1%) and 29 patients (13.8%), respectively. Hospital length of stay was 6 days (range: 1-34 days). A further analysis of early (n = 90) and late (n = 120) experience showed improved surgical and postoperative results in the latter group. Conclusions: This multicenter study demonstrates that laparoscopic major liver resections are feasible in selected patients and results improve with experience. However, proficiency in both open liver surgery and advanced laparoscopy is compulsory and surgeons must begin with minor laparoscopic resections.

Affiliations:

Links toward previous steps (curation, corpus...)

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Le document en format XML

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<author><name sortKey="Buell, Joseph F" sort="Buell, Joseph F" uniqKey="Buell J" first="Joseph F." last="Buell">Joseph F. Buell</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Laparoscopic Major Hepatectomy: An Evolution in Standard of Care</title>
<author><name sortKey="Dagher, Ibrahim" sort="Dagher, Ibrahim" uniqKey="Dagher I" first="Ibrahim" last="Dagher">Ibrahim Dagher</name>
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<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"><inist:fA14 i1="02"><s1>Department of Surgery, Wesley Medical Center</s1>
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<author><name sortKey="Geller, David A" sort="Geller, David A" uniqKey="Geller D" first="David A." last="Geller">David A. Geller</name>
<affiliation wicri:level="4"><inist:fA14 i1="03"><s1>UPMC Liver Cancer Center, Thomas E. Starzl Transplantation Institute, University of Pittsburgh</s1>
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<author><name sortKey="Cherqui, Daniel" sort="Cherqui, Daniel" uniqKey="Cherqui D" first="Daniel" last="Cherqui">Daniel Cherqui</name>
<affiliation wicri:level="3"><inist:fA14 i1="04"><s1>Department of General Surgery, Henri Mondor Hospital, AP-HP, Paris 12 University</s1>
<s2>Creteil</s2>
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<country>France</country>
<placeName><region type="region">Île-de-France</region>
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<settlement type="city">Créteil</settlement>
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<author><name sortKey="Belli, Giulio" sort="Belli, Giulio" uniqKey="Belli G" first="Giulio" last="Belli">Giulio Belli</name>
<affiliation wicri:level="1"><inist:fA14 i1="05"><s1>Department of General and Hepato-Pancreato-Biliary Surgery, S.M. Loreto Nuovo Hospital</s1>
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<author><name sortKey="Clark Gamblin, T" sort="Clark Gamblin, T" uniqKey="Clark Gamblin T" first="T." last="Clark Gamblin">T. Clark Gamblin</name>
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<author><name sortKey="Lainas, Panagiotis" sort="Lainas, Panagiotis" uniqKey="Lainas P" first="Panagiotis" last="Lainas">Panagiotis Lainas</name>
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<author><name sortKey="Laurent, Alexis" sort="Laurent, Alexis" uniqKey="Laurent A" first="Alexis" last="Laurent">Alexis Laurent</name>
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<author><name sortKey="Tri Nguyen, Kevin" sort="Tri Nguyen, Kevin" uniqKey="Tri Nguyen K" first="Kevin" last="Tri Nguyen">Kevin Tri Nguyen</name>
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<author><name sortKey="Marvin, Michael R" sort="Marvin, Michael R" uniqKey="Marvin M" first="Michael R." last="Marvin">Michael R. Marvin</name>
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<s2>Louisville, KY</s2>
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<author><name sortKey="Thomas, Mark" sort="Thomas, Mark" uniqKey="Thomas M" first="Mark" last="Thomas">Mark Thomas</name>
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<s2>Louisville, KY</s2>
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<author><name sortKey="Ravindra, Kadyalia" sort="Ravindra, Kadyalia" uniqKey="Ravindra K" first="Kadyalia" last="Ravindra">Kadyalia Ravindra</name>
<affiliation wicri:level="1"><inist:fA14 i1="06"><s1>Departments of Surgery and Jewish Hospital Transplantation Program, University of Louisville School of Medicine</s1>
<s2>Louisville, KY</s2>
<s3>USA</s3>
<sZ>10 aut.</sZ>
<sZ>11 aut.</sZ>
<sZ>12 aut.</sZ>
<sZ>15 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<wicri:noRegion>Louisville, KY</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Fielding, George" sort="Fielding, George" uniqKey="Fielding G" first="George" last="Fielding">George Fielding</name>
<affiliation wicri:level="1"><inist:fA14 i1="07"><s1>NYU Medical Centre, NYU School of Medicine</s1>
<s2>New York, NY</s2>
<s3>USA</s3>
<sZ>13 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<wicri:noRegion>New York, NY</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Franco, Dominique" sort="Franco, Dominique" uniqKey="Franco D" first="Dominique" last="Franco">Dominique Franco</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of General Surgery, Antoine Béclère Hospital, AP-HP, University of Paris-Sud</s1>
<s2>Clamart</s2>
<s3>FRA</s3>
<sZ>1 aut.</sZ>
<sZ>7 aut.</sZ>
<sZ>14 aut.</sZ>
</inist:fA14>
<country>France</country>
<wicri:noRegion>Clamart</wicri:noRegion>
<wicri:noRegion>University of Paris-Sud</wicri:noRegion>
