No difference in laparoscopic, open partial hepatectomy

August 8, 2014
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)

Related Stories

Learned helplessness linked to arthritis disease outcomes

August 7, 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 outcomes, according ...

Intracranial tumors can be resected safely in elderly

October 21, 2012

(HealthDay)—Elderly patients do not have poorer short-term outcomes after surgical resection of primary or metastatic intracranial tumors, after accounting for other risk factors, according to research published online ...

Similar oncologic efficacy for robotic, open cystectomy

December 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, according to ...

OK to continue aspirin therapy up to pancreatic surgery

August 1, 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 published online ...

Recommended for you

A recipe for long-lasting livers

April 22, 2015

People waiting for organ transplants may soon have higher hopes of getting the help that they need in time. Researchers at the RIKEN Center for Developmental Biology have developed a new technique that extends the time that ...

Surgeon to offer ideas on a way to do human head transplants

February 26, 2015

Sergio Canavero of the Turin Advanced Neuromodulation Group has made it known that he intends to announce at this summer's American Academy of Neurological and Orthopedic Surgeons meeting, that he believes he has put together ...

New tool helps guide brain cancer surgery

July 3, 2014

A tool to help brain surgeons test and more precisely remove cancerous tissue was successfully used during surgery, according to a Purdue University and Brigham and Women's Hospital study.

New imaging technique sharpens surgeons' vision

February 11, 2014

Which superhuman power would you choose for help on the job? For Dr. Julie Margenthaler, it's a technology that brings to mind X-ray vision, used for the first time Monday during an operation to remove a patient's lymph node.

0 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.