Surgical outcomes of laparoscopic and open resection of benign liver tumours in the Netherlands:a nationwide analysis

Background: Data on surgical outcomes of laparoscopic liver resection (LLR) versus open liver resection (OLR) of benign liver tumour (BLT) are scarce. This study aimed to provide a nationwide overview of postoperative outcomes after LLR and OLR of BLT. Methods: This was a nationwide retrospective study including all patients who underwent liver resection for hepatocellular adenoma, haemangioma and focal nodular hyperplasia in the Netherlands from 2014 to 2019. Propensity score matching (PSM) was applied to compare 30-day overall and major morbidity and 30-day mortality after OLR and LLR. Resul... Mehr ...

Verfasser: Elfrink, Arthur K. E.
Haring, Martijn P. D.
de Meijer, Vincent E.
Ijzermans, Jan N. M.
Swijnenburg, Rutger-Jan
Braat, Andries E.
Erdmann, Joris I.
Terkivatan, Turkan
te Riele, Wouter W.
van den Boezem, Peter B.
Coolsen, Marielle M. E.
Leclercq, Wouter K. G.
Lips, Daan J.
de Wilde, Roeland F.
Kok, Niels F. M.
Grunhagen, Dirk J.
Klaase, Joost M.
Dokumenttyp: Artikel
Erscheinungsdatum: 2021
Reihe/Periodikum: Elfrink , A K E , Haring , M P D , de Meijer , V E , Ijzermans , J N M , Swijnenburg , R-J , Braat , A E , Erdmann , J I , Terkivatan , T , te Riele , W W , van den Boezem , P B , Coolsen , M M E , Leclercq , W K G , Lips , D J , de Wilde , R F , Kok , N F M , Grunhagen , D J , Klaase , J M & Dutch Hepato Biliary Audit Group 2021 , ' Surgical outcomes of laparoscopic and open resection of benign liver tumours in the Netherlands : a nationwide analysis ' , HPB , vol. 23 , no. 8 , pp. 1230-1243 . https://doi.org/10.1016/j.hpb.2020.12.003
Schlagwörter: MALIGNANT-TRANSFORMATION / HEPATOCELLULAR ADENOMA / HEPATIC-TUMORS / TERM OUTCOMES / MANAGEMENT / SURGERY / LESIONS / TRENDS
Sprache: Englisch
Permalink: https://search.fid-benelux.de/Record/base-26821429
Datenquelle: BASE; Originalkatalog
Powered By: BASE
Link(s) : https://cris.maastrichtuniversity.nl/en/publications/5141af4e-5b57-4ec6-a1cc-4ddb6194d74e

Background: Data on surgical outcomes of laparoscopic liver resection (LLR) versus open liver resection (OLR) of benign liver tumour (BLT) are scarce. This study aimed to provide a nationwide overview of postoperative outcomes after LLR and OLR of BLT. Methods: This was a nationwide retrospective study including all patients who underwent liver resection for hepatocellular adenoma, haemangioma and focal nodular hyperplasia in the Netherlands from 2014 to 2019. Propensity score matching (PSM) was applied to compare 30-day overall and major morbidity and 30-day mortality after OLR and LLR. Results: In total, 415 patients underwent BLT resection of whom 230 (55.4%) underwent LLR. PSM for OLR and LLR resulted in 250 matched patients. Median (IQR) length of stay was shorter after LLR than OLR (4 versus 6 days, 5.0-8.0, p < 0.001). Postoperative 30-day overall morbidity was lower after LLR than OLR (12.0% vs. 22.4%, p = 0.043). LLR was associated with reduced 30-day overall morbidity in multivariable analysis (aOR:0.46, CI:0.22-0.95, p = 0.043). Both 30-day major morbidity and 30-day mortality were not different. Conclusions: LLR for BLT is associated with shorter hospital stay and reduced overall morbidity and is preferred if technically feasible.