Defining Global Benchmarks for Laparoscopic Liver Resections: An International Multicenter Study. Issue 4 (15th April 2023)

• Record Type: Journal Article
• Authors: Goh, Brian K.P.; Han, Ho-Seong; Chen, Kuo-Hsin; Chua, Darren W.; Chan, Chung-Yip; Cipriani, Federica; Aghayan, Davit L.; Fretland, Asmund A.; Sijberden, Jasper; D'Silva, Mizelle; Siow, Tiing Foong; Kato, Yutaro; Lim, Chetana; Nghia, Phan Phuoc; Herman, Paulo; Marino, Marco V.; Mazzaferro, Vincenzo; Chiow, Adrian K.H.; Sucandy, Iswanto; Ivanecz, Arpad; Choi, Sung Hoon; Lee, Jae Hoon; Gastaca, Mikel; Vivarelli, Marco; Giuliante, Felice; Ruzzenente, Andrea; Yong, Chee-Chien; Yin, Mengqui; Chen, Zewei; Fondevila, Constantino; Efanov, Mikhail; Rotellar, Fernando; Choi, Gi-Hong; Campos, Ricardo R.; Wang, Xiaoying; Sutcliffe, Robert P.; Pratschke, Johann; Lai, Eric; Chong, Charing C.; D'Hondt, Mathieu; Monden, Kazuteru; Lopez-Ben, Santiago; Coelho, Fabricio F.; Kingham, Thomas Peter; Liu, Rong; Long, Tran Cong duy; Ferrero, Alessandro; Sandri, Giovanni B. Levi; Saleh, Mansour; Cherqui, Daniel; Scatton, Olivier; Soubrane, Olivier; Wakabayashi, Go; Troisi, Roberto I.; Cheung, Tan-To; Sugioka, Atsushi; Hilal, Mohammad Abu; Fuks, David; Edwin, Bjørn; Aldrighetti, Luca;
• Other Names: Syn Nicholas author non-byline.; Prieto Mikel author non-byline.; Schotte Henri author non-byline.; De Meyere Celine author non-byline.; Krenzien Felix author non-byline.; Schmelzle Moritz author non-byline.; Lee Kit-Fai author non-byline.; Salimgereeva Diana author non-byline.; Alikhanov Ruslan author non-byline.; Lee Lip-Seng author non-byline.; Jang Jae Young author non-byline.; Kojima Masayuki author non-byline.; Ghotbi Jacob author non-byline.; Kruger Jaime Arthur Pirola author non-byline.; Lopez-Lopez Victor author non-byline.; Valle Bernardo Dalla author non-byline.; Casellas I Robert Margarida author non-byline.; Mishima Kohei author non-byline.; Montalti Roberto author non-byline.; Giglio Mariano author non-byline.; Mazzotta Alessandro author non-byline.; Lee Boram author non-byline.; Wang Hao-Ping author non-byline.; Pascual Franco author non-byline.; Kadam Prashant author non-byline.; Tang Chung-Ngai author non-byline.; Yu Shian author non-byline.; Ardito Francesco author non-byline.; Vani Simone author non-byline.; Giustizieri Ugo author non-byline.; Citterio Davide author non-byline.; Mocchegiani Federico author non-byline.; Ettorre Giuseppe Maria author non-byline.; Colasanti Marco author non-byline.; Guzmán Yoelimar author non-byline.;
• Is Part Of: Annals of surgery. Volume 277:Issue 4(2023)
• Page Start: e839
• Page End: e848
• Publication Date: 2023-04-15
• Subjects: laparoscopic liver resection -- benchmark -- global -- hepatectomy -- minimally invasive -- quality assessment; Surgery -- Periodicals; 617.005
• DOI: 10.1097/SLA.0000000000005530
• Languages: English
• ISSNs: 0003-4932

Abstract

Abstract : Objective: To establish global benchmark outcomes indicators after laparoscopic liver resections (L-LR). Background: There is limited published data to date on the best achievable outcomes after L-LR. Methods: This is a post hoc analysis of a multicenter database of 11, 983 patients undergoing L-LR in 45 international centers in 4 continents between 2015 and 2020. Three specific procedures: left lateral sectionectomy (LLS), left hepatectomy (LH), and right hepatectomy (RH) were selected to represent the 3 difficulty levels of L-LR. Fifteen outcome indicators were selected to establish benchmark cutoffs. Results: There were 3519 L-LR (LLS, LH, RH) of which 1258 L-LR (40.6%) cases performed in 34 benchmark expert centers qualified as low-risk benchmark cases. These included 659 LLS (52.4%), 306 LH (24.3%), and 293 RH (23.3%). The benchmark outcomes established for operation time, open conversion rate, blood loss ≥500 mL, blood transfusion rate, postoperative morbidity, major morbidity, and 90-day mortality after LLS, LH, and RH were 209.5, 302, and 426 minutes; 2.1%, 13.4%, and 13.0%; 3.2%, 20%, and 47.1%; 0%, 7.1%, and 10.5%; 11.1%, 20%, and 50%; 0%, 7.1%, and 20%; and 0%, 0%, and 0%, respectively. Conclusions: This study established the first global benchmark outcomes for L-LR in a large-scale international patient cohort. It provides an up-to-date reference regarding the "best achievable" results for L-LR for which centers adopting L-LR can use as a comparison to enable an objective assessment of performance gaps and learning curves.