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- Publisher Website: 10.1016/j.surg.2023.04.057
- Scopus: eid_2-s2.0-85163341992
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Article: Impact of liver cirrhosis, the severity of cirrhosis, and portal hypertension on the outcomes of minimally invasive left lateral sectionectomies for primary liver malignancies
Title | Impact of liver cirrhosis, the severity of cirrhosis, and portal hypertension on the outcomes of minimally invasive left lateral sectionectomies for primary liver malignancies |
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Authors | Coelho, Fabricio FerreiraHerman, PauloKruger, Jaime APWu, Andrew GRChin, Ken-MinHasegawa, KiyoshiZhang, WanguangAlzoubi, MohammadAghayan, Davit LSiow, Tiing-FoongScatton, OlivierKingham, T PeterMarino, Marco VMazzaferro, VincenzoChiow, Adrian KHSucandy, IswantoIvanecz, ArpadChoi, Sung HoonLee, Jae HoonGastaca, MikelVivarelli, MarcoGiuliante, FeliceRuzzenente, AndreaYong, Chee-ChienDokmak, SafiFondevila, ConstantinoEfanov, MikhailMorise, ZenichiDi Benedetto, FabrizioBrustia, RaffaeleValle, Raffaele DallaBoggi, UgoGeller, DavidBelli, AndreaMemeo, RiccardoGruttadauria, SalvatoreMejia, AlejandroPark, James ORotellar, FernandoChoi, Gi HongRobles-Campos, RicardoWang, XiaoyingSutcliffe, Robert PPratschke, JohannLai, Eric CHChong, Charing CND’Hondt, MathieuMonden, KazuteruLopez-Ben, SantiagoLiu, RongFerrero, AlessandroEttorre, Giuseppe MariaCipriani, FedericaCherqui, DanielLiang, XiaoSoubrane, OlivierWakabayashi, GoTroisi, Roberto IYin, MengqiuCheung, Tan-ToSugioka, AtsushiHan, Ho-SeongLong, Tran Cong DuyFuks, DavidAbu, Hilal MohammadChen, Kuo-HsinAldrighetti, LucaEdwin, BjørnGoh, Brian KPSyn, Nicholas LPrieto, MikelMeurs, Juulde Meyere, CelineLee, Kit-FaiSalimgereeva, DianaAlikhanov, RuslanKato, YutaroKojima, MasayukiRobert, Margarida Casellas ILee, BoramD’Silva, MizelleSaleh, MansourPascual, FrancoArdito, FrancescoCitterio, DavideMocchegiani, FedericoBerardi, GiammauroColasanti, MarcoGuzmán, YoelimarLabadie, Kevin PConticchio, MariaDogeas, EpameinondasKauffmann, Emanuele FGiuffrida, MarioLaurent, AlexisMagistri, PaoloMishima, KoheiSchmelzle, MoritzKrenzien, FelixKadam, PrashantLai, Eric CGhotbi, JacobFretland, Åsmund AvdemForchino, FabioMazzotta, AlessandroCauchy, FrancoisKawaguchi, YoshikuniLim, ChetanaValle, Bernardo DallaLiu, QuZheng, JunhaoNghia, Phan PhuocChen, ZeweiYu, Shian |
Issue Date | 1-Sep-2023 |
Publisher | Elsevier |
Citation | Surgery, 2023, v. 174, n. 3, p. 581-592 How to Cite? |
Abstract | Background: The impact of cirrhosis and portal hypertension on perioperative outcomes of minimally invasive left lateral sectionectomies remains unclear. We aimed to compare the perioperative outcomes between patients with preserved and compromised liver function (noncirrhotics versus Child-Pugh A) when undergoing minimally invasive left lateral sectionectomies. In addition, we aimed to determine if the extent of cirrhosis (Child-Pugh A versus B) and the presence of portal hypertension had a significant impact on perioperative outcomes. Methods: This was an international multicenter retrospective analysis of 1,526 patients who underwent minimally invasive left lateral sectionectomies for primary liver malignancies at 60 centers worldwide between 2004 and 2021. In the study, 1,370 patients met the inclusion criteria and formed the final study group. Baseline clinicopathological characteristics and perioperative outcomes of these patients were compared. To minimize confounding factors, 1:1 propensity score matching and coarsened exact matching were performed. Results: The study group comprised 559, 753, and 58 patients who did not have cirrhosis, Child-Pugh A, and Child-Pugh B cirrhosis, respectively. Six-hundred and thirty patients with cirrhosis had portal hy-pertension, and 170 did not.After propensity score matching and coarsened exact matching, Child-Pugh A patients with cirrhosis undergoing minimally invasive left lateral sectionectomies had longer operative time, higher intraoperative blood loss, higher transfusion rate, and longer hospital stay than patients without cirrhosis. The extent of cirrhosis did not significantly impact perioperative outcomes except for a longer duration of hospital stay. Conclusion: Liver cirrhosis adversely affected the intraoperative technical difficulty and perioperative outcomes of minimally invasive left lateral sectionectomies. |
