The Outcome of Conversion to Hand-Assisted Laparoscopic Surgery in Laparoscopic Liver Resection

Hand-assisted laparoscopic surgery (HALS) is known as a useful option. However, the outcome and predictor of conversion to HALS in laparoscopic liver resection (LLR) are unclear. Data from consecutive patients who planned pure LLR between 2011 and 2020 were retrospectively reviewed. Univariate and m...

Full description

Saved in:
Bibliographic Details
Published in:Journal of clinical medicine 2023-07, Vol.12 (14), p.4808
Main Authors: Nakada, Shinichiro, Otsuka, Yuichiro, Ishii, Jun, Maeda, Tetsuya, Kimura, Kazutaka, Matsumoto, Yu, Ito, Yuko, Shimada, Hideaki, Funahashi, Kimihiko, Ohtsuka, Masayuki, Kaneko, Hironori
Format: Article
Language:English
Subjects:
Abdomen
Adhesion
Biopsy
Care and treatment
Clinical medicine
Hepatectomy
Laparoscopic surgery
Laparoscopy
Liver
Liver tumors
Methods
Patient outcomes
Patients
Statistical analysis
Surgery
Surgical outcomes
Tumors
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Hand-assisted laparoscopic surgery (HALS) is known as a useful option. However, the outcome and predictor of conversion to HALS in laparoscopic liver resection (LLR) are unclear. Data from consecutive patients who planned pure LLR between 2011 and 2020 were retrospectively reviewed. Univariate and multivariate analyses were performed and compared pure LLR, HALS, and converted open liver resection (OLR). Among the 169 LLRs, conversion to HALS was performed in 19 (11.2%) and conversion to OLR in 16 (9.5%). The most frequent reasons for conversion to HALS were failure to progress (11 cases). Subsequently, bleeding (3 cases), severe adhesion (2 cases), and oncological factors (2 cases) were the reasons. In the multivariable analysis, the tumor located in segments 7 or 8 ( = 0.002) was evaluated as a predictor of conversion to HALS. Pure LLR and HALS were associated with less blood loss than conversion to OLR ( = 0.005 and = 0.014, respectively). However, there was no significant difference in operation time, hospital stay, or severe complications. The predictor of conversion to HALS was a tumor located in segments 7 or 8. The outcome of conversion to HALS was not inferior to pure LLR in terms of bleeding, operation time, hospital stay, or severe complication.
ISSN:2077-0383
2077-0383
DOI:10.3390/jcm12144808