Impact of body mass index on the difficulty and outcomes of laparoscopic left lateral sectionectomy

Review Gastroenterology & Hepatology

Systematic review and meta-analysis of difficulty scoring systems for laparoscopic and robotic liver resections

Yun-Le Linn et al.

Summary: This study reviewed the literature on difficulty scoring systems (DSS) for minimally invasive liver resection (MILR) and found that existing DSS are effective in predicting the difficulty of the surgery.

JOURNAL OF HEPATO-BILIARY-PANCREATIC SCIENCES (2023)

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Article Surgery

Association of standardized liver volume and body mass index with outcomes of minimally invasive liver resections

Darren W. Chua et al.

Summary: This study analyzed the effects of body mass index (BMI) and standardized liver volume (SLV) on outcomes in minimally invasive liver resections (MILR). The results showed that high BMI and SLV were associated with increased blood loss and operative conversions, while low BMI was associated with a higher risk of major complications.

SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES (2023)

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Article Oncology

The impact of body mass index on short-term and long-term surgical outcomes of laparoscopic hepatectomy in liver carcinoma patients: a retrospective study

Lei Zhao et al.

Summary: This study evaluated the influence of body mass index (BMI) on surgical outcomes of laparoscopic hepatectomy for liver carcinoma patients. The study found that BMI status did not affect long-term surgical outcomes in terms of overall survival and relapse-free survival. However, being underweight was associated with a higher perioperative complication rate, highlighting the need for careful monitoring in these patients.

WORLD JOURNAL OF SURGICAL ONCOLOGY (2022)

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Article Surgery

Factors associated with and impact of open conversion on the outcomes of minimally invasive left lateral sectionectomies: An international multicenter study

Hao Ping Wang et al.

Summary: This study analyzed the risk factors and impact on perioperative outcomes of open conversion after minimally invasive left lateral sectionectomy. Male gender, presence of clinically significant portal hypertension, and larger tumor size were identified as independent factors associated with open conversion. Open conversion was associated with inferior perioperative outcomes compared with non-converted cases.

SURGERY (2022)

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Article Surgery

Impact of liver cirrhosis on the difficulty of minimally-invasive liver resections: a 1:1 coarsened exact-matched controlled study

Brian K. P. Goh et al.

Summary: The presence of liver cirrhosis significantly affects both the intraoperative technical difficulty and postoperative outcomes of MILR, suggesting that cirrhosis should be considered an important parameter in future difficulty scoring systems for MILR.

SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES (2021)

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Article Gastroenterology & Hepatology

Laparoscopic hepatectomy reduces postoperative complications and hospital stay in overweight and obese patients

Daniel Heise et al.

Summary: This study analyzed the postoperative outcomes of overweight and obese patients undergoing laparoscopic liver surgery, finding that compared to open hepatectomy, laparoscopic surgery performed better in terms of operative time, length of hospital stay, and complications. Laparoscopic surgery also showed shorter operative time and hospital stay in obese patients.

WORLD JOURNAL OF GASTROINTESTINAL SURGERY (2021)

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Review Surgery

Body mass index and surgical outcomes in laparoscopic liver resections: a systematic review

Bianca Kwan et al.

Summary: This systematic review analyzed the outcomes of laparoscopic liver resection in obese patients. The results showed that, while operative time may be increased, overall LLR is safe for obese patients, with no significant increase in mortality or major complications. Further studies are needed to confirm these findings.

ANZ JOURNAL OF SURGERY (2021)

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Article Surgery

International multicentre propensity score-matched analysis comparing robotic versus laparoscopic right posterior sectionectomy

Adrian K. H. Chiow et al.

Summary: A retrospective analysis of 340 patients undergoing minimally invasive right posterior sectionectomy (RPS) found that robotic-assisted RPS (R-RPS) had better outcomes in terms of reduced blood loss and lower open conversion rates compared to laparoscopic RPS (L-RPS).

BRITISH JOURNAL OF SURGERY (2021)

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Review Surgery

Learning curves in minimally invasive hepatectomy: systematic review and meta-regression analysis

Darren Chua et al.

Summary: The overall learning curve for MIH has decreased steadily over time, and the learning curve for RLR appears less steep compared to LLR.

BRITISH JOURNAL OF SURGERY (2021)

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Article Surgery

Laparoscopic and open liver resection for hepatocellular carcinoma with Child-Pugh B cirrhosis: multicentre propensity score-matched study

R. Troisi et al.

Summary: For patients with Child-Pugh B cirrhosis undergoing liver resection for HCC, laparoscopic surgery is associated with lower blood loss, lower morbidity, and shorter hospital stay compared to open surgery. However, the 5-year overall and disease-free survival rates do not significantly differ between the two approaches. Patients without preoperative portal hypertension and Child-Pugh B7 cirrhosis may benefit most from laparoscopic liver surgery.

BRITISH JOURNAL OF SURGERY (2021)

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Article Surgery