Persistent Identifier | http://hdl.handle.net/10722/339430 |
ISSN | 2023 Impact Factor: 3.2 2023 SCImago Journal Rankings: 1.096 |
ISI Accession Number ID |
DC Field | Value | Language |
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dc.contributor.author | Coelho, Fabricio Ferreira | - |
dc.contributor.author | Herman, Paulo | - |
dc.contributor.author | Kruger, Jaime AP | - |
dc.contributor.author | Wu, Andrew GR | - |
dc.contributor.author | Chin, Ken-Min | - |
dc.contributor.author | Hasegawa, Kiyoshi | - |
dc.contributor.author | Zhang, Wanguang | - |
dc.contributor.author | Alzoubi, Mohammad | - |
dc.contributor.author | Aghayan, Davit L | - |
dc.contributor.author | Siow, Tiing-Foong | - |
dc.contributor.author | Scatton, Olivier | - |
dc.contributor.author | Kingham, T Peter | - |
dc.contributor.author | Marino, Marco V | - |
dc.contributor.author | Mazzaferro, Vincenzo | - |
dc.contributor.author | Chiow, Adrian KH | - |
dc.contributor.author | Sucandy, Iswanto | - |
dc.contributor.author | Ivanecz, Arpad | - |
dc.contributor.author | Choi, Sung Hoon | - |
dc.contributor.author | Lee, Jae Hoon | - |
dc.contributor.author | Gastaca, Mikel | - |
dc.contributor.author | Vivarelli, Marco | - |
dc.contributor.author | Giuliante, Felice | - |
dc.contributor.author | Ruzzenente, Andrea | - |
dc.contributor.author | Yong, Chee-Chien | - |
dc.contributor.author | Dokmak, Safi | - |
dc.contributor.author | Fondevila, Constantino | - |
dc.contributor.author | Efanov, Mikhail | - |
dc.contributor.author | Morise, Zenichi | - |
dc.contributor.author | Di Benedetto, Fabrizio | - |
dc.contributor.author | Brustia, Raffaele | - |
dc.contributor.author | Valle, Raffaele Dalla | - |
dc.contributor.author | Boggi, Ugo | - |
dc.contributor.author | Geller, David | - |
dc.contributor.author | Belli, Andrea | - |
dc.contributor.author | Memeo, Riccardo | - |
dc.contributor.author | Gruttadauria, Salvatore | - |
dc.contributor.author | Mejia, Alejandro | - |
dc.contributor.author | Park, James O | - |
dc.contributor.author | Rotellar, Fernando | - |
dc.contributor.author | Choi, Gi Hong | - |
dc.contributor.author | Robles-Campos, Ricardo | - |
dc.contributor.author | Wang, Xiaoying | - |
dc.contributor.author | Sutcliffe, Robert P | - |
dc.contributor.author | Pratschke, Johann | - |
dc.contributor.author | Lai, Eric CH | - |
dc.contributor.author | Chong, Charing CN | - |
dc.contributor.author | D’Hondt, Mathieu | - |
dc.contributor.author | Monden, Kazuteru | - |
dc.contributor.author | Lopez-Ben, Santiago | - |
dc.contributor.author | Liu, Rong | - |
dc.contributor.author | Ferrero, Alessandro | - |
dc.contributor.author | Ettorre, Giuseppe Maria | - |
dc.contributor.author | Cipriani, Federica | - |
dc.contributor.author | Cherqui, Daniel | - |
dc.contributor.author | Liang, Xiao | - |
dc.contributor.author | Soubrane, Olivier | - |
dc.contributor.author | Wakabayashi, Go | - |
dc.contributor.author | Troisi, Roberto I | - |
dc.contributor.author | Yin, Mengqiu | - |
dc.contributor.author | Cheung, Tan-To | - |
dc.contributor.author | Sugioka, Atsushi | - |
dc.contributor.author | Han, Ho-Seong | - |
dc.contributor.author | Long, Tran Cong Duy | - |
dc.contributor.author | Fuks, David | - |
dc.contributor.author | Abu, Hilal Mohammad | - |
dc.contributor.author | Chen, Kuo-Hsin | - |
dc.contributor.author | Aldrighetti, Luca | - |
dc.contributor.author | Edwin, Bjørn | - |
dc.contributor.author | Goh, Brian KP | - |
dc.contributor.author | Syn, Nicholas L | - |
dc.contributor.author | Prieto, Mikel | - |
dc.contributor.author | Meurs, Juul | - |
dc.contributor.author | de Meyere, Celine | - |
dc.contributor.author | Lee, Kit-Fai | - |
dc.contributor.author | Salimgereeva, Diana | - |
dc.contributor.author | Alikhanov, Ruslan | - |
dc.contributor.author | Kato, Yutaro | - |
dc.contributor.author | Kojima, Masayuki | - |
dc.contributor.author | Robert, Margarida Casellas I | - |
dc.contributor.author | Lee, Boram | - |
dc.contributor.author | D’Silva, Mizelle | - |
dc.contributor.author | Saleh, Mansour | - |
dc.contributor.author | Pascual, Franco | - |
dc.contributor.author | Ardito, Francesco | - |
dc.contributor.author | Citterio, Davide | - |
