Positive impact of laparoscopic hepatectomy versus open hepatectomy on body size-corrected bleeding in obese patients.
Body mass index
Body size correction
Intraoperative bleeding
Laparoscopic hepatectomy
Obesity
Journal
Surgery today
ISSN: 1436-2813
Titre abrégé: Surg Today
Pays: Japan
ID NLM: 9204360
Informations de publication
Date de publication:
14 Jun 2024
14 Jun 2024
Historique:
received:
26
02
2024
accepted:
16
04
2024
medline:
14
6
2024
pubmed:
14
6
2024
entrez:
13
6
2024
Statut:
aheadofprint
Résumé
Laparoscopic hepatectomy (LH) is reported to cause less bleeding than open hepatectomy (OH) in obese patients; however, there are no reports addressing this issue in terms of body size-corrected bleeding. The subjects of this study were 31 obese and 149 non-obese patients who underwent LH and 32 obese and 245 non-obese patients who underwent OH. Bleeding corrected for body surface area (C-BL) was compared between the obese and non-obese patients who underwent each procedure. A multivariate analysis for increased C-BL was performed using the median C-BL for each procedure. The median C-BL tended to be higher in the obese patients than in the non-obese patients who underwent LH, but there was no significant difference (72 vs. 42 mL/m Obesity was identified as a risk factor for increased bleeding with body size correction for OH, but the risk was reduced for LH.
Identifiants
pubmed: 38871859
doi: 10.1007/s00595-024-02865-3
pii: 10.1007/s00595-024-02865-3
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2024. The Author(s) under exclusive licence to Springer Nature Singapore Pte Ltd.
Références
Katz SC, Shia J, Liau KH, Gonen M, Ruo L, Jarnagin WR, et al. Operative blood loss independently predicts recurrence and survival after resection of hepatocellular carcinoma. Ann Surg. 2009;249:617–23.
doi: 10.1097/SLA.0b013e31819ed22f
pubmed: 19300227
Liau KH, Ruo L, Shia J, Padela A, Gonen M, Jarnagin WR, et al. Outcome of partial hepatectomy for large (> 10 cm) hepatocellular carcinoma. Cancer. 2005;104:1948–55.
doi: 10.1002/cncr.21415
pubmed: 16196045
Sitzmann JV, Greene PS. Perioperative predictors of morbidity following hepatic resection for neoplasm. A multivariate analysis of a single surgeon experience with 105 patients. Ann Surg. 1994;219:13–7.
doi: 10.1097/00000658-199401000-00003
pubmed: 8297171
pmcid: 1243084
Langella S, Russolillo N, Forchino F, Lo Tesoriere R, D’Eletto M, Ferrero A. Impact of obesity on postoperative outcome of hepatic resection for colorectal metastases. Surgery. 2015;158(6):1521–9.
doi: 10.1016/j.surg.2015.07.024
pubmed: 26297057
Toriguchi K, Hatano E, Sakurai T, Seo S, Taura K, Uemoto S. Laparoscopic liver resection in obese patients. World J Surg. 2015;39:1210–5.
doi: 10.1007/s00268-014-2927-y
pubmed: 25561194
Uchida H, Iwashita Y, Saga K, Takayama H, Watanabe K, Endo Y, et al. Benefit of laparoscopic liver resection in high body mass index patients. World J Gastroenterol. 2016;22:3015–22.
doi: 10.3748/wjg.v22.i10.3015
pubmed: 26973397
pmcid: 4779924
Ome Y, Hashida K, Yokota M, Nagahisa Y, Okabe M, Kawamoto K. The safety and efficacy of laparoscopic hepatectomy in obese patients. Asian J Surg. 2019;42:180–8.
doi: 10.1016/j.asjsur.2017.10.002
pubmed: 29273265
Tsujinaka T, Sasako M, Yamamoto S, Sano T, Kurokawa Y, Nashimoto A, et al. Influence of overweight on surgical complications for gastric cancer: results from a randomized control trial comparing D2 and extended para-aortic D3 lymphadenectomy (JCOG9501). Ann Surg Oncol. 2007;14:355–61.
