Resection type is a predictor of postoperative complications in laparoscopic partial liver resection
Background Partial laparoscopic liver resection (LLR) is a procedure that can have varying levels of surgical difficulty depending on the tumor status and procedure. Therefore, we aimed to evaluate the surgical outcomes of partial LLR using a new resection classification system. Methods From January...
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| Veröffentlicht in: | Surgical endoscopy 2022-12, Vol.36 (12), p.9054-9063 |
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| creator | Tanemura, Akihiro Mizuno, Shugo Maeda, Koki Shinkai, Toru Ito, Takahiro Hayasaki, Aoi Gyoten, Kazuyuki Fujii, Takehiro Iizawa, Yusuke Murata, Yasuhiro Kuriyama, Naohisa Kishiwada, Masashi Sakurai, Hiroyuki |
| description | Background
Partial laparoscopic liver resection (LLR) is a procedure that can have varying levels of surgical difficulty depending on the tumor status and procedure. Therefore, we aimed to evaluate the surgical outcomes of partial LLR using a new resection classification system.
Methods
From January 2009 to May 2021, 156 patients underwent LLR; of them, 87 patients who underwent pure partial LLR were included in this study. They were classified according to the IWATE criteria as the low (
n
= 56) and intermediate (
n
= 31) difficulty groups and reclassified according to the resection type as the edge (ER,
n
= 45), bowl-shaped (BSR,
n
= 27), and dome-shaped resection (DSR,
n
= 15) groups. The following surgical outcomes were comparatively analyzed among the groups: intraoperative blood loss, the operation time, and complication rates. Preoperative risk factors for intraoperative blood transfusion and complications were evaluated.
Results
In the IWATE criteria-based analysis, the intermediate-difficulty group had significantly higher intraoperative blood loss (
p
= 0.005), operation time (
p
= 0.005), and Clavien–Dindo (CD) grade-based complication rates (CD grade 2 or higher,
p
= 0.03) than the low-difficulty group. When analyzing the resection type, the CD grade-based complication rate (
p
= 0.013) and surgical site infection (SSI,
p
= 0.005) were significantly higher and the postoperative hospitalization was significantly longer (
p
= 0.028) in the bowl-shaped resection (BSR) group than in the edge- (ER) and dome-shaped resection (DSR) groups. The tumor size (
p
= 0.011) and IWATE criteria score (
p
= 0.006) were independent risk factors for intraoperative blood transfusion in the multivariate analysis. The tumor depth (
p
= 0.011) and BSR (
p
= 0.002) were independent risk factors for complications of CD grade 2 or higher in the multivariate analysis. BSR was an independent risk factor for SSI in the multivariate analysis (
p
= 0.017).
Conclusions
Resection type could predict the rate of postoperative complications, while the IWATE criteria could predict the intraoperative surgical difficulty. |
| doi_str_mv | 10.1007/s00464-022-09372-x |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2689668819</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2735408850</sourcerecordid><originalsourceid>FETCH-LOGICAL-c441t-98202c78e76ff53d51554fcc84efe55f42c44e3bdbe0501dd791947b1e302cfe3</originalsourceid><addsrcrecordid>eNp9kUlLBDEQhYMoOi5_wIMEvHhpzdpJH0XcQBBEzyGTrkikpxOTHtF_b3RcwIOnFMn3XlXqIbRPyTElRJ0UQkQrGsJYQzquWPO6hmZUcNYwRvU6mtVb0jDViS20XcoTqXxH5Sba4lJz2io1Q_0dFHBTiCOe3hLgULDFKUMf3BQzjh6nWKaYINspvAB2cZGG4OyHouAw4sEmm2NxMQWHazkFO-Chohnnb-tdtOHtUGDv69xBDxfn92dXzc3t5fXZ6U3jhKBT02lGmFMaVOu95L2kUgrvnBbgQUovWOWAz_s5EElo36uOdkLNKfCq88B30NHKN-X4vIQymUUoDobBjhCXxbBWd22rNe0qevgHfYrLPNbpDFNcCqK1JJViK8rVL5YM3qQcFja_GUrMRwZmlYGpGZjPDMxrFR18WS_nC-h_JN9LrwBfAaU-jY-Qf3v_Y_sOrjeT5Q</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2735408850</pqid></control><display><type>article</type><title>Resection