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Outcome of major hepatectomy in cirrhotic patients; does surgical approach matter? A propensity score matched analysis
- Source :
- Journal of hepato-biliary-pancreatic sciences. Wiley-Blackwell
- Publication Year :
- 2021
-
Abstract
- Objective: Major hepatectomy in cirrhotic patients still represents a great challenge for liver surgeons. Hence, the aim in the present study is to investigate the clinical impact of major hepatectomy and to assess whether the surgical approach influences the outcome of cirrhotic patients. Methods: Multicenter retrospective study including cirrhotic patients undergoing major laparoscopic (mjLLR) and open liver resection (mjOLR) in 14 Western liver centers was performed (2009–2020). Clinical, demographic, and perioperative data were compared using propensity score matching (PSM). Long-term outcome after resection for hepatocellular carcinoma was analyzed. Results: Overall, 352 patients were included; 108 after mjLLR and 244 after mjOLR. After PSM, 88 patients were matched in each group. In the mjLLR group, compared to mjOLR, less blood loss (P=.042), lower overall and severe complication (P&nbsp
- Subjects :
- Liver Cirrhosis
laparoscopic liver resection
liver cirrhosis
major liver resection
open liver resection
surgical oncology
medicine.medical_specialty
Carcinoma, Hepatocellular
medicine.medical_treatment
Subgroup analysis
Chronic liver disease
medicine
Humans
Hepatectomy
Laparoscopy
Propensity Score
Retrospective Studies
Hepatology
medicine.diagnostic_test
business.industry
Liver Neoplasms
Retrospective cohort study
Perioperative
Length of Stay
medicine.disease
Surgery
Treatment Outcome
Hepatocellular carcinoma
Propensity score matching
business
Subjects
Details
- ISSN :
- 18686982 and 18686974
- Volume :
- 29
- Issue :
- 11
- Database :
- OpenAIRE
- Journal :
- Journal of hepato-biliary-pancreatic sciencesREFERENCES
- Accession number :
- edsair.doi.dedup.....29e0ca503484b433242d2aac8026d7d0