doi: 10.1245/s10434-006-9209-3
pubmed: 17146738
Son SY, Jung DH, Lee CM, Ahn SH, Ahn HS, Park DJ, et al. Laparoscopic gastrectomy versus open gastrectomy for gastric cancer in patients with body mass index of 30 kg/m
doi: 10.1007/s00464-014-3953-4
pubmed: 25480601
Fung A, Trabulsi N, Morris M, Garfinkle R, Saleem A, Wexner SD, et al. Laparoscopic colorectal cancer resections in the obese: a systematic review. Surg Endosc. 2017;31:2072–88.
doi: 10.1007/s00464-016-5209-y
pubmed: 27778169
Wennesland R, Brown E, Hopper J Jr, Hodges JL Jr, Guttentag OE, Scott KG, et al. Red cell, plasma and blood volume in healthy men measured by radiochromium (Cr51) cell tagging and hematocrit: influence of age, somatotype and habits of physical activity on the variance after regression of volumes to height and weight combined. J Clin Investig. 1959;38:1065–77.
doi: 10.1172/JCI103883
pubmed: 13664782
pmcid: 293254
Yamamoto R, Sugiura T, Okamura Y, Ito T, Yamamoto Y, Ashida R, et al. Utility of remnant liver volume for predicting posthepatectomy liver failure after hepatectomy with extrahepatic bile duct resection. BJS Open. 2021;5:zrra049.
doi: 10.1093/bjsopen/zraa049
Urata K, Kawasaki S, Matsunami H, Hashikura Y, Ikegami T, Ishizone S, et al. Calculation of child and adult standard liver volume for liver transplantation. Hepatology. 1995;21:1317–21.
doi: 10.1002/hep.1840210515
pubmed: 7737637
Hashimoto T, Sugawara Y, Tamura S, Hasegawa K, Kishi Y, Kokudo N, et al. Estimation of standard liver volume in Japanese living liver donors. J Gastroenterol Hepatol. 2006;21:1710–3.
doi: 10.1111/j.1440-1746.2006.04433.x
pubmed: 16984594
Consultation WHOE. Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet. 2004;363(9403):157–63.
doi: 10.1016/S0140-6736(03)15268-3
Kasama K, Mui W, Lee WJ, Lakdawala M, Naitoh T, Seki Y, et al. IFSO-APC consensus statements 2011. Obes Surg. 2012;22:677–84.
doi: 10.1007/s11695-012-0610-7
pubmed: 22367008
Strasberg SM, Phillips C. Use and dissemination of the brisbane 2000 nomenclature of liver anatomy and resections. Ann Surg. 2013;257:377–82.
doi: 10.1097/SLA.0b013e31825a01f6
pubmed: 22895397
Nakamura M, Okamura Y, Sugiura T, Ashida R, Ohgi K, Yamada M, et al. Impact of obstructive ventilatory impairment on intraoperative bleeding during laparoscopic hepatectomy. Langenbecks Arch Surg. 2023;408:122.
doi: 10.1007/s00423-023-02853-0
pubmed: 36933022
Wakabayashi G. What has changed after the Morioka consensus conference 2014 on laparoscopic liver resection? Hepatobiliary Surg Nutr. 2016;5:281–9.
doi: 10.21037/hbsn.2016.03.03
pubmed: 27500140
pmcid: 4960417
Ban D, Tanabe M, Ito H, Otsuka Y, Nitta H, Abe Y, et al. A novel difficulty scoring system for laparoscopic liver resection. J Hepatobiliary Pancreat Sci. 2014;21(10):745–53.
doi: 10.1002/jhbp.166
pubmed: 25242563
Tanaka S, Kawaguchi Y, Kubo S, Kanazawa A, Takeda Y, Hirokawa F, et al. Validation of index-based IWATE criteria as an improved difficulty scoring system for laparoscopic liver resection. Surgery. 2019;165(4):731–40.
doi: 10.1016/j.surg.2018.10.012
pubmed: 30446171
Tranchart H, O’Rourke N, Van Dam R, Gaillard M, Lainas P, Sugioka A, et al. Bleeding control during laparoscopic liver resection: a review of literature. J Hepatobiliary Pancreat Sci. 2015;22:371–8.
