Safety and Efficacy of Laparoscopic Caudate Lobectomy: A Systematic Review

Resection of the caudate lobe of the liver is considered a highly challenging type of liver resection due to the region’s intimacy with critical vascular structures and deep anatomic location inside the abdominal cavity. Laparoscopic resection of the caudate lobe is considered one of the most challe...

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Autores principales:	Panagiotis Dorovinis, Nikolaos Machairas, Stylianos Kykalos, Paraskevas Stamopoulos, Spyridon Vernadakis, Georgios C Sotiropoulos
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	caudate lobe segment I spiegel lobe laparoscopic liver resection hepatectomy Medicine R
Acceso en línea:	https://doaj.org/article/fad7d98d6ee44fc784ece88b46edcc6a
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spelling	oai:doaj.org-article:fad7d98d6ee44fc784ece88b46edcc6a2021-11-11T17:33:11ZSafety and Efficacy of Laparoscopic Caudate Lobectomy: A Systematic Review10.3390/jcm102149072077-0383https://doaj.org/article/fad7d98d6ee44fc784ece88b46edcc6a2021-10-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/21/4907https://doaj.org/toc/2077-0383Resection of the caudate lobe of the liver is considered a highly challenging type of liver resection due to the region’s intimacy with critical vascular structures and deep anatomic location inside the abdominal cavity. Laparoscopic resection of the caudate lobe is considered one of the most challenging laparoscopic liver procedures. The objective of our systematic review was to evaluate the safety, technical feasibility and main outcomes of laparoscopic caudate lobectomy LCL. A systematic review of the literature was undertaken for studies published until September 2021. A total of 20 studies comprising 221 patients were included. Of these subjects, 36% were women, whereas the vast majority of resections (66%) were performed for malignant tumors. Tumor size varied significantly between 2 and 160 mm in the largest diameter. The mean operative time was 210 min (range 60–740 min), and estimated blood loss was 173.6 mL (range 50–3600 mL). The median hospital length of stay LOS was 6.5 days (range 2–15 days). Seven cases of conversion to open were reported. The vast majority of patients (93.7%) underwent complete resection (R0) of their tumors. Thirty-six out of 221 patients developed postoperative complications, with 5.8% of all patients developing a major complication (Clavien–Dindo classification ≥ III).No perioperative deaths were reported by the included studies. LCL seems to be a safe and feasible alternative to open caudate lobectomy OCL in selected patients when undertaken in high-volume centers by experienced surgeons.Panagiotis DorovinisNikolaos MachairasStylianos KykalosParaskevas StamopoulosSpyridon VernadakisGeorgios C SotiropoulosMDPI AGarticlecaudate lobesegment Ispiegel lobelaparoscopicliver resectionhepatectomyMedicineRENJournal of Clinical Medicine, Vol 10, Iss 4907, p 4907 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	caudate lobe segment I spiegel lobe laparoscopic liver resection hepatectomy Medicine R
spellingShingle	caudate lobe segment I spiegel lobe laparoscopic liver resection hepatectomy Medicine R Panagiotis Dorovinis Nikolaos Machairas Stylianos Kykalos Paraskevas Stamopoulos Spyridon Vernadakis Georgios C Sotiropoulos Safety and Efficacy of Laparoscopic Caudate Lobectomy: A Systematic Review
description	Resection of the caudate lobe of the liver is considered a highly challenging type of liver resection due to the region’s intimacy with critical vascular structures and deep anatomic location inside the abdominal cavity. Laparoscopic resection of the caudate lobe is considered one of the most challenging laparoscopic liver procedures. The objective of our systematic review was to evaluate the safety, technical feasibility and main outcomes of laparoscopic caudate lobectomy LCL. A systematic review of the literature was undertaken for studies published until September 2021. A total of 20 studies comprising 221 patients were included. Of these subjects, 36% were women, whereas the vast majority of resections (66%) were performed for malignant tumors. Tumor size varied significantly between 2 and 160 mm in the largest diameter. The mean operative time was 210 min (range 60–740 min), and estimated blood loss was 173.6 mL (range 50–3600 mL). The median hospital length of stay LOS was 6.5 days (range 2–15 days). Seven cases of conversion to open were reported. The vast majority of patients (93.7%) underwent complete resection (R0) of their tumors. Thirty-six out of 221 patients developed postoperative complications, with 5.8% of all patients developing a major complication (Clavien–Dindo classification ≥ III).No perioperative deaths were reported by the included studies. LCL seems to be a safe and feasible alternative to open caudate lobectomy OCL in selected patients when undertaken in high-volume centers by experienced surgeons.
format	article
author	Panagiotis Dorovinis Nikolaos Machairas Stylianos Kykalos Paraskevas Stamopoulos Spyridon Vernadakis Georgios C Sotiropoulos
author_facet	Panagiotis Dorovinis Nikolaos Machairas Stylianos Kykalos Paraskevas Stamopoulos Spyridon Vernadakis Georgios C Sotiropoulos
author_sort	Panagiotis Dorovinis
title	Safety and Efficacy of Laparoscopic Caudate Lobectomy: A Systematic Review
title_short	Safety and Efficacy of Laparoscopic Caudate Lobectomy: A Systematic Review
title_full	Safety and Efficacy of Laparoscopic Caudate Lobectomy: A Systematic Review
title_fullStr	Safety and Efficacy of Laparoscopic Caudate Lobectomy: A Systematic Review
title_full_unstemmed	Safety and Efficacy of Laparoscopic Caudate Lobectomy: A Systematic Review
title_sort	safety and efficacy of laparoscopic caudate lobectomy: a systematic review
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/fad7d98d6ee44fc784ece88b46edcc6a
work_keys_str_mv	AT panagiotisdorovinis safetyandefficacyoflaparoscopiccaudatelobectomyasystematicreview AT nikolaosmachairas safetyandefficacyoflaparoscopiccaudatelobectomyasystematicreview AT stylianoskykalos safetyandefficacyoflaparoscopiccaudatelobectomyasystematicreview AT paraskevasstamopoulos safetyandefficacyoflaparoscopiccaudatelobectomyasystematicreview AT spyridonvernadakis safetyandefficacyoflaparoscopiccaudatelobectomyasystematicreview AT georgioscsotiropoulos safetyandefficacyoflaparoscopiccaudatelobectomyasystematicreview
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Safety and Efficacy of Laparoscopic Caudate Lobectomy: A Systematic Review

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