Comparison of the surgical difficulty between segment 7 and 8 partial liver resection untilizing the laparoscopic and open approaches.

IF 1.6 4区医学 Q2 SURGERY

Surgery Today Pub Date : 2025-04-09 DOI:10.1007/s00595-025-03037-7

Hidetoshi Gon, Akihiro Fujisawa, Shohei Komatsu, Motofumi Tanaka, Kenji Fukushima, Takeshi Urade, Toshihiko Yoshida, Keisuke Arai, Jun Ishida, Yoshihide Nanno, Daisuke Tsugawa, Hiroaki Yanagimoto, Hirochika Toyama, Masahiro Kido, Takumi Fukumoto

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引用次数: 0

Abstract

Purpose: We aimed to investigate the differences in surgical difficulty between laparoscopic partial liver resections of segments 7 and 8.

Methods: We analyzed 173 patients who underwent partial liver resections of segments 7 or 8 between 2010 and 2022 at two institutions. We investigated differences in the surgical outcomes of each procedure using propensity score matching. We compared these outcomes with those of open partial liver resections for segments 7 and 8 to determine whether the differences were unique to the laparoscopic approach.

Results: Thirty and 54 patients underwent laparoscopic partial liver resections of segments 7 and 8. In the matched cohort (22 in each group), the operation time was significantly longer (377 vs. 278 min, P = 0.020) and the proportion of postoperative complications significantly higher in segment 7 (27% vs. 0%, P = 0.008). Forty-one and 48 patients underwent open partial liver resections of segments 7 and 8, respectively. There were no significant differences in the surgical outcomes between the segments in the matched cohort (20 in each group).

Conclusions: Laparoscopic partial liver resections of segment 7 may be more challenging than that of segment 8. This difference in difficulty was not observed in open partial liver resections.

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7、8节段肝部分切除术腹腔镜与开放入路手术难度比较。

目的：探讨腹腔镜肝部分切除7段和8段手术难度的差异。方法：我们分析了2010年至2022年间在两家机构接受了7段或8段部分肝切除术的173例患者。我们使用倾向评分匹配调查了每种手术结果的差异。我们将这些结果与7节段和8节段的开放部分肝切除术的结果进行比较，以确定这种差异是否是腹腔镜方法所特有的。结果：30例和54例患者行腹腔镜肝部分切除7节段和8节段。匹配队列中（每组22例），手术时间明显延长（377 vs 278 min, P = 0.020）， 7段术后并发症发生率明显高于（27% vs 0%, P = 0.008）。41例和48例分别行7段和8段肝部分切除术。配对队列中各节段（每组20例）的手术结果无显著差异。结论：腹腔镜肝部分切除7节段可能比8节段更具挑战性。在开放性部分肝切除术中没有观察到这种困难的差异。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Surgery Today 医学-外科

CiteScore

4.90

自引率

4.00%

发文量

208

审稿时长

1 months

期刊介绍： Surgery Today is the official journal of the Japan Surgical Society. The main purpose of the journal is to provide a place for the publication of high-quality papers documenting recent advances and new developments in all fields of surgery, both clinical and experimental. The journal welcomes original papers, review articles, and short communications, as well as short technical reports("How to do it"). The "How to do it" section will includes short articles on methods or techniques recommended for practical surgery. Papers submitted to the journal are reviewed by an international editorial board. Field of interest: All fields of surgery.