Long-term abdominal wall benefits of the laparoscopic approach in liver left lateral sectionectomy: a multicenter compar
- PDF / 673,833 Bytes
- 9 Pages / 595.276 x 790.866 pts Page_size
- 39 Downloads / 178 Views
and Other Interventional Techniques
Long‑term abdominal wall benefits of the laparoscopic approach in liver left lateral sectionectomy: a multicenter comparative study Benjamin Darnis1 · Kayvan Mohkam1,2 · Nicolas Golse3 · Eric Vibert3 · Daniel Cherqui3 · François Cauchy4 · Olivier Soubrane4 · Jean‑Marc Regimbeau5 · Jeanne Dembinski5 · Jean Hardwigsen6 · Philippe Bachelier7 · Christophe Laurent8 · Stéphanie Truant9 · Guillaume Millet9 · Mickaël Lesurtel1,2 · Emmanuel Boleslawksi9 · Jean‑Yves Mabrut1,2 Received: 7 June 2020 / Accepted: 14 September 2020 © Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract Background Laparoscopy is nowadays considered as the standard approach for hepatic left lateral sectionectomy (LLS), but its value in the prevention of incisional hernia (IH) has not been demonstrated. Methods Between 2012 and 2017, patients undergoing laparoscopic (LLLS) or open LLS (OLLS) in 8 centers were compared. Patients undergoing a simultaneous major abdominal procedure were excluded. The incidence of IH was assessed clinically and morphologically on computed tomography (CT) using inverse probability of treatment weighting (IPTW) and multivariable regression analysis. Results After IPTW, 84 LLLS were compared to 48 OLLS. Compared to OLLS, LLLS patients had reduced blood loss (100 [IQR: 50–200] ml vs. 150 [IQR: 50–415] ml, p = 0.023) and shorter median hospital stay (5 [IQR: 4–7] days vs. 7 [6–9] days, p
Data Loading...