type is a predictor of postoperative complications in laparoscopic partial liver resection</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Tanemura, Akihiro ; Mizuno, Shugo ; Maeda, Koki ; Shinkai, Toru ; Ito, Takahiro ; Hayasaki, Aoi ; Gyoten, Kazuyuki ; Fujii, Takehiro ; Iizawa, Yusuke ; Murata, Yasuhiro ; Kuriyama, Naohisa ; Kishiwada, Masashi ; Sakurai, Hiroyuki</creator><creatorcontrib>Tanemura, Akihiro ; Mizuno, Shugo ; Maeda, Koki ; Shinkai, Toru ; Ito, Takahiro ; Hayasaki, Aoi ; Gyoten, Kazuyuki ; Fujii, Takehiro ; Iizawa, Yusuke ; Murata, Yasuhiro ; Kuriyama, Naohisa ; Kishiwada, Masashi ; Sakurai, Hiroyuki</creatorcontrib><description>Background
Partial laparoscopic liver resection (LLR) is a procedure that can have varying levels of surgical difficulty depending on the tumor status and procedure. Therefore, we aimed to evaluate the surgical outcomes of partial LLR using a new resection classification system.
Methods
From January 2009 to May 2021, 156 patients underwent LLR; of them, 87 patients who underwent pure partial LLR were included in this study. They were classified according to the IWATE criteria as the low (
n
= 56) and intermediate (
n
= 31) difficulty groups and reclassified according to the resection type as the edge (ER,
n
= 45), bowl-shaped (BSR,
n
= 27), and dome-shaped resection (DSR,
n
= 15) groups. The following surgical outcomes were comparatively analyzed among the groups: intraoperative blood loss, the operation time, and complication rates. Preoperative risk factors for intraoperative blood transfusion and complications were evaluated.
Results
In the IWATE criteria-based analysis, the intermediate-difficulty group had significantly higher intraoperative blood loss (
p
= 0.005), operation time (
p
= 0.005), and Clavien–Dindo (CD) grade-based complication rates (CD grade 2 or higher,
p
= 0.03) than the low-difficulty group. When analyzing the resection type, the CD grade-based complication rate (
p
= 0.013) and surgical site infection (SSI,
p
= 0.005) were significantly higher and the postoperative hospitalization was significantly longer (
p
= 0.028) in the bowl-shaped resection (BSR) group than in the edge- (ER) and dome-shaped resection (DSR) groups. The tumor size (
p
= 0.011) and IWATE criteria score (
p
= 0.006) were independent risk factors for intraoperative blood transfusion in the multivariate analysis. The tumor depth (
p
= 0.011) and BSR (
p
= 0.002) were independent risk factors for complications of CD grade 2 or higher in the multivariate analysis. BSR was an independent risk factor for SSI in the multivariate analysis (
p
= 0.017).
Conclusions
Resection type could predict the rate of postoperative complications, while the IWATE criteria could predict the intraoperative surgical difficulty.</description><identifier>ISSN: 0930-2794</identifier><identifier>EISSN: 1432-2218</identifier><identifier>DOI: 10.1007/s00464-022-09372-x</identifier><identifier>PMID: 35831677</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Abdominal Surgery ; Blood Loss, Surgical ; Blood transfusions ; Gastroenterology ; Gynecology ; Hepatectomy - adverse effects ; Hepatectomy - methods ; Hepatology ; Humans ; Laparoscopy ; Laparoscopy - adverse effects ; Laparoscopy - methods ; Length of Stay ; Liver Neoplasms - complications ; Liver Neoplasms - surgery ; Medicine ; Medicine & Public Health ; Multivariate analysis ; Postoperative Complications - epidemiology ; Postoperative Complications - etiology ; Postoperative Complications - surgery ; Postoperative period ; Proctology ; Retrospective Studies ; Risk factors ; Surgery ; Surgical outcomes</subject><ispartof>Surgical endoscopy, 2022-12, Vol.36 (12), p.9054-9063</ispartof><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2022</rights><rights>2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.