Four-year experience with more than 1000 cases of total laparoscopic liver resection in a single center

作者：Lan Xiang, Haili Zhang, Hua Zhang, Yufu Peng, Fei Liu, Bo Li, Yonggang Wei · 发表于：World Journal of Gastroenterology · 年份：2022 · DOI：10.3748/wjg.v28.i25.2968 · 被引用次数：7 · 研究领域：Hepatocellular Carcinoma Treatment and Prognosis、Cholangiocarcinoma and Gallbladder Cancer Studies、Minimally Invasive Surgical Techniques

BACKGROUND: Laparoscopic liver resection (LLR) has become a safe surgical procedure that needs additional summarization. AIM: To review 4 years of total LLR surgeries, exceeding 1000 cases, which were performed at a single center. METHODS: Patients who underwent LLR at West China Hospital of Sichuan University between January 2015 and December 2018 were identified. Surgical details, including the interventional year, category of liver disease, and malignant liver tumors prognosis, were evaluated. The learning curve for LLR was evaluated using the cumulative sum method. The Kaplan-Meier method was used to perform survival analysis. RESULTS: = 462, 42.08%). The average operation time was 216.94 ± 98.51 min. The conversion rate was 1.82% (20/1098). The complication rate was 9.20% (from grade II to V). The 1-year and 3-year overall survival rates of HCC patients were 89.7% and 81.9%, respectively. The learning curve was grouped into two phases for local resection (cases 1-106 and 107-373), three phases for anatomical segmentectomy (cases 1-44, 45-74 and 75-120), and three phases for hemihepatectomy (cases 1-17, 18-48 and 49-88). CONCLUSION: LLR may be considered a first-line surgical intervention for liver resection that can be performed safely for a variety of primary, secondary, and recurrent liver tumors and for benign diseases once technical competence is proficiently attained.