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Impact of liver cirrhosis, the severity of cirrhosis, and portal hypertension on the outcomes of minimally invasive left lateral sectionectomies for primary liver malignancies

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收录情况： ◇ SCIE

作者：
Coelho Fabricio Ferreira[1] * ; Herman Paulo[1] ; Kruger Jaime A P[1] ; Wu Andrew G R[2] ; Chin Ken-Min[3] ; Hasegawa Kiyoshi[4] ; Zhang Wanguang[5] ; Alzoubi Mohammed[6] ; Aghayan Davit L[7] ; Siow Tiing-Foong[8] ; Scatton Olivier[9] ; Kingham T Peter[10] ; Marino Marco V[11] ; Mazzaferro Vincenzo[12] ; Chiow Adrian K H[13] ; Sucandy Iswanto[14] ; Ivanecz Arpad[15] ; Choi Sung Hoon[16] ; Lee Jae Hoon[17] ; Gastaca Mikel[18] ; Vivarelli Marco[19] ; Giuliante Felice[20] ; Ruzzenente Andrea[21] ; Yong Chee-Chien[22] ; Dokmak Safi[23] ; Fondevila Constantino[24] ; Efanov Mikhail[25] ; Morise Zenichi[26] ; Di Benedetto Fabrizio[27] ; Brustia Raffaele[28] ; Valle Raffaele Dalla[29] ; Boggi Ugo[30] ; Geller David[31] ; Belli Andrea[32] ; Memeo Riccardo[33] ; Gruttadauria Salvatore[34] ; Mejia Alejandro[35] ; Park James O[36] ; Rotellar Fernando[37] ; Choi Gi Hong[38] ; Robles-Campos Ricardo[39] ; Wang Xiaoying[40] ; Sutcliffe Robert P[41] ; Pratschke Johann[42] ; Lai Eric C H[43] ; Chong Charing C N[44] ; D'Hondt Mathieu[45] ; Monden Kazuteru[46] ; Lopez-Ben Santiago[47] ; Liu Rong[48] ; Ferrero Alessandro[49] ; Ettorre Giuseppe Maria[50] ; Cipriani Federica[51] ; Cherqui Daniel[52] ; Liang Xiao[53] ; Soubrane Olivier[54] ; Wakabayashi Go[55] ; Troisi Roberto I[56] ; Yin Mengqiu[57] ; Cheung Tan-To[58] ; Sugioka Atsushi[59] ; Han Ho-Seong[60] ; Long Tran Cong Duy[61] ; Fuks David[54] ; Abu Hilal Mohammad[62] ; Chen Kuo-Hsin[8] ; Aldrighetti Luca[51] ; Edwin Bjørn[7] ; Goh Brian K P[63,*1] ; International Robotic and Laparoscopic Liver Resection study group investigators are coauthors of this study[1] ;
单位： [1]Department of Gastroenterology, Liver Surgery Unit, University of Sao Paulo School of Medicine, Sao Paulo, Brazil [2]Yong Loo Lin School of Medicine, National University of Singapore, Singapore [3]Department of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital and National Cancer Centre Singapore, Singapore [4]Hepato-Biliary-Pancreatic Surgery Division, Department of Surgery, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan [5]Hepatic Surgery Center and Hubei Key Laboratory of Hepato-Biliary-Pancreatic Diseases, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China [6]Department of Surgery, Fondazione Poliambulanza, Brescia, Italy [7]The Intervention Centre and Department of HPB Surgery, Oslo University Hospital, Institute of Clinical Medicine, University of Oslo, Oslo, Norway [8]Division of General Surgery, Department of Surgery, Far Eastern Memorial Hospital, New Taipei City, Taiwan [9]Department of Digestive, HBP and Liver Transplantation, Hopital Pitie-Salpetriere, Sorbonne Universite, Paris, France [10]Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY [11]General Surgery Department, Azienda Ospedaliera Ospedali Riuniti Villa Sofia-Cervello, Palermo, Italy and General Surgery Department, F Tappeiner Hospital, Merano, Italy [12]HPB Surgery and Liver Transplantation, Fondazione IRCCS Istituto Nazionale Tumori di Milano and University of Milan, Italy [13]Hepatopancreatobiliary Unit, Department of Surgery, Changi General Hospital, Singapore [14]Digestive Health Institute, AdventHealth Tampa, Florida [15]Department of Abdominal and General Surgery, University Medical Center Maribor, Maribor, Slovenia [16]Department of General Surgery, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam, Korea [17]Department of Surgery, Division of Hepato-Biliary and Pancreatic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea [18]Hepatobiliary Surgery and Liver Transplantation Unit, Biocruces Bizkaia Health Research Institute, Cruces University Hospital, University of the Basque Country, Bilbao, Spain [19]HPB Surgery and Transplantation Unit, United Hospital of Ancona, Department of Experimental and Clinical Medicine Polytechnic University of Marche, Ancona, Italy [20]Hepatobiliary Surgery Unit, Fondazione Policlinico Universitario A.Gemelli, IRCCS, Catholic University of the Sacred Heart, Rome, Italy [21]General and Hepatobiliary Surgery, Department of Surgery, Dentistry, Gynecology and Pediatrics University of Verona, GB Rossi Hospital, Verona, Italy [22]Department of Surgery, Chang Gung Memorial Hospital, Kaohsiung, Taiwan [23]Department of HPB Surgery and Liver Transplantation, Beaujon Hospital, University Paris Cite, Clichy, France [24]General and Digestive Surgery, Hospital Clinic, IDIBAPS, CIBERehd, University of Barcelona, Barcelona, Spain and General and Digestive Surgery, Hospital Universitario La Paz, IdiPAZ, CIBERehd, Madrid, Spain [25]Department of Hepato-Pancreato-Biliary Surgery, Moscow