<wicri:noRegion>Clamart</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"><inist:fA14 i1="06"><s1>Departments of Surgery and Jewish Hospital Transplantation Program, University of Louisville School of Medicine</s1>
<s2>Louisville, KY</s2>
<s3>USA</s3>
<sZ>10 aut.</sZ>
<sZ>11 aut.</sZ>
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</inist:fA14>
<country>États-Unis</country>
<wicri:noRegion>Louisville, KY</wicri:noRegion>
</affiliation>
</author>
</analytic>
<series><title level="j" type="main">Annals of surgery</title>
<title level="j" type="abbreviated">Ann. surg.</title>
<idno type="ISSN">0003-4932</idno>
<imprint><date when="2009">2009</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
<seriesStmt><title level="j" type="main">Annals of surgery</title>
<title level="j" type="abbreviated">Ann. surg.</title>
<idno type="ISSN">0003-4932</idno>
</seriesStmt>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Evolution</term>
<term>Hepatectomy</term>
<term>Laparoscopy</term>
<term>Medicine</term>
<term>Surgery</term>
<term>Treatment</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Laparoscopie</term>
<term>Evolution</term>
<term>Médecine</term>
<term>Chirurgie</term>
<term>Traitement</term>
<term>Soin standard</term>
<term>Hépatectomie</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Médecine</term>
<term>Chirurgie</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">Objective: To analyze the results of 6 international surgical centers performing laparoscopic major liver resections. Summary Background Data: The safety and feasibility of laparoscopy for minor liver resections has been previously demonstrated. Major anatomic liver resections, initially considered to be unsuitable for laparoscopy, are increasingly reported by several centers worldwide. Methods: Prospective databases of 3 European, 2 U.S., and 1 Australian centers were combined. Between 1997 and 2008, 210 major liver resections were performed: 136 right and 74 left hepatectomies. Results and differences in surgical techniques between the 6 centers are outlined. Results: Surgical duration was 250 minutes (range: 90-655 minutes). Operative blood loss was 300 mL (range: 20-2500 mL). Thirty patients (14.3%) received blood transfusion. Conversion to open surgery was required in 26 patients (12.4%). Portal triad clamping was performed in 24 patients (11.4%). Median tumor size was 5.4 cm (range: 1-25 cm) and surgical margin was 10.5 mm (range: 0-70 mm). Two patients died during the postoperative period from pulmonary embolism and urosepsis. Liver-specific and general complications occurred in 17 (8.1%) and 29 patients (13.8%), respectively. Hospital length of stay was 6 days (range: 1-34 days). A further analysis of early (n = 90) and late (n = 120) experience showed improved surgical and postoperative results in the latter group. Conclusions: This multicenter study demonstrates that laparoscopic major liver resections are feasible in selected patients and results improve with experience. However, proficiency in both open liver surgery and advanced laparoscopy is compulsory and surgeons must begin with minor laparoscopic resections.</div>
</front>
</TEI>
<affiliations><list><country><li>Australie</li>
<li>France</li>
<li>Italie</li>
<li>États-Unis</li>
</country>
<region><li>Pennsylvanie</li>
<li>Île-de-France</li>
</region>
<settlement><li>Créteil</li>
<li>Pittsburgh</li>
</settlement>
<orgName><li>Université de Pittsburgh</li>
</orgName>
</list>
<tree><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="Franco, Dominique" sort="Franco, Dominique" uniqKey="Franco D" first="Dominique" last="Franco">Dominique Franco</name>
<name sortKey="Lainas, Panagiotis" sort="Lainas, Panagiotis" uniqKey="Lainas P" first="Panagiotis" last="Lainas">Panagiotis Lainas</name>
<name sortKey="Laurent, Alexis" sort="Laurent, Alexis" uniqKey="Laurent A" first="Alexis" last="Laurent">Alexis Laurent</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="États-Unis"><region name="Pennsylvanie"><name sortKey="Geller, David A" sort="Geller, David A" uniqKey="Geller D" first="David A." last="Geller">David A. Geller</name>
</region>
<name sortKey="Buell, Joseph F" sort="Buell, Joseph F" uniqKey="Buell J" first="Joseph F." last="Buell">Joseph F. Buell</name>
<name sortKey="Clark Gamblin, T" sort="Clark Gamblin, T" uniqKey="Clark Gamblin T" first="T." last="Clark Gamblin">T. Clark Gamblin</name>
<name sortKey="Fielding, George" sort="Fielding, George" uniqKey="Fielding G" first="George" last="Fielding">George Fielding</name>
<name sortKey="Marvin, Michael R" sort="Marvin, Michael R" uniqKey="Marvin M" first="Michael R." last="Marvin">Michael R. Marvin</name>
<name sortKey="Ravindra, Kadyalia" sort="Ravindra, Kadyalia" uniqKey="Ravindra K" first="Kadyalia" last="Ravindra">Kadyalia Ravindra</name>
<name sortKey="Thomas, Mark" sort="Thomas, Mark" uniqKey="Thomas M" first="Mark" last="Thomas">Mark Thomas</name>
<name sortKey="Tri Nguyen, Kevin" sort="Tri Nguyen, Kevin" uniqKey="Tri Nguyen K" first="Kevin" last="Tri Nguyen">Kevin Tri Nguyen</name>
</country>
<country name="Italie"><noRegion><name sortKey="Belli, Giulio" sort="Belli, Giulio" uniqKey="Belli G" first="Giulio" last="Belli">Giulio Belli</name>
</noRegion>
</country>
</tree>
</affiliations>
</record>

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Laparoscopic Major Hepatectomy: An Evolution in Standard of Care

Laparoscopic Major Hepatectomy: An Evolution in Standard of Care

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