</rights><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2022.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c441t-98202c78e76ff53d51554fcc84efe55f42c44e3bdbe0501dd791947b1e302cfe3</citedby><cites>FETCH-LOGICAL-c441t-98202c78e76ff53d51554fcc84efe55f42c44e3bdbe0501dd791947b1e302cfe3</cites><orcidid>0000-0002-6802-8611</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00464-022-09372-x$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00464-022-09372-x$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35831677$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tanemura, Akihiro</creatorcontrib><creatorcontrib>Mizuno, Shugo</creatorcontrib><creatorcontrib>Maeda, Koki</creatorcontrib><creatorcontrib>Shinkai, Toru</creatorcontrib><creatorcontrib>Ito, Takahiro</creatorcontrib><creatorcontrib>Hayasaki, Aoi</creatorcontrib><creatorcontrib>Gyoten, Kazuyuki</creatorcontrib><creatorcontrib>Fujii, Takehiro</creatorcontrib><creatorcontrib>Iizawa, Yusuke</creatorcontrib><creatorcontrib>Murata, Yasuhiro</creatorcontrib><creatorcontrib>Kuriyama, Naohisa</creatorcontrib><creatorcontrib>Kishiwada, Masashi</creatorcontrib><creatorcontrib>Sakurai, Hiroyuki</creatorcontrib><title>Resection type is a predictor of postoperative complications in laparoscopic partial liver resection</title><title>Surgical endoscopy</title><addtitle>Surg Endosc</addtitle><addtitle>Surg Endosc</addtitle><description>Background
Partial laparoscopic liver resection (LLR) is a procedure that can have varying levels of surgical difficulty depending on the tumor status and procedure. Therefore, we aimed to evaluate the surgical outcomes of partial LLR using a new resection classification system.
Methods
From January 2009 to May 2021, 156 patients underwent LLR; of them, 87 patients who underwent pure partial LLR were included in this study. They were classified according to the IWATE criteria as the low (
n
= 56) and intermediate (
n
= 31) difficulty groups and reclassified according to the resection type as the edge (ER,
n
= 45), bowl-shaped (BSR,
n
= 27), and dome-shaped resection (DSR,
n
= 15) groups. The following surgical outcomes were comparatively analyzed among the groups: intraoperative blood loss, the operation time, and complication rates. Preoperative risk factors for intraoperative blood transfusion and complications were evaluated.
Results
In the IWATE criteria-based analysis, the intermediate-difficulty group had significantly higher intraoperative blood loss (
p
= 0.005), operation time (
p
= 0.005), and Clavien–Dindo (CD) grade-based complication rates (CD grade 2 or higher,
p
= 0.03) than the low-difficulty group. When analyzing the resection type, the CD grade-based complication rate (
p
= 0.013) and surgical site infection (SSI,
p
= 0.005) were significantly higher and the postoperative hospitalization was significantly longer (
p
= 0.028) in the bowl-shaped resection (BSR) group than in the edge- (ER) and dome-shaped resection (DSR) groups. The tumor size (
p
= 0.011) and IWATE criteria score (
p
= 0.006) were independent risk factors for intraoperative blood transfusion in the multivariate analysis. The tumor depth (
p
= 0.011) and BSR (
p
= 0.002) were independent risk factors for complications of CD grade 2 or higher in the multivariate analysis. BSR was an independent risk factor for SSI in the multivariate analysis (
p
= 0.017).
