Performance evaluation of a North American center using the established global benchmark for laparoscopic liver resections: A retrospective study

• Published in: Surgery 2023-12, Vol.174 (6), p.1393-1400
• Main Authors: Choi, Woo Jin, Babakhani, Shiva, Claasen, Marco P.A.W., Castelo, Matthew, Bucur, Roxana, Gaviria, Felipe, Jones, Owen, Shwaartz, Chaya, McCluskey, Stuart A., McGilvray, Ian, Gallinger, Steven, Moulton, Carol-Anne, Reichman, Trevor, Cleary, Sean, Sapisochin, Gonzalo
• Format: Article
• Language: English
• Subjects: Adult; benchmark; Benchmarking; hepatectomy; Hepatectomy - adverse effects; Humans; Laparoscopic; Laparoscopy - adverse effects; Liver; North America - epidemiology; outcome; Retrospective Studies
• ISSN: 0039-6060; 1532-7361
• DOI: 10.1016/j.surg.2023.09.009

The global benchmark cut-offs were set for laparoscopic liver resection (L-LR) procedures: Left-lateral sectionectomy (LLS), left hepatectomy (LH), and right hepatectomy (RH). We aimed to compare the performance of our North American center with the established global benchmarks. This is a single-center study of adults who underwent L-LR between 2010-2022 at the Toronto General Hospital. Fourteen benchmarking outcomes were assessed: operation-time, intraoperative blood transfusion, estimated blood-loss, blood-loss ≥500 mL, blood-loss ≥1000mL, open-conversion, post-operative length-of-stay, return-to-operation, post-operative morbidity, post-operative major-morbidity, 30-day mortality, 90-day mortality, R1 resection, and failure-to-rescue. Low-risk benchmark cases were defined as follows: patients 18-70 years-old, ASA-score ≤ 2, tumor size