[Textbook outcome for liver resection. Survey of respondents in national centers].

Abstract

Objective: To develop a domestic model of the textbook outcome (TO) for liver resection and to compare it with the European model.

Material and methods: We surveyed 73 respondents from Russian centers. A list of parameters was sent to respondents by email. The voting result was positive when 70% consolidation of opinions was achieved.

Results: Considering Russian and European surveys, we formed TO models including 8 criteria for laparoscopic resection and 7 criteria for open resection. In Russian survey, 70% agreement was reached on 6 criteria for both types of resection. Two additional criteria were included In Russian TO as the most consolidated although they did not reach 70% threshold. Differences between European and Russian models include no redo intervention after resection (endoscopic or percutaneous), acceptability of grade A bile leakage (ISGLS), and no liver failure criterion in European TO. Other positions were the same. The most questionable criterion was duration of in-hospital treatment after liver resections. Both models include the most popular judgments without 70% consolidation.

Conclusion: TO models for liver resection demonstrated similar judgments of surveyed respondent In Russia and Europe. Nevertheless, certain differences prompt to further evaluation of some criteria, as well as TO validation in domestic practice.