PMID- 31721400
OWN - NLM
STAT- MEDLINE
DCOM- 20210514
LR  - 20210514
IS  - 1445-2197 (Electronic)
IS  - 1445-1433 (Linking)
VI  - 90
IP  - 4
DP  - 2020 Apr
TI  - Minimally invasive major hepatectomies: a Southeast Asian single institution 
      contemporary experience with its first 120 consecutive cases.
PG  - 553-557
LID - 10.1111/ans.15563 [doi]
AB  - BACKGROUND: The role of minimally invasive major hepatectomy (MIMH) remains 
      controversial and questions remain about its safety and reproducibility outside 
      expert centres. This study examines the changing trends, safety and outcomes 
      associated with the adoption of MIMH based on a contemporary single institution 
      experience. METHODS: This study is a review of 120 consecutive patients who 
      underwent MIMH between 2011 and 2018. To determine the evolution of MIMH, the 
      study population was stratified into four equal groups of patients. Both 
      conventional major hepatectomies (CMHs) (>/=3 segments) and technical major 
      hepatectomies (right anterior and posterior sectionectomies) were included. 
      RESULTS: There were 70 CMHs and 50 technical major hepatectomies. Seven MIMHs 
      were laparoscopic-assisted and 113 (94.2%) were totally laparoscopic/robotic. 
      There were 10 (8.3%) open conversions. Comparison across the four groups 
      demonstrated that with increasing experience, there was a significant trend in a 
      higher proportion of higher American Society of Anesthesiologists score patients, 
      increasing frequency of CMH performed, increasing frequency of multifocal tumours 
      resected, decreasing use of laparoscopic-assisted approach and decrease in blood 
      loss. CONCLUSION: MIMH can be adopted safely today with a low open conversion 
      rate. Over time with increasing experience, we performed MIMH with increasing 
      frequency in higher risk patients and in patients with multifocal tumours but 
      with a decrease in median estimated blood loss.
CI  - (c) 2019 Royal Australasian College of Surgeons.
FAU - Goh, Brian K P
AU  - Goh BKP
AUID- ORCID: 0000-0001-8218-4576
AD  - Department of Hepatopancreatobiliary and Transplant Surgery, Singapore General 
      Hospital, Singapore.
AD  - Office of Clinical Sciences, Duke-NUS Medical School, Singapore.
FAU - Lee, Ser-Yee
AU  - Lee SY
AD  - Department of Hepatopancreatobiliary and Transplant Surgery, Singapore General 
      Hospital, Singapore.
AD  - Office of Clinical Sciences, Duke-NUS Medical School, Singapore.
FAU - Koh, Ye-Xin
AU  - Koh YX
AD  - Department of Hepatopancreatobiliary and Transplant Surgery, Singapore General 
      Hospital, Singapore.
AD  - Office of Clinical Sciences, Duke-NUS Medical School, Singapore.
FAU - Kam, Juinn-Huar
AU  - Kam JH
AD  - Department of Hepatopancreatobiliary and Transplant Surgery, Singapore General 
      Hospital, Singapore.
FAU - Chan, Chung-Yip
AU  - Chan CY
AD  - Department of Hepatopancreatobiliary and Transplant Surgery, Singapore General 
      Hospital, Singapore.
AD  - Office of Clinical Sciences, Duke-NUS Medical School, Singapore.
LA  - eng
PT  - Journal Article
PT  - Review
DEP - 20191112
PL  - Australia
TA  - ANZ J Surg
JT  - ANZ journal of surgery
JID - 101086634
SB  - IM
MH  - Hepatectomy
MH  - Humans
MH  - *Laparoscopy
MH  - Length of Stay
MH  - *Liver Neoplasms/surgery
MH  - Reproducibility of Results
MH  - Retrospective Studies
MH  - Treatment Outcome
OTO - NOTNLM
OT  - laparoscopic hepatectomy
OT  - laparoscopic liver
OT  - major hepatectomy
OT  - minimally invasive hepatectomy
OT  - robotic hepatectomy
EDAT- 2019/11/14 06:00
MHDA- 2021/05/15 06:00
CRDT- 2019/11/14 06:00
PHST- 2019/09/07 00:00 [received]
PHST- 2019/10/12 00:00 [revised]
PHST- 2019/10/14 00:00 [accepted]
PHST- 2019/11/14 06:00 [pubmed]
PHST- 2021/05/15 06:00 [medline]
PHST- 2019/11/14 06:00 [entrez]
AID - 10.1111/ans.15563 [doi]
PST - ppublish
SO  - ANZ J Surg. 2020 Apr;90(4):553-557. doi: 10.1111/ans.15563. Epub 2019 Nov 12.