Single-Port and Multi-Port Laparoscopic Left Lateral Liver Sectionectomy for Treating Benign Liver Diseases: A Prospective, Randomized, Controlled Study
| Autor: | Rong Liu, Dabin Xu, Guodong Zhao, Minggen Hu, Fei Wang |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Operative Time Blood Loss Surgical law.invention Young Adult Liver disease Randomized controlled trial law Hepatectomy Humans Medicine Postoperative Period Prospective Studies Laparoscopy Aged medicine.diagnostic_test business.industry Liver Diseases Length of Stay Middle Aged Vascular surgery medicine.disease Cardiac surgery Surgery Cardiothoracic surgery Female business Complication Abdominal surgery |
| Zdroj: | World Journal of Surgery. 38:2668-2673 |
| ISSN: | 1432-2323 0364-2313 |
| Popis: | The use of single-port laparoscopy for left-lateral liver sectionectomy (LLLS) has been reported in the literature, but the effectiveness and safety of LLLS has not been validated in randomized, controlled trials. This prospective randomized controlled trial compared the effectiveness and safety of single-port and multi-port laparoscopic LLLS for the surgical treatment of benign liver disease. Altogether, 38 patients aged 17–65 years (16 men, 22 women) with benign liver diseases were hospitalized for elective laparoscopic LLLS between January 2010 and December 2012. Patients were randomly assigned to either single-port (n = 19) or multi-port (n = 19) laparoscopic LLLS. Main outcome measures were operative time, volume of intraoperative blood loss, complication rates, and postoperative hospitalization. Baseline characteristics of the two groups were comparable. Single-port and multi-port laparoscopies were successfully completed in all but one patient (1/19, 5.3 %) who required conversion from a single-port to a multi-port procedure. The two groups had similar mean operative times and volumes of intraoperative blood loss. There were no clinically significant postoperative complications or deaths. The single-port group had a significantly shorter postoperative hospitalization than the multi-port group (2.5 ± 1.7 vs. 4.0 ± 2.1 days; p |
| Databáze: | OpenAIRE |
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