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https://observatorio.fm.usp.br/handle/OPI/53904
Title: | Defining Global Benchmarks for Laparoscopic Liver Resections An International Multicenter Study |
Authors: | GOH, Brian K. P.; HAN, Ho-Seong; CHEN, Kuo-Hsin; CHUA, Darren W.; CHAN, Chung-Yip; CIPRIANI, Federica; AGHAYAN, Davit L.; FRETLAND, Asmund A.; SIJBERDEN, Jasper; D'SILVA, Mizelle; SIOW, Tiing Foong; KATO, Yutaro; LIM, Chetana; NGHIA, Phan Phuoc; HERMAN, Paulo; V, Marco Marino; MAZZAFERRO, Vincenzo; CHIOW, Adrian K. H.; SUCANDY, Iswanto; IVANECZ, Arpad; CHOI, Sung Hoon; LEE, Jae Hoon; GASTACA, Mikel; VIVARELLI, Marco; GIULIANTE, Felice; RUZZENENTE, Andrea; YONG, Chee-Chien; YIN, Mengqui; CHEN, Zewei; FONDEVILA, Constantino; EFANOV, Mikhail; ROTELLAR, Fernando; CHOI, Gi-Hong; CAMPOS, Ricardo R.; WANG, Xiaoying; SUTCLIFFE, Robert P.; PRATSCHKE, Johann; LAI, Eric; CHONG, Charing C.; D'HONDT, Mathieu; MONDEN, Kazuteru; LOPEZ-BEN, Santiago F.; COELHO, Fabricio F.; KINGHAM, Thomas Peter; LIU, Rong; LONG, Tran Cong Duy; FERRERO, Alessandro; SANDRI, Giovanni B. Levi; SALEH, Mansour; CHERQUI, Daniel; SCATTON, Olivier; SOUBRANE, Olivier; WAKABAYASHI, Go I.; TROISI, Roberto; CHEUNG, Tan-To; SUGIOKA, Atsushi; HILAL, Mohammad Abu; FUKS, David; EDWIN, Bjorn; ALDRIGHETTI, Luca |
Citation: | ANNALS OF SURGERY, v.277, n.4, p.e839-e848, 2023 |
Abstract: | Objective:To establish global benchmark outcomes indicators after laparoscopic liver resections (L-LR). Background:There is limited published data to date on the best achievable outcomes after L-LR. Methods:This is a post hoc analysis of a multicenter database of 11,983 patients undergoing L-LR in 45 international centers in 4 continents between 2015 and 2020. Three specific procedures: left lateral sectionectomy (LLS), left hepatectomy (LH), and right hepatectomy (RH) were selected to represent the 3 difficulty levels of L-LR. Fifteen outcome indicators were selected to establish benchmark cutoffs. Results:There were 3519 L-LR (LLS, LH, RH) of which 1258 L-LR (40.6%) cases performed in 34 benchmark expert centers qualified as low-risk benchmark cases. These included 659 LLS (52.4%), 306 LH (24.3%), and 293 RH (23.3%). The benchmark outcomes established for operation time, open conversion rate, blood loss >= 500 mL, blood transfusion rate, postoperative morbidity, major morbidity, and 90-day mortality after LLS, LH, and RH were 209.5, 302, and 426 minutes; 2.1%, 13.4%, and 13.0%; 3.2%, 20%, and 47.1%; 0%, 7.1%, and 10.5%; 11.1%, 20%, and 50%; 0%, 7.1%, and 20%; and 0%, 0%, and 0%, respectively. Conclusions:This study established the first global benchmark outcomes for L-LR in a large-scale international patient cohort. It provides an up-to-date reference regarding the ""best achievable"" results for L-LR for which centers adopting L-LR can use as a comparison to enable an objective assessment of performance gaps and learning curves. |
Appears in Collections: | Artigos e Materiais de Revistas Científicas - FM/MGT Artigos e Materiais de Revistas Científicas - HC/ICHC Artigos e Materiais de Revistas Científicas - LIM/02 Artigos e Materiais de Revistas Científicas - LIM/37 Artigos e Materiais de Revistas Científicas - ODS/03 |
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