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Are Hybrid Liver Resections Truly Minimally Invasive? A Propensity Score Matching Analysis.
Coelho, Fabricio Ferreira; Kruger, Jaime Arthur Pirola; Jeismann, Vagner Birk; Fonseca, Gilton Marques; Makdissi, Fábio Ferrari; Ferreira, Leandro Augusto; D'Albuquerque, Luiz Augusto Carneiro; Cecconello, Ivan; Herman, Paulo.
Afiliação
  • Coelho FF; 1 Digestive Surgery Division, Department of Gastroenterology, University of São Paulo Medical School , São Paulo, Brazil .
  • Kruger JAP; 1 Digestive Surgery Division, Department of Gastroenterology, University of São Paulo Medical School , São Paulo, Brazil .
  • Jeismann VB; 2 Digestive Surgery Division, Department of Surgery, Cancer Institute of the State of São Paulo (ICESP) , São Paulo, Brazil .
  • Fonseca GM; 1 Digestive Surgery Division, Department of Gastroenterology, University of São Paulo Medical School , São Paulo, Brazil .
  • Makdissi FF; 2 Digestive Surgery Division, Department of Surgery, Cancer Institute of the State of São Paulo (ICESP) , São Paulo, Brazil .
  • Ferreira LA; 1 Digestive Surgery Division, Department of Gastroenterology, University of São Paulo Medical School , São Paulo, Brazil .
  • D'Albuquerque LAC; 2 Digestive Surgery Division, Department of Surgery, Cancer Institute of the State of São Paulo (ICESP) , São Paulo, Brazil .
  • Cecconello I; 1 Digestive Surgery Division, Department of Gastroenterology, University of São Paulo Medical School , São Paulo, Brazil .
  • Herman P; 3 Liver and Gastrointestinal Transplant Division, Department of Gastroenterology, University of São Paulo Medical School , São Paulo, Brazil .
J Laparoendosc Adv Surg Tech A ; 27(12): 1236-1244, 2017 Dec.
Article em En | MEDLINE | ID: mdl-28498007
BACKGROUND: Hybrid liver resection is considered a modality of minimally invasive surgery; however, there are doubts regarding loss of benefits of laparoscopy due to the use of an auxiliary incision. We compared perioperative results of patients undergoing hybrid × open and hybrid × pure laparoscopic resections. METHODS: Consecutive patients undergoing liver resection between June 2008 and January 2016 were studied. Study groups were compared after propensity score matching (PSM). RESULTS: Six hundred forty-four resections were included in the comparative analysis: 470 open, 120 pure laparoscopic, and 54 hybrids. After PSM, 54 patients were included in each group. Hybrid × open: hybrid technique had shorter operative time (319.5 ± 108.6 × 376.2 ± 155.8 minutes, P = .033), shorter hospital stay (6.0 ± 2.7 × 8.1 ± 5.6 days, P = .001), and lower morbidity (18.5% × 40.7%, P = .003). Hybrid × pure laparoscopic: hybrid group had lower conversion rate (0% × 13%, P = .013). There was no difference regarding estimated blood loss, transfusion rate, hospital stay, complications, or mortality. CONCLUSIONS: Hybrid resection has better perioperative results than the open approach and is similar to pure laparoscopy. The hybrid technique should be considered a minimally invasive approach.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Procedimentos Cirúrgicos Minimamente Invasivos / Hepatectomia Tipo de estudo: Observational_studies / Risk_factors_studies Limite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: J Laparoendosc Adv Surg Tech A Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Procedimentos Cirúrgicos Minimamente Invasivos / Hepatectomia Tipo de estudo: Observational_studies / Risk_factors_studies Limite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: J Laparoendosc Adv Surg Tech A Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos