Critical Appraisal of the Impact of the Systematic Adoption of Advanced Minimally Invasive Hepatobiliary and Pancreatic Surgery on the Surgical Management of Mirizzi Syndrome

Background Minimally invasive surgery (MIS) for Mirizzi syndrome (MS) remains a technically challenging procedure with a high open conversion rate. We critically evaluated the impact of the systematic adoption of MI-HBP surgery on the surgical outcomes of MS. Methods Ninety-five patients who underwe...

Full description

Saved in:
Bibliographic Details
Published in:World journal of surgery 2019-12, Vol.43 (12), p.3138-3152
Main Authors: Koh, Ye-Xin, Basu, Pallavi, Liew, Yi-Xin, Teo, Jin-Yao, Kam, Juinn-Huar, Lee, Ser-Yee, Cheow, Peng-Chung, Jeyaraj, Premaraj, Chow, Pierce K. H., Chung, Alexander Y. F., Ooi, London L. P. J., Chan, Chung-Yip, Goh, Brian K. P.
Format: Article
Language:English
Subjects:
Abdominal Surgery
Cardiac Surgery
Conversion
General Surgery
Medical personnel
Medicine
Medicine & Public Health
Minimally invasive surgery
Original Scientific Report
Pancreas
Patients
Surgeons
Surgery
Surgical outcomes
Thoracic Surgery
Vascular Surgery
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Background Minimally invasive surgery (MIS) for Mirizzi syndrome (MS) remains a technically challenging procedure with a high open conversion rate. We critically evaluated the impact of the systematic adoption of MI-HBP surgery on the surgical outcomes of MS. Methods Ninety-five patients who underwent surgery for MS were retrospectively reviewed. Systematic adoption of advanced MI-HBP surgery started in 2012. The cohort was classified into a preadoption (2002–2012) (Era 1, n  = 58) and post-adoption (2013–2017) (Era 2, n  = 37). Furthermore, Era 2 was divided into a cohort operated by advanced minimally invasive surgeons (AMIS) (Era 2 AMIS, n  = 19) and those by other surgeons (Era 2 others, n  = 19). Results Comparison between Era 2 and Era 1 demonstrated a significant increase in the frequency of MIS attempted (89% vs 33%, p 
ISSN:0364-2313
1432-2323
DOI:10.1007/s00268-019-05164-y