Reduced opioid-demand and fewer pulmonary complications after laparoscopic liver resection in the posterior segments
Digestive Surgery Mar 10, 2019
Del Pino S, et al. - Via this single-centre study, researchers investigated the advantages and limitations of laparoscopic liver resection (LLR) of lesions in the posterior segments (segments 6 and 7) in comparison to the open procedure. They retrospectively analyzed the perioperative data of 366 consecutive liver resections, of these, 35 patients met the inclusion criteria; 20 patients underwent open liver resection, while 15 patients underwent pure LLR. They identified via positioning the patient in a left lateral decubitus position, the technical challenge of laparoscopic access for lesions in the posterior segments could be avoided. Despite a comparable rate of postoperative complications, according to the Dindo-Clavien classification, the LLR group displayed less pulmonary complications and a lower opioid-demand. Outcomes suggest that with significantly less postoperative pulmonary complications and lower opioid-demand, LLR of posterior lesions is safe and feasible for selected cases, even during the learning phase.
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