Implementation and outcome of minor and major minimally invasive liver surgery in the Netherlands.

Autor:	van der Poel MJ; Department of Surgery, Cancer Center Amsterdam, Amsterdam UMC, University of Amsterdam, the Netherlands., Fichtinger RS; Department of Surgery, Maastricht University Medical Center+, Maastricht, the Netherlands; RWTH Aachen, Germany., Bemelmans M; Department of Surgery, Maastricht University Medical Center+, Maastricht, the Netherlands; RWTH Aachen, Germany., Bosscha K; Department of Surgery, Jeroen Bosch Hospital, 's-Hertogenbosch, the Netherlands., Braat AE; Department of Surgery, Leiden University Medical Center, Leiden, the Netherlands., de Boer MT; Department of Surgery, University Medical Center Groningen, Groningen, the Netherlands., Dejong CHC; Department of Surgery, Maastricht University Medical Center+, Maastricht, the Netherlands; RWTH Aachen, Germany., Doornebosch PG; Department of Surgery, IJsselland Hospital, Capelle aan den IJssel, the Netherlands., Draaisma WA; Department of Surgery, Jeroen Bosch Hospital, 's-Hertogenbosch, the Netherlands; Department of Surgery, Meander Medical Center, Amersfoort, the Netherlands., Gerhards MF; Department of Surgery, OLVG, Amsterdam, the Netherlands., Gobardhan PD; Department of Surgery, Amphia Hospital, Breda, the Netherlands., Gorgec B; Department of Surgery, Cancer Center Amsterdam, Amsterdam UMC, University of Amsterdam, the Netherlands., Hagendoorn J; Department of Surgery, University Medical Center Utrecht, Utrecht, the Netherlands., Kazemier G; Department of Surgery, Cancer Center Amsterdam, Amsterdam UMC, Vrije Universiteit Amsterdam, the Netherlands., Klaase J; Department of Surgery, University Medical Center Groningen, Groningen, the Netherlands; Department of Surgery, Medical Spectrum Twente, Enschede, the Netherlands., Leclercq WKG; Department of Surgery, Máxima Medical Center, Veldhoven, the Netherlands., Liem MS; Department of Surgery, Medical Spectrum Twente, Enschede, the Netherlands., Lips DJ; Department of Surgery, Jeroen Bosch Hospital, 's-Hertogenbosch, the Netherlands; Department of Surgery, Medical Spectrum Twente, Enschede, the Netherlands., Marsman HA; Department of Surgery, OLVG, Amsterdam, the Netherlands., Mieog JSD; Department of Surgery, Leiden University Medical Center, Leiden, the Netherlands., Molenaar QI; Department of Surgery, University Medical Center Utrecht, Utrecht, the Netherlands., Nieuwenhuijs VB; Department of Surgery, Isala, Zwolle, the Netherlands., Nota CL; Department of Surgery, University Medical Center Utrecht, Utrecht, the Netherlands., Patijn GA; Department of Surgery, Isala, Zwolle, the Netherlands., Rijken AM; Department of Surgery, Amphia Hospital, Breda, the Netherlands., Slooter GD; Department of Surgery, Máxima Medical Center, Veldhoven, the Netherlands., Stommel MWJ; Department of Surgery, Radboud University Medical Center, Nijmegen, the Netherlands., Swijnenburg RJ; Department of Surgery, Cancer Center Amsterdam, Amsterdam UMC, University of Amsterdam, the Netherlands; Department of Surgery, Leiden University Medical Center, Leiden, the Netherlands., Tanis PJ; Department of Surgery, Cancer Center Amsterdam, Amsterdam UMC, University of Amsterdam, the Netherlands., Te Riele WW; Department of Surgery, St. Antonius Hospital, Nieuwegein, the Netherlands., Terkivatan T; Department of Surgery, Erasmus Medical Center, Rotterdam, the Netherlands., van den Tol PM; Department of Surgery, Cancer Center Amsterdam, Amsterdam UMC, Vrije Universiteit Amsterdam, the Netherlands., van den Boezem PB; Department of Surgery, Radboud University Medical Center, Nijmegen, the Netherlands., van der Hoeven JA; Department of Surgery, Albert Schweitzer Hospital, Dordrecht, the Netherlands., Vermaas M; Department of Surgery, IJsselland Hospital, Capelle aan den IJssel, the Netherlands., Abu Hilal M; Department of Surgery, University Hospital Southampton NHS Foundation Trust, Southampton, UK., van Dam RM; Department of Surgery, Maastricht University Medical Center+, Maastricht, the Netherlands; RWTH Aachen, Germany., Besselink MG; Department of Surgery, Cancer Center Amsterdam, Amsterdam UMC, University of Amsterdam, the Netherlands. Electronic address: m.g.besselink@amc.nl.
Jazyk:	angličtina
Zdroj:	HPB : the official journal of the International Hepato Pancreato Biliary Association [HPB (Oxford)] 2019 Dec; Vol. 21 (12), pp. 1734-1743. Date of Electronic Publication: 2019 Jun 21.
DOI:	10.1016/j.hpb.2019.05.002
Abstrakt:	Background: While most of the evidence on minimally invasive liver surgery (MILS) is derived from expert centers, nationwide outcomes remain underreported. This study aimed to evaluate the implementation and outcome of MILS on a nationwide scale. Methods: Electronic patient files were reviewed in all Dutch liver surgery centers and all patients undergoing MILS between 2011 and 2016 were selected. Operative outcomes were stratified based on extent of the resection and annual MILS volume. Results: Overall, 6951 liver resections were included, with a median annual volume of 50 resections per center. The overall use of MILS was 13% (n = 916), which varied from 3% to 36% (P < 0.001) between centers. The nationwide use of MILS increased from 6% in 2011 to 23% in 2016 (P < 0.001). Outcomes of minor MILS were comparable with international studies (conversion 0-13%, mortality <1%). In centers which performed ≥20 MILS annually, major MILS was associated with less conversions (14 (11%) versus 41 (30%), P < 0.001), shorter operating time (184 (117-239) versus 200 (139-308) minutes, P = 0.010), and less overall complications (37 (30%) versus 58 (42%), P = 0.040). Conclusion: The nationwide use of MILS is increasing, although large variation remains between centers. Outcomes of major MILS are better in centers with higher volumes. (Copyright © 2019 International Hepato-Pancreato-Biliary Association Inc. Published by Elsevier Ltd. All rights reserved.)
Databáze:	MEDLINE
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