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Changes in performance with more than 1,000 minimally invasive liver resections

JAMA Oct 24, 2020

Swaid F, Sucandy I, Tohme S, et al. - In view of the increasing popularity of laparoscopic liver resection (LLR), researchers sought to report their performance with minimally invasive liver resections in 1,062 patients at a single center from calendar years 2001 to 2017. These patients included 203 patients undergoing LLR in 2001 through 2007, 426 in 2008 through 2012, and 433 in 2013 through 2017. With greater experience, improvement in surgical performance for LLR and reduction in perioperative morbidity were observed. This seems to be one of the largest single-center series of LLR reported worldwide. Looking at LLR in more than 9500 patients, a meta-analysis indicated LLR vs open liver resection to be correlated with comparable mortality and significantly fewer complications, transfusions, blood loss, and hospital stays.

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