Surgical Management of Hepatic Benign Disease: Have the Number of Liver Resections Increased in the Era of Minimally Invasive Approach? Analysis from the I Go MILS (Italian Group of Minimally Invasive Liver Surgery) Registry

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dc.contributor Italian Group of Minimally Invasive Liver Surgery (I Go MILS)
dc.contributor.author Ardito, Francesco
dc.contributor.author Aldrighetti, Luca
dc.contributor.author Guglielmi, Alfredo
dc.contributor.author Jovine, Elio
dc.contributor.author Cillo, Umberto
dc.contributor.author Ferrero, Alessandro
dc.contributor.author De Carlis, Luciano
dc.contributor.author Belli, Giulio
dc.contributor.author Dalla Valle, Raffaele
dc.contributor.author Slim, Abdallah
dc.contributor.author Mazzaferro, Vincenzo
dc.contributor.author Navarra, Giuseppe
dc.date.accessioned 2022-10-13T10:27:25Z
dc.date.available 2022-10-13T10:27:25Z
dc.date.copyright 2020 en_US
dc.date.issued 2022-10-13
dc.identifier.issn 1091-255X en_US
dc.identifier.uri http://hdl.handle.net/10725/14058
dc.description.abstract Background Increased expertise with minimally invasive liver surgery (MILS) could cause an unjustified extension of indications to resect liver benign disease (BD). The aim of this study was to evaluate the operative risk of MILS for BD and if implementation and diffusion of MILS have widened indications for BD resection. Methods A prospective study including centers with > 6 MILS for BD, enrolled in the I Go MILS registry from January 2015 to October 2016. Cysts fenestrations were excluded. Results Eight hundred eighteen MILS were performed in 15 centers. One hundred seventy-three of these (21.1%) were for BD: conversion rate was 6.9%, postoperative mortality and morbidity rates were 0 and 13.9%. During the same period, 3713 liver resections (open + MILS) were performed and 407 (11.0%) were for BD. A time-trend analysis showed that the total number of MILS and the number of MILS for malignant disease significantly increased, but this increasing trend was not documented for the number of MILS for BD, which remained stable during the study period of time. This trend was confirmed for the overall rate of resected BD (open + MILS) that remained stable. Discussion BD represents a valid indication for MILS. For BD, 21.1% of MILS was performed, rate significantly lower than that previously reported in Italy. Although an evident growth of the use of MILS was observed during the time period analysis in Italy, this trend did not correspond to an increased number of MILS for BD, and the overall rate of resected BD was comparable to that reported in previous large open series. en_US
dc.language.iso en en_US
dc.title Surgical Management of Hepatic Benign Disease: Have the Number of Liver Resections Increased in the Era of Minimally Invasive Approach? Analysis from the I Go MILS (Italian Group of Minimally Invasive Liver Surgery) Registry en_US
dc.type Article en_US
dc.description.version Published en_US
dc.author.school SOM en_US
dc.author.idnumber 201801809 en_US
dc.author.department N/A en_US
dc.relation.journal Journal of Gastrointestinal Surgery en_US
dc.journal.volume 24 en_US
dc.journal.issue 10 en_US
dc.article.pages 2233-2243 en_US
dc.keywords Minimally invasive liver surgery en_US
dc.keywords Laparoscopic liver resection en_US
dc.keywords Benign liver disease en_US
dc.keywords Benign liver tumors en_US
dc.keywords Operative risk en_US
dc.keywords Indications for resection en_US
dc.identifier.doi https://doi.org/10.1007/s11605-019-04260-7 en_US
dc.identifier.ctation Ardito, F., Aldrighetti, L., Guglielmi, A., Jovine, E., Cillo, U., Ferrero, A., ... & Giuliante, F. (2020). Surgical management of hepatic benign disease: have the number of liver resections increased in the era of minimally invasive approach? Analysis from the I go MILS (Italian group of minimally invasive liver surgery) registry. Journal of Gastrointestinal Surgery, 24(10), 2233-2243. 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/s11605-019-04260-7 en_US
dc.author.affiliation Lebanese American University en_US

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