Defining Global Benchmarks for Laparoscopic Right Posterior Sectionectomy/H67: An International Multicenter Study.

Journal

Annals of surgery

ISSN: 1528-1140

Titre abrégé: Ann Surg

Pays: United States

ID NLM: 0372354

Informations de publication

Date de publication:
28 Jun 2024

Historique:

medline: 28 6 2024

pubmed: 28 6 2024

entrez: 28 6 2024

Statut: aheadofprint

Résumé

We aimed to establish global benchmark outcomes indicators for L-RPS/H67. Minimally invasive liver resections has seen an increase in uptake in recent years. Over time, challenging procedures as laparoscopic right posterior sectionectomies (L-RPS)/H67 are also increasingly adopted. This is a post hoc analysis of a multicenter database of 854 patients undergoing minimally invasive RPS (MI-RPS) in 57 international centers in 4 continents between 2015 and 2021. There were 651 pure L-RPS and 160 robotic RPS (R-RPS). Sixteen outcome indicators of low-risk L-RPS cases were selected to establish benchmark cutoffs. The 75th percentile of individual center medians for a given outcome indicator was set as the benchmark cutoff. There were 573 L-RPS/H67 performed in 43 expert centers, of which 254 L-RPS/H67 (44.3%) cases qualified as low risk benchmark cases. The benchmark outcomes established for operation time, open conversion rate, blood loss ≥500 mL, blood transfusion rate, postoperative morbidity, major morbidity, 90-day mortality and textbook outcome after L-RPS were 350.8 minutes, 12.5%, 53.8%, 22.9%, 23.8%, 2.8%, 0% and 4% respectively. The present study established the first global benchmark values for L-RPS/H6/7. The benchmark provided an up-to-date reference of best achievable outcomes for surgical auditing and benchmarking.

Sections du résumé

OBJECTIVE OBJECTIVE

We aimed to establish global benchmark outcomes indicators for L-RPS/H67.

BACKGROUND BACKGROUND

Minimally invasive liver resections has seen an increase in uptake in recent years. Over time, challenging procedures as laparoscopic right posterior sectionectomies (L-RPS)/H67 are also increasingly adopted.

METHODS METHODS

This is a post hoc analysis of a multicenter database of 854 patients undergoing minimally invasive RPS (MI-RPS) in 57 international centers in 4 continents between 2015 and 2021. There were 651 pure L-RPS and 160 robotic RPS (R-RPS). Sixteen outcome indicators of low-risk L-RPS cases were selected to establish benchmark cutoffs. The 75th percentile of individual center medians for a given outcome indicator was set as the benchmark cutoff.

RESULTS RESULTS

There were 573 L-RPS/H67 performed in 43 expert centers, of which 254 L-RPS/H67 (44.3%) cases qualified as low risk benchmark cases. The benchmark outcomes established for operation time, open conversion rate, blood loss ≥500 mL, blood transfusion rate, postoperative morbidity, major morbidity, 90-day mortality and textbook outcome after L-RPS were 350.8 minutes, 12.5%, 53.8%, 22.9%, 23.8%, 2.8%, 0% and 4% respectively.

CONCLUSIONS CONCLUSIONS

The present study established the first global benchmark values for L-RPS/H6/7. The benchmark provided an up-to-date reference of best achievable outcomes for surgical auditing and benchmarking.

Identifiants

DOI: 10.1097/SLA.0000000000006418 PMID: 38939972

pubmed: 38939972

doi: 10.1097/SLA.0000000000006418

pii: 00000658-990000000-00961

doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

Investigateurs

Mikel Prieto (M)

Celine De Meyere (C)

Juul Meurs (J)

Kelvin K Ng (KK)

Kit-Fai Lee (KF)

Pavel Tarakanov (P)

Ruslan Alikhanov (R)

Nita Thiruchelvam (N)

Jae Young Jang (JY)

Masayuki Kojima (M)

Yutaro Kato (Y)

Jaime Arthur Pirola Kruger (JAP)

Fabricio Ferreira Coelho (FF)

Victor Lopez-Lopez (V)

Margarida Casellas I Robert (M)

Roberto Montalti (R)

Mariano Giglio (M)

Boram Lee (B)

Hao-Ping Wang (HP)

Mansour Salleh (M)

Franco Pascual (F)

Shian Yu (S)

Zewei Chen (Z)

Simone Vani (S)

Francesco Ardito (F)

Ugo Giustizieri (U)

Davide Citterio (D)

Federico Mocchegiani (F)

Marco Colasanti (M)

Giammauro Berardi (G)

Yoelimar Guzmán (Y)

Kevin P Labadie (KP)

Maria Conticchio (M)

Epameinondas Dogeas (E)

Emanuele F Kauffmann (EF)

Mario Giuffrida (M)

Daniele Sommacale (D)

Boris Amory (B)

Paolo Magistri (P)

Kohei Mishima (K)

Prashant Kadam (P)

Chung-Ngai Tang (CN)

Jacob Ghotbi (J)

Åsmund Avdem Fretland (ÅA)

Fabio Forchino (F)

Alessandro Mazzotta (A)

Marco Barbara (M)

Duilio Pagano (D)

Salvatore Gruttadauria (S)

Felix Krenzien (F)

Moritz Schmelzle (M)

Federica Cipriani (F)

Chetana Lim (C)

Junhao Zheng (J)

Phan Phuoc Nghia (PP)

Bernardo Dalla Valle (BD)