Laparoscopic isolated caudate lobe resection

Abstract Previously, isolated caudate lobectomy was rarely performed and the caudate lobe was usually resected along with other segments. Isolated caudate lobe resection is a challenging procedure even for an experienced surgeon. Our aim was to evaluate the feasibility, safety and outcomes of laparo...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Maulik Parikh, Ho-Seong Han, Jai Young Cho, Mizelle D’Silva
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/6e2a92c67f4e471bbc5c34f622298787
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:6e2a92c67f4e471bbc5c34f622298787
record_format	dspace
spelling	oai:doaj.org-article:6e2a92c67f4e471bbc5c34f6222987872021-12-02T14:28:22ZLaparoscopic isolated caudate lobe resection10.1038/s41598-021-82262-92045-2322https://doaj.org/article/6e2a92c67f4e471bbc5c34f6222987872021-02-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-82262-9https://doaj.org/toc/2045-2322Abstract Previously, isolated caudate lobectomy was rarely performed and the caudate lobe was usually resected along with other segments. Isolated caudate lobe resection is a challenging procedure even for an experienced surgeon. Our aim was to evaluate the feasibility, safety and outcomes of laparoscopic isolated caudate lobectomy and to compare these with the open technique. We retrospectively analyzed 21 patients who underwent isolated caudate lobectomy between January 2005 and December 2018 at Seoul National University Bundang Hospital. Patients who underwent either anatomical or non-anatomical resection of the caudate lobe were included. Patients were divided into two groups according to whether they underwent laparoscopic or open surgery. Intra-operative and postoperative outcomes were compared with a median follow-up of 43 months (4–149). A total of 21 patients were included in the study. Of these, 12 (57.14%) underwent laparoscopic and nine (42.85%) underwent open caudate lobectomy. Median operation time (204.5 vs. 200 minutes, p = 0.397), estimated blood loss (250 vs. 400 ml, p = 0.214) and hospital stay (4 vs. 7 days, p = 0.298) were comparable between laparoscopy and open group. The overall post operative complication rate was similar in both groups (p = 0.375). The 5-year disease free survival rate (42.9% vs 60.0%, p = 0.700) and the 5-year overall survival rate (76.2% vs 64.8%, p = 0.145) was similar between laparoscopy and open group. Our findings demonstrate that with increasing surgical expertise and technological advances, laparoscopic isolated caudate lobectomy can become a feasible and safe in selected patients.Maulik ParikhHo-Seong HanJai Young ChoMizelle D’SilvaNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Maulik Parikh Ho-Seong Han Jai Young Cho Mizelle D’Silva Laparoscopic isolated caudate lobe resection
description	Abstract Previously, isolated caudate lobectomy was rarely performed and the caudate lobe was usually resected along with other segments. Isolated caudate lobe resection is a challenging procedure even for an experienced surgeon. Our aim was to evaluate the feasibility, safety and outcomes of laparoscopic isolated caudate lobectomy and to compare these with the open technique. We retrospectively analyzed 21 patients who underwent isolated caudate lobectomy between January 2005 and December 2018 at Seoul National University Bundang Hospital. Patients who underwent either anatomical or non-anatomical resection of the caudate lobe were included. Patients were divided into two groups according to whether they underwent laparoscopic or open surgery. Intra-operative and postoperative outcomes were compared with a median follow-up of 43 months (4–149). A total of 21 patients were included in the study. Of these, 12 (57.14%) underwent laparoscopic and nine (42.85%) underwent open caudate lobectomy. Median operation time (204.5 vs. 200 minutes, p = 0.397), estimated blood loss (250 vs. 400 ml, p = 0.214) and hospital stay (4 vs. 7 days, p = 0.298) were comparable between laparoscopy and open group. The overall post operative complication rate was similar in both groups (p = 0.375). The 5-year disease free survival rate (42.9% vs 60.0%, p = 0.700) and the 5-year overall survival rate (76.2% vs 64.8%, p = 0.145) was similar between laparoscopy and open group. Our findings demonstrate that with increasing surgical expertise and technological advances, laparoscopic isolated caudate lobectomy can become a feasible and safe in selected patients.
format	article
author	Maulik Parikh Ho-Seong Han Jai Young Cho Mizelle D’Silva
author_facet	Maulik Parikh Ho-Seong Han Jai Young Cho Mizelle D’Silva
author_sort	Maulik Parikh
title	Laparoscopic isolated caudate lobe resection
title_short	Laparoscopic isolated caudate lobe resection
title_full	Laparoscopic isolated caudate lobe resection
title_fullStr	Laparoscopic isolated caudate lobe resection
title_full_unstemmed	Laparoscopic isolated caudate lobe resection
title_sort	laparoscopic isolated caudate lobe resection
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/6e2a92c67f4e471bbc5c34f622298787
work_keys_str_mv	AT maulikparikh laparoscopicisolatedcaudateloberesection AT hoseonghan laparoscopicisolatedcaudateloberesection AT jaiyoungcho laparoscopicisolatedcaudateloberesection AT mizelledsilva laparoscopicisolatedcaudateloberesection
_version_	1718391258230030336

Laparoscopic isolated caudate lobe resection

Ejemplares similares