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.

Explore further: Similar outcomes for robot-aided, conventional nephrectomy

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

Related Stories

Similar outcomes for robot-aided, conventional nephrectomy

June 22, 2012
(HealthDay) -- Robot-assisted and conventional laparoscopic partial nephrectomies have similar outcomes and complication rates, according to a study published in the July issue of The Journal of Urology.

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 ...

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 ...

Minimally invasive operation helps elderly patients after colon cancer treatment

October 8, 2013
The chance of ending up in a nursing facility appears to be significantly lower for older patients who undergo a laparoscopic procedure than for those who have open surgical resection for colon cancer, according to a study ...

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 ...

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 ...

Recommended for you

World's first child hand transplant a 'success'

July 19, 2017
The first child in the world to undergo a double hand transplant is now able to write, feed and dress himself, doctors said Tuesday, declaring the ground-breaking operation a success after 18 months.

Knee surgery—have we been doing it wrong?

July 18, 2017
A team of University at Buffalo medical doctors have published a study that challenges a surgical practice used for decades during arthroscopic knee surgery.

New tools help surgeons find liver tumors, not nick blood vessels

July 17, 2017
The liver is a particularly squishy, slippery organ, prone to shifting both deadly tumors and life-preserving blood vessels by inches between the time they're discovered on a CT scan and when the patient is lying on an operating ...

Researchers discover indicator of lung transplant rejection

July 13, 2017
Research by scientists at Dignity Health St. Joseph's Hospital and Medical Center's Norton Thoracic Institute was published in the July 12, 2017 issue of Science Translational Medicine titled "Zbtb7a induction in alveolar ...

New device could make closing surgical incisions a cinch

July 7, 2017
Like many surgeons, Dr. Jason Spector is often faced with the challenge of securely closing the abdominal wall without injuring the intestines. If the process goes awry, there can be serious consequences for patients, including ...

Success with first 20 patients undergoing minimally invasive pancreatic transplant surgery

June 29, 2017
Surgeons at Johns Hopkins Medicine report that their first series of a minimally invasive procedure to treat chronic pancreas disease, known as severe pancreatitis, resulted in shorter hospital stays, less need for opioids ...

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.