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Laparoscopic versus open liver surgery

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dc.contributor.author Slim, Abdallah
dc.contributor.author Garancini, Mattia
dc.contributor.author Di Sandro, Stefano
dc.contributor.author Mangoni, Iacopi
dc.contributor.author Lauterio, Andrea
dc.contributor.author Giacomoni, Alessandro
dc.contributor.author De Carlis, Luciano
dc.date.accessioned 2019-06-11T11:35:16Z
dc.date.available 2019-06-11T11:35:16Z
dc.date.copyright 2012 en_US
dc.identifier.issn 1435-2451 en_US
dc.identifier.uri http://hdl.handle.net/10725/10780
dc.description.abstract Purpose Laparoscopic hepatectomy (LH) is established as a safe and feasible surgical procedure for benign and malignant liver lesions showing many benefits in terms of short-term post-operative outcomes. Nevertheless, it remains unclear if these benefits extend beyond the hospital stay. The aim of this study was to compare in-hospital and post-discharge outcomes between two groups of patients who have undergone either laparoscopic or open hepatectomy (OH). Methods Forty-six patients who have undergone LH from September 2008 to September 2011 were compared to 46 matched-pair control patients who have undergone OH. The two groups were compared in terms of in-hospital and 6-month outcomes. Post-discharge outcomes were analyzed in terms of the number of outpatient clinic appointments (OCAs) and readmissions (RAs). Analyses were performed excluding and including conversion cases. Results The two groups resulted in homogeneous patients' and lesions' characteristics. Patients who underwent LH showed statistically lower intra-operative blood loss, less total and major morbidity and shorter hospital stay. Regarding post-discharge outcomes, significantly less patients of LH group compared to patients of OH group required more than two post-discharge OCAs (in the intention to treat analysis, 28.3 versus 63 %, respectively; P = 0.006) or RA (4.3 versus 15.2 %, respectively; P = 0.008). The benefits of LH appeared to be maximized in cirrhotic patients; those represented the large part of patients readmitted after hepatectomy regardless of the type of surgical approach (77.8 %). Conclusions Advantages related to LH extend over the post-discharge period suggesting potential better patient's satisfaction and lower hospital cost. en_US
dc.language.iso en en_US
dc.title Laparoscopic versus open liver surgery en_US
dc.type Article en_US
dc.description.version Published en_US
dc.title.subtitle a single center analysis of post-operative in-hospital and post-discharge results en_US
dc.author.school SOM en_US
dc.author.idnumber 201801809 en_US
dc.author.department N/A en_US
dc.description.embargo N/A en_US
dc.relation.journal Langenbeck's Archives of Surgery en_US
dc.journal.volume 397 en_US
dc.journal.issue 8 en_US
dc.article.pages 1305-1311 en_US
dc.keywords Liver resection en_US
dc.keywords Laparoscopy en_US
dc.keywords Morbidity en_US
dc.keywords Readmission en_US
dc.keywords Outpatient clinic en_US
dc.identifier.ctation Slim, A., Garancini, M., Di Sandro, S., Mangoni, I., Lauterio, A., Giacomoni, A., & De Carlis, L. (2012). Laparoscopic versus open liver surgery: a single center analysis of post-operative in-hospital and post-discharge results. Langenbeck's archives of surgery, 397(8), 1305-1311. en_US
dc.author.email abdallah.slim@lau.edu.lb en_US
dc.identifier.tou http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php en_US
dc.identifier.url https://link.springer.com/article/10.1007/s00423-012-0992-y en_US
dc.author.affiliation Lebanese American University en_US


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