Suitability of Laparoscopic Liver Resection of Segment VII: a Retrospective Two-Center Study.
Couinaud’s segment VII
Laparoscopic liver resection
Liver tumor
Open liver resection
Journal
Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract
ISSN: 1873-4626
Titre abrégé: J Gastrointest Surg
Pays: United States
ID NLM: 9706084
Informations de publication
Date de publication:
11 2022
11 2022
Historique:
received:
23
03
2022
accepted:
11
06
2022
pubmed:
18
6
2022
medline:
11
11
2022
entrez:
17
6
2022
Statut:
ppublish
Résumé
Resecting liver tumors located in Couinaud's segment VII is challenging; the efficacy and safety of laparoscopic liver resection for segment VII lesions compared to open liver resection remain unclear. Medical records of 84 patients who underwent liver resection of segment VII at Kobe University Hospital and Hyogo Cancer Center between 2010 and 2021 were retrospectively analyzed. Surgical outcomes were compared between laparoscopic liver resection and open liver resection groups using propensity matching analysis. Thirty-one and 53 patients underwent laparoscopic liver resection and open liver resection, respectively. After propensity matching, 29 patients were included in each group. The laparoscopic liver resection group had a significantly longer operation time (407 vs. 305 min, P = 0.002), lower blood loss (100 vs. 230 mL, P = 0.004), and higher postoperative alanine aminotransferase levels (436 vs. 252 IU/L, P = 0.008) than the open liver resection group. In patients with liver cirrhosis, the proportion of patients with postoperative liver-specific complications was higher in the laparoscopic liver resection group than in the open liver resection group (57% vs 11%, P = 0.049), although there was no significant difference in postoperative liver-specific complication rates between the groups in patients without liver cirrhosis. For liver resection of segment VII, laparoscopic liver resection led to higher postoperative liver damage than open liver resection. Open liver resection may be better for patients with liver cirrhosis to avoid postoperative liver-specific complications. Laparoscopic liver resection could be an acceptable procedure for patients without liver cirrhosis, with some merits such as less blood loss.
Sections du résumé
BACKGROUND
Resecting liver tumors located in Couinaud's segment VII is challenging; the efficacy and safety of laparoscopic liver resection for segment VII lesions compared to open liver resection remain unclear.
METHODS
Medical records of 84 patients who underwent liver resection of segment VII at Kobe University Hospital and Hyogo Cancer Center between 2010 and 2021 were retrospectively analyzed. Surgical outcomes were compared between laparoscopic liver resection and open liver resection groups using propensity matching analysis.
RESULTS
Thirty-one and 53 patients underwent laparoscopic liver resection and open liver resection, respectively. After propensity matching, 29 patients were included in each group. The laparoscopic liver resection group had a significantly longer operation time (407 vs. 305 min, P = 0.002), lower blood loss (100 vs. 230 mL, P = 0.004), and higher postoperative alanine aminotransferase levels (436 vs. 252 IU/L, P = 0.008) than the open liver resection group. In patients with liver cirrhosis, the proportion of patients with postoperative liver-specific complications was higher in the laparoscopic liver resection group than in the open liver resection group (57% vs 11%, P = 0.049), although there was no significant difference in postoperative liver-specific complication rates between the groups in patients without liver cirrhosis.
CONCLUSIONS
For liver resection of segment VII, laparoscopic liver resection led to higher postoperative liver damage than open liver resection. Open liver resection may be better for patients with liver cirrhosis to avoid postoperative liver-specific complications. Laparoscopic liver resection could be an acceptable procedure for patients without liver cirrhosis, with some merits such as less blood loss.
Identifiants
pubmed: 35713765
doi: 10.1007/s11605-022-05389-8
pii: 10.1007/s11605-022-05389-8
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2274-2281Informations de copyright
© 2022. The Society for Surgery of the Alimentary Tract.
Références
Tranchart H, Di Giuro G, Lainas P, Roudie J, Agostini H, Franco D, Dagher I (2010) Laparoscopic resection for hepatocellular carcinoma: a matched-pair comparative study. Surg Endosc 24:1170-1176
doi: 10.1007/s00464-009-0745-3
pubmed: 19915908
Xiong J-J (2012) Meta-analysis of laparoscopic vs open liver resection for hepatocellular carcinoma. World Journal of Gastroenterology 18:6657
doi: 10.3748/wjg.v18.i45.6657
pubmed: 23236242
pmcid: 3516221
Ishizawa T, Gumbs AA, Kokudo N, Gayet B (2012) Laparoscopic segmentectomy of the liver: from segment I to VIII. Ann Surg 256:959-964
