What matters in laparoscopic hepatectomy for lesions located in posterosuperior segments? Initial experiences and analysis of risk factors for postoperative complications: a retrospective cohort study
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View abstract on PubMed
Summary
This summary is machine-generated.Laparoscopic liver resection in posterosuperior segments is complex. Key risks for severe complications include higher American Society of Anesthesiologists scores, diabetes, and blood transfusions.
Area Of Science
- Hepatobiliary surgery
- Minimally invasive surgery
- Surgical oncology
Background
- Laparoscopic liver resection (LLR) for posterosuperior segments (PSS) presents unique surgical challenges.
- Identifying risk factors for postoperative complications is critical for patient safety.
Purpose Of The Study
- To evaluate initial experiences with LLR of the PSS.
- To identify risk factors for clinically relevant postoperative complications (Clavien-Dindo grade ≥ III).
Main Methods
- Retrospective analysis of a prospective database of patients undergoing LLR for PSS lesions (April 2018-October 2022).
- Univariate and multivariate logistic regression analyses were performed.
Main Results
- 110 patients underwent LLR of PSS. Clinically relevant complications occurred in 18% of patients.
- Multivariate analysis identified American Society of Anesthesiologists (ASA) grade ≥ III, diabetes, and intraoperative packed red blood cell (PRBC) transfusion as significant risk factors (p < 0.05).
Conclusions
- ASA grade ≥ III, diabetes, and intraoperative PRBC transfusion increase the risk of severe complications after LLR in PSS.
- Preoperative optimization of diabetes and anemia, along with risk counseling for high-ASA patients, is recommended.
- Minimizing intraoperative PRBC transfusion is a crucial perioperative goal.
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