doi: 10.1002/jhbp.217
pubmed: 25612303
Imamura T, Yamamoto Y, Sugiura T, Okamura Y, Ito T, Ashida R, et al. Infrahepatic inferior vena cava semi-clamping can reduce bleeding during hepatic resection but still requires monitoring to avoid acute kidney injury. World J Surg. 2019;43:2038–47.
doi: 10.1007/s00268-019-04992-2
pubmed: 30941453
Ichida F, Tsuji T, Omata M, Ichida T, Inoue K, Kamimura T, et al. New inuyama classification; new criteria for histological assessment of chronic hepatitis. Int Hepatol Commun. 1996;6:112–9.
doi: 10.1016/S0928-4346(96)00325-8
Kleiner DE, Brunt EM, Van Natta M, Behling C, Contos MJ, Cummings OW, et al. Design and validation of a histological scoring system for nonalcoholic fatty liver disease. Hepatology. 2005;41:1313–21.
doi: 10.1002/hep.20701
pubmed: 15915461
Dindo D, Demartines N, Clavien PA. Classification of surgical complications—a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg. 2004;240:205–13.
doi: 10.1097/01.sla.0000133083.54934.ae
pubmed: 15273542
pmcid: 1360123
Jin S, Fu Q, Wuyun G, Wuyun T. Management of post-hepatectomy complications. World J Gastroenterol. 2013;19:7983–91.
doi: 10.3748/wjg.v19.i44.7983
pubmed: 24307791
pmcid: 3848145
Kanda Y. Investigation of the freely available easy-to-use software “EZR” for medical statistics. Bone Marrow Transplant. 2013;48:452–8.
doi: 10.1038/bmt.2012.244
pubmed: 23208313
Chua DW, Syn N, Koh YX, Teo JY, Cheow PC, Chung AYF, et al. Association of standardized liver volume and body mass index with outcomes of minimally invasive liver resections. Surg Endosc. 2023;37:456–65.
doi: 10.1007/s00464-022-09534-x
pubmed: 35999310
Kawakatsu S, Mizuno T, Yamaguchi J, Watanabe N, Onoe S, Sunagawa M, et al. The goal of intraoperative blood loss in major hepatobiliary resection for perihilar cholangiocarcinoma: saving patients from a heavy complication burden. Ann Surg. 2023;278:e1035–40.
doi: 10.1097/SLA.0000000000005869
pubmed: 37051914
Hobeika C, Fuks D, Cauchy F, Goumard C, Soubrane O, Gayet B, et al. Impact of cirrhosis in patients undergoing laparoscopic liver resection in a nationwide multicentre survey. Br J Surg. 2020;107:268–77.
doi: 10.1002/bjs.11406
pubmed: 31916594
McCormack L, Petrowsky H, Jochum W, Furrer K, Clavien PA. Hepatic steatosis is a risk factor for postoperative complications after major hepatectomy: a matched case-control study. Ann Surg. 2007;245:923–30.
doi: 10.1097/01.sla.0000251747.80025.b7
pubmed: 17522518
pmcid: 1876953
Kobayashi S, Honda G, Kurata M, Tadano S, Sakamoto K, Okuda Y, et al. An experimental study on the relationship among airway pressure, pneumoperitoneum pressure, and central venous pressure in pure laparoscopic hepatectomy. Ann Surg. 2016;263:1159–63.
doi: 10.1097/SLA.0000000000001482
pubmed: 26595124
Oba A, Ishizawa T, Mise Y, Inoue Y, Ito H, Ono Y, et al. Possible underestimation of blood loss during laparoscopic hepatectomy. BJS Open. 2019;3:336–43.
doi: 10.1002/bjs5.50145
pubmed: 31183450
pmcid: 6551416
Okui N, Furukawa K, Taniai T, Haruki K, Tsunematsu M, Sakamoto T, et al. Blood loss in laparoscopic distal pancreatectomy could be underestimated. J Hepatobiliary Pancreat Sci. 2023;30:962–9.
doi: 10.1002/jhbp.1306
pubmed: 36660802