Clinical Scientific Center, Moscow, Russia [26]Department of Surgery, Okazaki Medical Center, Fujita Health University School of Medicine, Okazaki, Japan [27]HPB Surgery and Liver Transplant Unit, University of Modena and Reggio Emilia, Modena, Italy [28]Department of Digestive and Hepatobiliary and Pancreatic Surgery, AP-HP, Henri-Mondor Hospital, Creteil, France [29]Hepatobiliary Surgery Unit, Department of Medicine and Surgery, University of Parma, Parma, Italy [30]Division of General and Transplant Surgery, University of Pisa, Pisa, Italy [31]Department of Surgery, Division of Hepatobiliary and Pancreatic Surgery, University of Pittsburgh Medical Center, PA, USA [32]Department of Abdominal Oncology, Division of Hepatopancreatobiliary Surgical Oncology, National Cancer Center-IRCCS-G.Pascale, Naples, Italy [33]Unit of Hepato-Pancreatc-Biliary Surgery, "F.Miulli" General Regional Hospital, Acquaviva delle Fonti, Bari, Italy [34]Department for the Treatment and Study of Abdominal Diseases and Abdominal Transplantation, Istituto di Ricovero e Cura a Carattere Scientifico-Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione (IRCCS-ISMETT), University of Pittsburgh Medical Center Italy, Palermo, Italy.Department of General Surgery and Medical Surgical Specialties, University of Catania, Italy [35]The Liver Institute, Methodist Dallas Medical Center, TX [36]Department of Surgery, University of Washington Medical Center, Seattle, WA [37]HPB and Liver Transplant Unit, Department of General Surgery, Clinica Universidad de Navarra, Universidad de Navarra, Pamplona, Spain & Institute of Health Research of Navarra (IdisNA), Pamplona, Spain [38]Division of Hepatopancreatobiliary Surgery, Department of Surgery, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea [39]Department of General, Visceral and Transplantation Surgery, Clinic and University Hospital Virgen de la Arrixaca, IMIB-ARRIXACA, El Palmar, Murcia, Spain [40]Department of Liver Surgery and Transplantation, Liver Cancer Institute, Zhongshan Hospital, Fudan University, Shanghai, China [41]Department of Hepatopancreatobiliary and Liver Transplant Surgery, University Hospitals Birmingham NHS Foundation Trust, United Kingdom [42]Department of Surgery, Campus Charité Mitte and Campus Virchow-Klinikum, Charité-Universitätsmedizin, Corporate Member of Freie Universität Berlin, and Berlin Institute of Health, Berlin, Germany [43]Department of Surgery, Pamela Youde Nethersole Eastern Hospital, Hong Kong SAR, China [44]Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, New Territories, China [45]Department of Digestive and Hepatobiliary/Pancreatic Surgery, Groeninge Hospital, Kortrijk, Belgium [46]Department of Surgery, Fukuyama City Hospital, Hiroshima, Japan [47]Hepatobiliary and Pancreatic Surgery Unit, Department of Surgery, Dr.Josep Trueta Hospital, IdIBGi, Girona, Spain [48]Faculty of Hepatopancreatobiliary Surgery, the First Medical Center of Chinese People's Liberation Army (PLA) General Hospital, Beijing, China [49]Department of General and Oncological Surgery, Mauriziano Hospital, Turin, Italy [50]Division of General Surgery and Liver Transplantation, San Camillo Forlanini Hospital, Rome, Italy [51]Hepatobiliary Surgery Division, IRCCS San Raffaele Hospital, Milan, Italy [52]Department of Hepatobiliary Surgery, Assistance Publique Hopitaux de Paris, Centre Hepato-Biliaire, Paul-Brousse Hospital, Villejuif, France [53]Department of General Surgery, Sir Run-Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China [54]Department of Digestive, Oncologic and Metabolic Surgery, Institute Mutualiste Montsouris, Universite Paris Descartes, Paris, France [55]Center for Advanced Treatment of Hepatobiliary and Pancreatic Diseases, Ageo Central General Hospital, Saitama, Japan [56]Department of Clinical Medicine and Surgery, Division of HPB, Minimally Invasive and Robotic Surgery, Federico II University Hospital, Naples, Italy [57]Department of Hepatobiliary Surgery, Affiliated Jinhua Hospital, Zhejiang University School of Medicine, Jinhua, China [58]Department of Surgery, Queen Mary Hospital, The University of Hong Kong, China [59]Department of Surgery, Fujita Health University School of Medicine, Aichi, Japan [60]Department of Surgery, Seoul National University Hospital Bundang, Seoul National University College of Medicine, Seoul, Korea [61]Department of Hepatopancreatobiliary Surgery, University Medical Center, University of Medicine and Pharmacy, Ho Chi Minh City, Vietnam [62]Department of Surgery, Fondazione Poliambulanza, Brescia, Italy.Department of Surgery, University Hospital Southampton, Southampton, United Kingdom [63]Department of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital and National Cancer Centre Singapore, Singapore.Duke National University of Singapore Medical School, Singapore.
出处：
DOI： 10.1016/j.surg.2023.04.057
ISSN：