dc.contributor.author | Mocchegiani, Federico | - |
dc.contributor.author | Berardi, Giammauro | - |
dc.contributor.author | Colasanti, Marco | - |
dc.contributor.author | Guzmán, Yoelimar | - |
dc.contributor.author | Labadie, Kevin P | - |
dc.contributor.author | Conticchio, Maria | - |
dc.contributor.author | Dogeas, Epameinondas | - |
dc.contributor.author | Kauffmann, Emanuele F | - |
dc.contributor.author | Giuffrida, Mario | - |
dc.contributor.author | Laurent, Alexis | - |
dc.contributor.author | Magistri, Paolo | - |
dc.contributor.author | Mishima, Kohei | - |
dc.contributor.author | Schmelzle, Moritz | - |
dc.contributor.author | Krenzien, Felix | - |
dc.contributor.author | Kadam, Prashant | - |
dc.contributor.author | Lai, Eric C | - |
dc.contributor.author | Ghotbi, Jacob | - |
dc.contributor.author | Fretland, Åsmund Avdem | - |
dc.contributor.author | Forchino, Fabio | - |
dc.contributor.author | Mazzotta, Alessandro | - |
dc.contributor.author | Cauchy, Francois | - |
dc.contributor.author | Kawaguchi, Yoshikuni | - |
dc.contributor.author | Lim, Chetana | - |
dc.contributor.author | Valle, Bernardo Dalla | - |
dc.contributor.author | Liu, Qu | - |
dc.contributor.author | Zheng, Junhao | - |
dc.contributor.author | Nghia, Phan Phuoc | - |
dc.contributor.author | Chen, Zewei | - |
dc.contributor.author | Yu, Shian | - |
dc.date.accessioned | 2024-03-11T10:36:33Z | - |
dc.date.available | 2024-03-11T10:36:33Z | - |
dc.date.issued | 2023-09-01 | - |
dc.identifier.citation | Surgery, 2023, v. 174, n. 3, p. 581-592 | - |
dc.identifier.issn | 0039-6060 | - |
dc.identifier.uri | http://hdl.handle.net/10722/339430 | - |
dc.description.abstract | <p>Background: The impact of cirrhosis and portal hypertension on perioperative outcomes of minimally invasive left lateral sectionectomies remains unclear. We aimed to compare the perioperative outcomes between patients with preserved and compromised liver function (noncirrhotics versus Child-Pugh A) when undergoing minimally invasive left lateral sectionectomies. In addition, we aimed to determine if the extent of cirrhosis (Child-Pugh A versus B) and the presence of portal hypertension had a significant impact on perioperative outcomes. Methods: This was an international multicenter retrospective analysis of 1,526 patients who underwent minimally invasive left lateral sectionectomies for primary liver malignancies at 60 centers worldwide between 2004 and 2021. In the study, 1,370 patients met the inclusion criteria and formed the final study group. Baseline clinicopathological characteristics and perioperative outcomes of these patients were compared. To minimize confounding factors, 1:1 propensity score matching and coarsened exact matching were performed. Results: The study group comprised 559, 753, and 58 patients who did not have cirrhosis, Child-Pugh A, and Child-Pugh B cirrhosis, respectively. Six-hundred and thirty patients with cirrhosis had portal hy-pertension, and 170 did not.After propensity score matching and coarsened exact matching, Child-Pugh A patients with cirrhosis undergoing minimally invasive left lateral sectionectomies had longer operative time, higher intraoperative blood loss, higher transfusion rate, and longer hospital stay than patients without cirrhosis. The extent of cirrhosis did not significantly impact perioperative outcomes except for a longer duration of hospital stay. Conclusion: Liver cirrhosis adversely affected the intraoperative technical difficulty and perioperative outcomes of minimally invasive left lateral sectionectomies.<br></p> | - |
dc.language | eng | - |
dc.publisher | Elsevier | - |
dc.relation.ispartof | Surgery | - |
dc.rights | This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. | - |
dc.title | Impact of liver cirrhosis, the severity of cirrhosis, and portal hypertension on the outcomes of minimally invasive left lateral sectionectomies for primary liver malignancies | - |
dc.type | Article | - |
dc.identifier.doi | 10.1016/j.surg.2023.04.057 | - |
dc.identifier.scopus | eid_2-s2.0-85163341992 | - |
dc.identifier.volume | 174 | - |
dc.identifier.issue | 3 | - |
dc.identifier.spage | 581 | - |
dc.identifier.epage | 592 | - |
dc.identifier.eissn | 1532-7361 | - |
dc.identifier.isi | WOS:001053734700001 | - |
dc.identifier.issnl | 0039-6060 | - |