Impact of liver cirrhosis, severity of cirrhosis and portal hypertension on the difficulty of laparoscopic and robotic minor liver resections for primary liver malignancies in the anterolateral segments

• Published in: European journal of surgical oncology 2024-01, Vol.50 (1), p.107252-107252, Article 107252
• Main Authors: Zheng, Junhao, Liang, Xiao, Wu, Andrew G R, Kabir, Tousif, Scatton, Olivier, Lim, Chetana, Hasegawa, Kiyoshi, Sijberden, Jasper P, Aghayan, Davit L, Siow, Tiing Foong, Dokmak, Safi, Herman, Paulo, Marino, Marco V, Mazzaferro, Vincenzo, Chiow, Adrian K H, Sucandy, Iswanto, Ivanecz, Arpad, Choi, Sung Hoon, Lee, Jae Hoon, Prieto, Mikel, Vivarelli, Marco, Giuliante, Felice, Ruzzenente, Andrea, Yong, Chee-Chien, Yin, Mengqiu, Chen, Zewei, Fondevila, Constantino, Efanov, Mikhail, Morise, Zenichi, Di Benedetto, Fabrizio, Brustia, Raffaele, Dalla Valle, Raffaele, Boggi, Ugo, Geller, David, Belli, Andrea, Memeo, Riccardo, Gruttadauria, Salvatore, Mejia, Alejandro, Park, James O, Rotellar, Fernando, Choi, Gi-Hong, Robles-Campos, Ricardo, Wang, Xiaoying, Sutcliffe, Robert P, Pratschke, Johann, Lai, Eric C H, Chong, Charing C N, D'Hondt, Mathieu, Monden, Kazuteru, Lopez-Ben, Santiago, Kingham, T Peter, Ferrero, Alessandro, Ettorre, Giuseppe Maria, Cherqui, Daniel, Cipriani, Federica, Soubrane, Olivier, Zhang, Wanguang, Wakabayashi, Go, Troisi, Roberto I, Cheung, Tan-To, Kato, Yutaro, Sugioka, Atsushi, Long, Tran Cong Duy, Liu, Rong, Edwin, Bjørn, Fuks, David, Abu Hilal, Mohammad, Chen, Kuo-Hsin, Aldrighetti, Luca, Han, Ho-Seong, Goh, Brian K P
• Format: Article
• Language: English
• Subjects: Child; Hepatectomy; Humans; Hypertension, Portal - surgery; Laparoscopy; Length of Stay; Liver Cirrhosis - complications; Liver Neoplasms - pathology; Postoperative Complications - epidemiology; Postoperative Complications - surgery; Propensity Score; Retrospective Studies; Robotic Surgical Procedures
• ISSN: 0748-7983; 1532-2157; 1532-2157
• DOI: 10.1016/j.ejso.2023.107252

We performed this study in order to investigate the impact of liver cirrhosis (LC) on the difficulty of minimally invasive liver resection (MILR), focusing on minor resections in anterolateral (AL) segments for primary liver malignancies. This was an international multicenter retrospective study of 3675 patients who underwent MILR across 60 centers from 2004 to 2021. 1312 (35.7%) patients had no cirrhosis, 2118 (57.9%) had Child A cirrhosis and 245 (6.7%) had Child B cirrhosis. After propensity score matching (PSM), patients in Child A cirrhosis group had higher rates of open conversion (p = 0.024), blood loss >500 mls (p = 0.001), blood transfusion (p