doi: 10.1097/SLA.0b013e31825ffed3
pubmed: 22968066
Lim C, Ishizawa T, Miyata A, Mise Y, Sakamoto Y, Hasegawa K, Sugawara Y, Kokudo N (2016) Surgical Indications and Procedures for Resection of Hepatic Malignancies Confined to Segment VII. Ann Surg 263:529-537
doi: 10.1097/SLA.0000000000001118
pubmed: 25563884
Abu Hilal M, Aldrighetti L, Dagher I, Edwin B, Troisi RI, Alikhanov R, Aroori S, Belli G, Besselink M, Briceno J, Gayet B, D’Hondt M, Lesurtel M, Menon K, Lodge P, Rotellar F, Santoyo J, Scatton O, Soubrane O, Sutcliffe R, Van Dam R, White S, Halls MC, Cipriani F, Van der Poel M, Ciria R, Barkhatov L, Gomez-Luque Y, Ocana-Garcia S, Cook A, Buell J, Clavien PA, Dervenis C, Fusai G, Geller D, Lang H, Primrose J, Taylor M, Van Gulik T, Wakabayashi G, Asbun H, Cherqui D (2018) The Southampton Consensus Guidelines for Laparoscopic Liver Surgery: From Indication to Implementation. Ann Surg 268:11-18
doi: 10.1097/SLA.0000000000002524
pubmed: 29064908
Cho JY, Han HS, Yoon YS, Shin SH (2008) Feasibility of laparoscopic liver resection for tumors located in the posterosuperior segments of the liver, with a special reference to overcoming current limitations on tumor location. Surgery 144:32-38
doi: 10.1016/j.surg.2008.03.020
pubmed: 18571582
Xiao L, Xiang LJ, Li JW, Chen J, Fan YD, Zheng SG (2015) Laparoscopic versus open liver resection for hepatocellular carcinoma in posterosuperior segments. Surg Endosc 29:2994-3001
doi: 10.1007/s00464-015-4214-x
pubmed: 25899815
Inoue Y, Suzuki Y, Fujii K, Kawaguchi N, Ishii M, Masubuchi S, Yamamoto M, Hirokawa F, Hayashi M, Uchiyama K (2017) Laparoscopic Liver Resection Using the Lateral Approach from Intercostal Ports in Segments VI, VII, and VIII. J Gastrointest Surg 21:2135-2143
doi: 10.1007/s11605-017-3516-9
pubmed: 28762186
Pugh RN, Murray-Lyon IM, Dawson JL, Pietroni MC, Williams R (1973) Transection of the oesophagus for bleeding oesophageal varices. The British journal of surgery 60:646-649
doi: 10.1002/bjs.1800600817
pubmed: 4541913
(1994) Intraobserver and interobserver variations in liver biopsy interpretation in patients with chronic hepatitis C. The French METAVIR Cooperative Study Group. Hepatology 20:15–20
Dindo D, Demartines N, Clavien P-A (2004) Classification of Surgical Complications. Annals of Surgery 240:205-213
doi: 10.1097/01.sla.0000133083.54934.ae
pubmed: 15273542
pmcid: 1360123
Katayama H, Kurokawa Y, Nakamura K, Ito H, Kanemitsu Y, Masuda N, Tsubosa Y, Satoh T, Yokomizo A, Fukuda H, Sasako M (2016) Extended Clavien-Dindo classification of surgical complications: Japan Clinical Oncology Group postoperative complications criteria. Surg Today 46:668-685
doi: 10.1007/s00595-015-1236-x
pubmed: 26289837
Ban D, Tanabe M, Ito H, Otsuka Y, Nitta H, Abe Y, Hasegawa Y, Katagiri T, Takagi C, Itano O, Kaneko H, Wakabayashi G (2014) A novel difficulty scoring system for laparoscopic liver resection. Journal of hepato-biliary-pancreatic sciences 21:745-753
doi: 10.1002/jhbp.166
pubmed: 25242563
Twaij A, Pucher PH, Sodergren MH, Gall T, Darzi A, Jiao LR (2014) Laparoscopic vs open approach to resection of hepatocellular carcinoma in patients with known cirrhosis: systematic review and meta-analysis. World Journal of Gastroenterology 20:8274-8281
doi: 10.3748/wjg.v20.i25.8274
pubmed: 25009403
pmcid: 4081703
Haber PK, Wabitsch S, Krenzien F, Benzing C, Andreou A, Schöning W, Öllinger R, Pratschke J, Schmelzle M (2019) Laparoscopic liver surgery in cirrhosis - Addressing lesions in posterosuperior segments. Surgical Oncology 28:140-144
doi: 10.1016/j.suronc.2018.12.001
pubmed: 30851889
Ichida H, Ishizawa T, Tanaka M, Terasawa M, Watanabe G, Takeda Y, Matsuki R, Matsumura M, Hata T, Mise Y, Inoue Y, Takahashi Y, Saiura A (2017) Use of intercostal trocars for laparoscopic resection of subphrenic hepatic tumors. Surg Endosc 31:1280-1286
doi: 10.1007/s00464-016-5107-3
pubmed: 27444836
Hayashi H, Yamashita YI, Okabe H, Imai K, Higashi T, Yamamura K, Chikamoto A, Beppu T, Takamori H, Baba H (2020) Varied application of intercostal trans-diaphragmatic ports for laparoscopic hepatectomy. PLoS One 15:e0234919
doi: 10.1371/journal.pone.0234919
pubmed: 32559223
pmcid: 7304607
Ocuin LM and Tsung A. Robotic liver resection for malignancy: Current status, oncologic outcomes, comparison to laparoscopy, and future applications. J Surg Oncol. 2015;112:295-301
doi: 10.1002/jso.23901
pubmed: 26119652
Nota CL, Woo Y, Raoof M, Boerner T, Molenaar IQ, Choi GH, Kingham TP, Latorre K, Borel Rinkes IHM, Hagendoorn J, Fong Y. Robotic Versus Open Minor Liver Resections of the Posterosuperior Segments: A Multinational, Propensity Score-Matched Study. Ann Surg Oncol. 2019;26:583-590
doi: 10.1245/s10434-018-6928-1
pubmed: 30334196
Gutt CN, Oniu T, Schemmer P, Mehrabi A, Buchler MW (2004) Fewer adhesions induced by laparoscopic surgery? Surg Endosc 18:898-906
doi: 10.1007/s00464-003-9233-3
pubmed: 15108105