Laparoscopic hepatic lobectomy for symptomatic polycystic liver disease
| Autor: | John R. Bergquist, Brendan C. Visser, Amy Y. Li, Auriel August, George A. Poultsides, Monica M. Dua |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Liver transplantation 03 medical and health sciences 0302 clinical medicine Hepatic lobectomy Open Resection medicine Volume reduction Hepatectomy Humans Retrospective Studies Hepatology business.industry Cysts Polycystic liver disease Liver Diseases Liver Neoplasms Gastroenterology Atrial fibrillation Length of Stay medicine.disease Surgery 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology Laparoscopy Complication business |
| Zdroj: | HPB : the official journal of the International Hepato Pancreato Biliary Association. 23(1) |
| ISSN: | 1477-2574 |
| Popis: | Background Laparoscopic fenestration has largely replaced open fenestration of liver cysts. However, most hepatectomies for polycystic liver disease (PCLD) are performed open. Outcomes data on laparoscopic hepatectomy for PCLD are lacking. Methods Patients who underwent surgery for PCLD at a single institution between 2010 and 2019 were reviewed and grouped by operative approach. Pre- and post-operative volumes were calculated for patients who underwent resection. Primary outcomes were: volume reduction, re-admission and postoperative complications. Results Twenty-six patients were treated for PCLD: 13 laparoscopic fenestration, nine laparoscopic hepatectomy, three open hepatectomy and one liver transplantation. Median length of stay for patients after laparoscopic resection was 3 days (IQR 2–3). The only complication was post-operative atrial fibrillation in one patient. There were no readmissions. Overall volume reduction was 51% (range 22–69) for all resections, 32% (range 22–46) after open resection and 56% (range 39–69) after laparoscopic resection. Conclusion Volume reduction achieved through laparoscopic approach exceeded open volume reduction at this institution and is comparable to volume reduction in previously published open resection series. Adequate volume reduction can be accomplished by laparoscopic means with acceptable postoperative morbidity. |
| Databáze: | OpenAIRE |
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