Open versus laparoscopic liver resection: Looking beyond the immediate postoperative period

Joshua D. Gustafson, Justin P. Fox, James R. Ouellette, Minia Hellan, Paula Termuhlen, Mary C. McCarthy, Thavam Thambi-Pillai

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Background: Laparoscopic liver resection for malignant disease has shown short-term benefit. This study aimed to compare in-house, 30-day, and 1-year morbidity between laparoscopic and open liver resections. Methods: The charts for all patients who underwent liver resection for malignant disease between April 2006 and October 2009 were reviewed. Patient, operative, and outcomes data at 30 days and 1 year were collected. Results: For 76 patients, 49 open and 27 laparoscopic resections were performed. The two groups were similar in terms of age, gender, body mass index (BMI), extent of liver resection, use of ablation therapy, and tumor pathology (P > 0.05). The laparoscopic group had less blood loss (P = 0.004) and shorter hospital stays (P = 0.002). During their hospital stay, patients treated laparoscopically had fewer complications, but the difference was not significant. Home disposition was similar in the laparoscopic (96%) and open (90%) groups. More patients were readmitted at 30 days (2 vs. 9; P = 0.31) and 1 year (4 vs. 19; P = 0.04) in the open group. The all-cause 1-year mortality rates were similar between the laparoscopic and open groups (14.8% vs. 10.2%). Conclusion: The benefits of laparoscopic liver resection may extend beyond the initial postoperative period, with fewer readmissions despite shorter hospital stays. This also may suggest lower long-term hospital costs.

Original languageEnglish (US)
Pages (from-to)468-472
Number of pages5
JournalSurgical Endoscopy
Volume26
Issue number2
DOIs
StatePublished - Jan 1 2012

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Postoperative Period
Liver
Length of Stay
Hospital Costs
Body Mass Index
Pathology
Morbidity
Mortality
Neoplasms
Therapeutics

Keywords

  • Laparoscopic
  • Liver resection
  • Morbidity
  • Outcomes

Cite this

Gustafson, J. D., Fox, J. P., Ouellette, J. R., Hellan, M., Termuhlen, P., McCarthy, M. C., & Thambi-Pillai, T. (2012). Open versus laparoscopic liver resection: Looking beyond the immediate postoperative period. Surgical Endoscopy, 26(2), 468-472. https://doi.org/10.1007/s00464-011-1902-z

Open versus laparoscopic liver resection : Looking beyond the immediate postoperative period. / Gustafson, Joshua D.; Fox, Justin P.; Ouellette, James R.; Hellan, Minia; Termuhlen, Paula; McCarthy, Mary C.; Thambi-Pillai, Thavam.

In: Surgical Endoscopy, Vol. 26, No. 2, 01.01.2012, p. 468-472.

Research output: Contribution to journalArticle

Gustafson, JD, Fox, JP, Ouellette, JR, Hellan, M, Termuhlen, P, McCarthy, MC & Thambi-Pillai, T 2012, 'Open versus laparoscopic liver resection: Looking beyond the immediate postoperative period', Surgical Endoscopy, vol. 26, no. 2, pp. 468-472. https://doi.org/10.1007/s00464-011-1902-z
Gustafson, Joshua D. ; Fox, Justin P. ; Ouellette, James R. ; Hellan, Minia ; Termuhlen, Paula ; McCarthy, Mary C. ; Thambi-Pillai, Thavam. / Open versus laparoscopic liver resection : Looking beyond the immediate postoperative period. In: Surgical Endoscopy. 2012 ; Vol. 26, No. 2. pp. 468-472.
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