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DOI: 10.1055/s-0039-3402241
Impact of complexity of laparoscopic liver resections on postoperative complications
Publication History
Publication Date:
03 January 2020 (online)
Background:
Operative time, conversion rate and blood loss were recently found to predict the difficulty of laparoscopic liver resections (LLR). Based on these three intraoperative variables a difficulty score for LLR was created. We aimed to assess if complexity of LLR also reflects postoperative complications.
Methods:
Patients who underwent LLR between November 2016 and August 2019 at the University Medical Center Freiburg were included. Resections were divided into three groups based on their complexity. Postoperative complications were defined according to Dindo-Clavien and the comprehensive complication index (CCI).
Results:
Of 76 patients, 75%, 7% and 18% underwent low (group 1), intermediate (group 2) and high grade (group 3) difficulty of LLR, similarly distributed between patients with malignant and benign disease. Most frequently, complications occurred in group 3 (57% vs. 20% in group 2 and 19% in group 1; p = 0.052), but major complications (p = 0.281) and mean CCI were similar between the different grades of complexity of LLR.
Conclusion:
Although difficulty of LLR reflects the occurrence of postoperative complications there was no association with their severity.