摘要：
The impact of cirrhosis and portal hypertension on perioperative outcomes of minimally invasive left lateral sectionectomies remains unclear. We aimed to compare the perioperative outcomes between patients with preserved and compromised liver function (noncirrhotics versus Child-Pugh A) when undergoing minimally invasive left lateral sectionectomies. In addition, we aimed to determine if the extent of cirrhosis (Child-Pugh A versus B) and the presence of portal hypertension had a significant impact on perioperative outcomes.This was an international multicenter retrospective analysis of 1,526 patients who underwent minimally invasive left lateral sectionectomies for primary liver malignancies at 60 centers worldwide between 2004 and 2021. In the study, 1,370 patients met the inclusion criteria and formed the final study group. Baseline clinicopathological characteristics and perioperative outcomes of these patients were compared. To minimize confounding factors, 1:1 propensity score matching and coarsened exact matching were performed.The study group comprised 559, 753, and 58 patients who did not have cirrhosis, Child-Pugh A, and Child-Pugh B cirrhosis, respectively. Six-hundred and thirty patients with cirrhosis had portal hypertension, and 170 did not. After propensity score matching and coarsened exact matching, Child-Pugh A patients with cirrhosis undergoing minimally invasive left lateral sectionectomies had longer operative time, higher intraoperative blood loss, higher transfusion rate, and longer hospital stay than patients without cirrhosis. The extent of cirrhosis did not significantly impact perioperative outcomes except for a longer duration of hospital stay.Liver cirrhosis adversely affected the intraoperative technical difficulty and perioperative outcomes of minimally invasive left lateral sectionectomies.Copyright © 2023 Elsevier Inc. All rights reserved.

基金：
US National Cancer Institute MSKCC Core Grant number P30 CA008747 for this study
语种：
外文
被引次数：
WOS：
PubmedID：
中科院(CAS)分区：
出版当年[2022]版：
大类 | 2 区 医学
小类 | 2 区 外科
最新[2025]版：
大类 | 2 区 医学
小类 | 2 区 外科
JCR分区：
出版当年[2021]版：
Q1 SURGERY
最新[2023]版：
Q1 SURGERY

影响因子： 最新[2023版] 最新五年平均 出版当年[2021版] 出版当年五年平均 出版前一年[2020版] 出版后一年[2022版]

第一作者：
第一作者单位： [1]Department of Gastroenterology, Liver Surgery Unit, University of Sao Paulo School of Medicine, Sao Paulo, Brazil
通讯作者：
通讯机构： [63]Department of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital and National Cancer Centre Singapore, Singapore.Duke National University of Singapore Medical School, Singapore. [*1]Department of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital and National Cancer Centre Singapore, Level 5, 20 College Road, Academia, Singapore 169856.
推荐引用方式(GB/T 7714)：
Coelho Fabricio Ferreira,Herman Paulo,Kruger Jaime A P,et al.Impact of liver cirrhosis, the severity of cirrhosis, and portal hypertension on the outcomes of minimally invasive left lateral sectionectomies for primary liver malignancies[J].SURGERY.2023,174(3):581-592.doi:10.1016/j.surg.2023.04.057.
APA：
Coelho Fabricio Ferreira,Herman Paulo,Kruger Jaime A P,Wu Andrew G R,Chin Ken-Min...&International Robotic and Laparoscopic Liver Resection study group investigators are coauthors of this study.(2023).Impact of liver cirrhosis, the severity of cirrhosis, and portal hypertension on the outcomes of minimally invasive left lateral sectionectomies for primary liver malignancies.SURGERY,174,(3)
MLA：
Coelho Fabricio Ferreira,et al."Impact of liver cirrhosis, the severity of cirrhosis, and portal hypertension on the outcomes of minimally invasive left lateral sectionectomies for primary liver malignancies".SURGERY 174..3(2023):581-592

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