Conclusions
Resection type could predict the rate of postoperative complications, while the IWATE criteria could predict the intraoperative surgical difficulty.</description><subject>Abdominal Surgery</subject><subject>Blood Loss, Surgical</subject><subject>Blood transfusions</subject><subject>Gastroenterology</subject><subject>Gynecology</subject><subject>Hepatectomy - adverse effects</subject><subject>Hepatectomy - methods</subject><subject>Hepatology</subject><subject>Humans</subject><subject>Laparoscopy</subject><subject>Laparoscopy - adverse effects</subject><subject>Laparoscopy - methods</subject><subject>Length of Stay</subject><subject>Liver Neoplasms - complications</subject><subject>Liver Neoplasms - surgery</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Multivariate analysis</subject><subject>Postoperative Complications - epidemiology</subject><subject>Postoperative Complications - etiology</subject><subject>Postoperative Complications - surgery</subject><subject>Postoperative period</subject><subject>Proctology</subject><subject>Retrospective Studies</subject><subject>Risk factors</subject><subject>Surgery</subject><subject>Surgical outcomes</subject><issn>0930-2794</issn><issn>1432-2218</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kUlLBDEQhYMoOi5_wIMEvHhpzdpJH0XcQBBEzyGTrkikpxOTHtF_b3RcwIOnFMn3XlXqIbRPyTElRJ0UQkQrGsJYQzquWPO6hmZUcNYwRvU6mtVb0jDViS20XcoTqXxH5Sba4lJz2io1Q_0dFHBTiCOe3hLgULDFKUMf3BQzjh6nWKaYINspvAB2cZGG4OyHouAw4sEmm2NxMQWHazkFO-Chohnnb-tdtOHtUGDv69xBDxfn92dXzc3t5fXZ6U3jhKBT02lGmFMaVOu95L2kUgrvnBbgQUovWOWAz_s5EElo36uOdkLNKfCq88B30NHKN-X4vIQymUUoDobBjhCXxbBWd22rNe0qevgHfYrLPNbpDFNcCqK1JJViK8rVL5YM3qQcFja_GUrMRwZmlYGpGZjPDMxrFR18WS_nC-h_JN9LrwBfAaU-jY-Qf3v_Y_sOrjeT5Q</recordid><startdate>20221201</startdate><enddate>20221201</enddate><creator>Tanemura, Akihiro</creator><creator>Mizuno, Shugo</creator><creator>Maeda, Koki</creator><creator>Shinkai, Toru</creator><creator>Ito, Takahiro</creator><creator>Hayasaki, Aoi</creator><creator>Gyoten, Kazuyuki</creator><creator>Fujii, Takehiro</creator><creator>Iizawa, Yusuke</creator><creator>Murata, Yasuhiro</creator><creator>Kuriyama, Naohisa</creator><creator>Kishiwada, Masashi</creator><creator>Sakurai, Hiroyuki</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-6802-8611</orcidid></search><sort><creationdate>20221201</creationdate><title>Resection type is a predictor of postoperative complications in laparoscopic partial liver resection</title><author>Tanemura, Akihiro ; Mizuno, Shugo ; Maeda, Koki ; Shinkai, Toru ; Ito, Takahiro ; Hayasaki, Aoi ; Gyoten, Kazuyuki ; Fujii, Takehiro ; Iizawa, Yusuke ; Murata, Yasuhiro ; Kuriyama, Naohisa ; Kishiwada, Masashi ; Sakurai, Hiroyuki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c441t-98202c78e76ff53d51554fcc84efe55f42c44e3bdbe0501dd791947b1e302cfe3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Abdominal Surgery</topic><topic>Blood Loss, Surgical</topic><topic>Blood transfusions</topic><topic>Gastroenterology</topic><topic>Gynecology</topic><topic>Hepatectomy - adverse effects</topic><topic>Hepatectomy - methods</topic><topic>Hepatology</topic><topic>Humans</topic><topic>Laparoscopy</topic><topic>Laparoscopy - adverse effects</topic><topic>Laparoscopy - methods</topic><topic>Length of Stay</topic><topic>Liver Neoplasms - complications</topic><topic>Liver Neoplasms - surgery</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Multivariate analysis</topic><topic>Postoperative Complications - epidemiology</topic><topic>Postoperative Complications - etiology</topic><topic>Postoperative Complications - surgery</topic><topic>Postoperative period</topic><topic>Proctology</topic><topic>Retrospective Studies</topic><topic>Risk factors</topic><topic>Surgery</topic><topic>Surgical outcomes</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tanemura, Akihiro</creatorcontrib><creatorcontrib>Mizuno, Shugo</creatorcontrib><creatorcontrib>Maeda, Koki</creatorcontrib><creatorcontrib>Shinkai, Toru</creatorcontrib><creatorcontrib>Ito, Takahiro</creatorcontrib><creatorcontrib>Hayasaki, Aoi</creatorcontrib><creatorcontrib>Gyoten, Kazuyuki</creatorcontrib><creatorcontrib>Fujii, Takehiro</creatorcontrib><creatorcontrib>Iizawa, Yusuke</creatorcontrib><creatorcontrib>Murata, Yasuhiro</creatorcontrib><creatorcontrib>Kuriyama, Naohisa</creatorcontrib><creatorcontrib>Kishiwada, Masashi</creatorcontrib><creatorcontrib>Sakurai, Hiroyuki</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Surgical endoscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tanemura, Akihiro</au><au>Mizuno, Shugo</au><au>Maeda, Koki</au><au>Shinkai, Toru</au><au>Ito, Takahiro</au><au>Hayasaki, Aoi</au><au>Gyoten, Kazuyuki</au><au>Fujii, Takehiro</au><au>Iizawa, Yusuke</au><au>Murata, Yasuhiro</au><au>Kuriyama, Naohisa</au><au>Kishiwada, Masashi</au><au>Sakurai, Hiroyuki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Resection type is a predictor of postoperative complications in laparoscopic partial liver resection</atitle><jtitle>Surgical endoscopy</jtitle><stitle>Surg Endosc</stitle><addtitle>Surg Endosc</addtitle><date>2022-12-01</date><risdate>2022</risdate><volume>36</volume><issue>12</issue><spage>9054</spage><epage>9063</epage><pages>9054-9063</pages><issn>0930-2794</issn><eissn>1432-2218</eissn><abstract>Background
Partial laparoscopic liver resection (LLR) is a procedure that can have varying levels of surgical difficulty depending on the tumor status and procedure. Therefore, we aimed to evaluate the surgical outcomes of partial LLR using a new resection classification system.
Methods
From January 2009 to May 2021, 156 patients underwent LLR; of them, 87 patients who underwent pure partial LLR were included in this study. They were classified according to the IWATE criteria as the low (
n
= 56) and intermediate (
n
= 31) difficulty groups and reclassified according to the resection type as the edge (ER,
n
= 45), bowl-shaped (BSR,
n
= 27), and dome-shaped resection (DSR,
n
= 15) groups. The following surgical outcomes were comparatively analyzed among the groups: intraoperative blood loss, the operation time, and complication rates. Preoperative risk factors for intraoperative blood transfusion and complications were evaluated.
Results
In the IWATE criteria-based analysis, the intermediate-difficulty group had significantly higher intraoperative blood loss (
p
= 0.005), operation time (
p
= 0.005), and Clavien–Dindo (CD) grade-based complication rates (CD grade 2 or higher,
p
= 0.03) than the low-difficulty group. When analyzing the resection type, the CD grade-based complication rate (
p
= 0.013) and surgical site infection (SSI,
p
= 0.005) were significantly higher and the postoperative hospitalization was significantly longer (
p
= 0.028) in the bowl-shaped resection (BSR) group than in the edge- (ER) and dome-shaped resection (DSR) groups. The tumor size (
p
= 0.011) and IWATE criteria score (
p
= 0.006) were independent risk factors for intraoperative blood transfusion in the multivariate analysis. The tumor depth (
p
= 0.011) and BSR (
p
= 0.002) were independent risk factors for complications of CD grade 2 or higher in the multivariate analysis. BSR was an independent risk factor for SSI in the multivariate analysis (
p
= 0.017).
Conclusions
Resection type could predict the rate of postoperative complications, while the IWATE criteria could predict the intraoperative surgical difficulty.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>35831677</pmid><doi>10.1007/s00464-022-09372-x</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-6802-8611</orcidid></addata></record> |
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| ispartof | Surgical endoscopy, 2022-12, Vol.36 (12), p.9054-9063 |
| issn | 0930-2794 1432-2218 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2689668819 |
| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Abdominal Surgery Blood Loss, Surgical Blood transfusions Gastroenterology Gynecology Hepatectomy - adverse effects Hepatectomy - methods Hepatology Humans Laparoscopy Laparoscopy - adverse effects Laparoscopy - methods Length of Stay Liver Neoplasms - complications Liver Neoplasms - surgery Medicine Medicine & Public Health Multivariate analysis Postoperative Complications - epidemiology Postoperative Complications - etiology Postoperative Complications - surgery Postoperative period Proctology Retrospective Studies Risk factors Surgery Surgical outcomes |
| title | Resection type is a predictor of postoperative complications in laparoscopic partial liver resection |
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