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Ambulatory laparoscopic minor hepatic surgery: Retrospective observational study
M Gaillard1, H Tranchart1, P Lainas2
1Service de Chirurgie Digestive Minimale Invasive, Hôpital Antoine-Béclère, AP-HP, 157, rue de la Porte-de-Trivaux, 92140 Clamart, France; Université Paris-Sud, 15, rue Georges-Clémenceau, 91405 Orsay cedex, France.
Journal of Visceral Surgery
|August 31, 2015
Summary
Ambulatory laparoscopic hepatic surgery (LHS) is safe and feasible for select patients undergoing minor liver procedures. This minimally invasive approach improves patient satisfaction and reduces healthcare costs.
Area of Science:
- Minimally Invasive Surgery
- Hepatobiliary Surgery
- Ambulatory Surgery
Background:
- Laparoscopic hepatic surgery (LHS) has seen global growth over the past decade.
- Ambulatory surgery aims to enhance patient satisfaction and decrease healthcare expenses.
- This study reports initial findings on ambulatory minimally invasive LHS.
Purpose of the Study:
- To evaluate the feasibility and safety of ambulatory minimally invasive laparoscopic hepatic surgery (LHS).
Main Methods:
- A review of 172 patients who underwent LHS between 1999 and 2014.
- Focus on a selected group of patients who underwent ambulatory LHS.
- Included liver resections and hepatic cyst fenestrations.
Main Results:
- Twenty patients underwent ambulatory LHS for conditions including liver cysts, angioma, focal nodular hyperplasia, and colorectal metastases.
- Median operative time was 92 minutes with minimal blood loss (median 35 mL).
- No postoperative complications or re-hospitalizations occurred; patients were discharged 5-7 hours post-surgery with good pain control, quality of life, and cosmetic satisfaction.
Conclusions:
- Ambulatory laparoscopic hepatic surgery (LHS) is a viable and safe option for carefully selected patients undergoing minor hepatic procedures.
- This approach demonstrates potential for improved patient outcomes and cost-effectiveness.
