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Is minimally invasive surgery of lesions in the right superior segments of the liver justified? A multi-institutional study of 245 patients.

Publication ,  Journal Article
Gholami, S; Judge, SJ; Lee, S-Y; Mashayekhi, K; Goh, BKP; Chan, C-Y; Nuño, MA; Gönen, M; Balachandran, VP; Allen, PJ; Drebin, JA; Jarnagin, WR ...
Published in: J Surg Oncol
December 2020

BACKGROUND: Controversy exists regarding the safety and feasibility of minimally invasive resection for lesions in segments 7 or 8. We compare outcomes of minimally invasive surgery (MIS) and Open parenchymal sparing liver resections at two high-volume centers. METHODS: From 2003 to 2016 we identified patients who underwent MIS or Open resections for lesions in segments 7 or 8 at two institutions (MSKCC and SGH). Outcomes were compared using univariate and multivariate analyses. RESULTS: Two-hundred and forty-five patients underwent resection of lesions in segments 7 or 8 (MIS 30% and Open 70%). Compared to the Open group, the MIS group had longer operative time (223 ± 88 vs 188 ± 72 minutes, P = .003), lower blood loss (297 ± 287 vs 448 ± 670 mL, P = .03), and shorter mean length of stay (5.2 ± 7.4 vs 8.3 ± 11.7 days, P < .001), which remained significant on multivariate analysis. No differences in Pringle time, rate of postoperative complications, or R0 resections were detected. CONCLUSIONS: With appropriately selected patients treated by experienced MIS hepatopancreatobiliary surgeons, MIS resection of segments 7 or 8 is safe with similar rates of complications and R0 resections, with significantly less blood loss and shorter length of stay.

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Published In

J Surg Oncol

DOI

EISSN

1096-9098

Publication Date

December 2020

Volume

122

Issue

7

Start / End Page

1428 / 1434

Location

United States

Related Subject Headings

  • Retrospective Studies
  • Prospective Studies
  • Prognosis
  • Oncology & Carcinogenesis
  • Minimally Invasive Surgical Procedures
  • Middle Aged
  • Male
  • Liver Neoplasms
  • Length of Stay
  • Laparoscopy
 

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Gholami, S., Judge, S. J., Lee, S.-Y., Mashayekhi, K., Goh, B. K. P., Chan, C.-Y., … Kingham, T. P. (2020). Is minimally invasive surgery of lesions in the right superior segments of the liver justified? A multi-institutional study of 245 patients. J Surg Oncol, 122(7), 1428–1434. https://doi.org/10.1002/jso.26154
Gholami, Sepideh, Sean J. Judge, Ser-Yee Lee, Kiarash Mashayekhi, Brian K. P. Goh, Chung-Yip Chan, Miriam A. Nuño, et al. “Is minimally invasive surgery of lesions in the right superior segments of the liver justified? A multi-institutional study of 245 patients.J Surg Oncol 122, no. 7 (December 2020): 1428–34. https://doi.org/10.1002/jso.26154.
Gholami S, Judge SJ, Lee S-Y, Mashayekhi K, Goh BKP, Chan C-Y, et al. Is minimally invasive surgery of lesions in the right superior segments of the liver justified? A multi-institutional study of 245 patients. J Surg Oncol. 2020 Dec;122(7):1428–34.
Gholami, Sepideh, et al. “Is minimally invasive surgery of lesions in the right superior segments of the liver justified? A multi-institutional study of 245 patients.J Surg Oncol, vol. 122, no. 7, Dec. 2020, pp. 1428–34. Pubmed, doi:10.1002/jso.26154.
Gholami S, Judge SJ, Lee S-Y, Mashayekhi K, Goh BKP, Chan C-Y, Nuño MA, Gönen M, Balachandran VP, Allen PJ, Drebin JA, Jarnagin WR, D’ Angelica MI, Kingham TP. Is minimally invasive surgery of lesions in the right superior segments of the liver justified? A multi-institutional study of 245 patients. J Surg Oncol. 2020 Dec;122(7):1428–1434.
Journal cover image

Published In

J Surg Oncol

DOI

EISSN

1096-9098

Publication Date

December 2020

Volume

122

Issue

7

Start / End Page

1428 / 1434

Location

United States

Related Subject Headings

  • Retrospective Studies
  • Prospective Studies
  • Prognosis
  • Oncology & Carcinogenesis
  • Minimally Invasive Surgical Procedures
  • Middle Aged
  • Male
  • Liver Neoplasms
  • Length of Stay
  • Laparoscopy