No difference in laparoscopic, open partial hepatectomy

No difference in laparoscopic, open partial hepatectomy

(HealthDay)—Patients who undergo laparoscopic partial hepatic resection (LH) have similar short-term outcomes compared to those who undergo open partial hepatic resection (OH), according to a study published online July 30 in JAMA Surgery.

Cara Franken, M.D., from the Kaiser Permanente Los Angeles Medical Center, and colleagues compared short-term (30-day) outcomes between laparoscopic (52 patients) and open (52 patients) partial hepatectomies. Patients undergoing partial hepatic resection (LH and OH) were matched based on extent of resection, then by pathological diagnosis, and lastly age and sex to the extent possible.

The researchers observed no difference in positive margin status. While the LH group had significantly less estimated blood loss than OH (P = 0.049), there was no difference in the rate of perioperative blood transfusion (P = 0.20). The groups were similar with respect to operative time (P = 0.16), hospital length of stay (P = 0.13), and readmission rate (P = 0.70). There were also no significant differences observed in the rates of major complications (P > 0.99), overall 30-day morbidity (P = 0.70), and 30-day mortality (P > 0.99).

"Future studies are needed to define which derive benefit from LH and to determine oncologic equivalence to OH," the authors write.

More information: Abstract
Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)

add to favorites email to friend print save as pdf

Related Stories

Learned helplessness linked to arthritis disease outcomes

Aug 07, 2012

(HealthDay) -- For patients with inflammatory polyarthritis (IP), learned helplessness (LH) correlates with disease outcomes and seems to mediate the association between socioeconomic status (SES) and disease ...

OK to continue aspirin therapy up to pancreatic surgery

Aug 01, 2013

(HealthDay)—Patients on aspirin therapy do not have higher rates of perioperative bleeding, transfusion, or major procedure-related complications following elective pancreatic surgery, according to research ...

Similar oncologic efficacy for robotic, open cystectomy

Dec 21, 2012

(HealthDay)—For patients with bladder cancer undergoing radical cystectomy, a robotic approach seems to have the same oncologic efficacy as an open approach and demonstrates potential perioperative benefits, ...

Recommended for you

Study seeks to sharpen surgery systems

Feb 27, 2015

Communication and coordination are important aspects of any workplace - but arguably more important in operating theatres than anywhere else, according to Professor Sharon Parker from The University of Western Australia's ...

Italian teen gets titanium pelvis in world first

Feb 25, 2015

An Italian teenager suffering from bone cancer has had half his pelvis replaced by a titanium transplant in what medics at Turin's university hospital centre said Wednesday was a world first.

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.