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http://hdl.handle.net/1942/37714
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DC Field | Value | Language |
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dc.contributor.author | Cappelle, M | - |
dc.contributor.author | Aghayan, DL | - |
dc.contributor.author | van der Poel, MJ | - |
dc.contributor.author | Besselink, MG | - |
dc.contributor.author | SERGEANT, Gregory | - |
dc.contributor.author | Edwin, B | - |
dc.contributor.author | Parmentier, I | - |
dc.contributor.author | De Meyere, C | - |
dc.contributor.author | Vansteenkiste, F | - |
dc.contributor.author | D'Hondt, M | - |
dc.date.accessioned | 2022-07-13T11:01:14Z | - |
dc.date.available | 2022-07-13T11:01:14Z | - |
dc.date.issued | 2020 | - |
dc.date.submitted | 2022-07-07T10:39:50Z | - |
dc.identifier.citation | LANGENBECKS ARCHIVES OF SURGERY, 405 (2) , p. 181 -189 | - |
dc.identifier.uri | http://hdl.handle.net/1942/37714 | - |
dc.description.abstract | Introduction Laparoscopic resection of the hepatic caudate lobe (LRCL) requires a high level of expertise due to its challenging anatomical area. Only case reports, case series, and single-center cohort studies have been published. The aim of this study was to assess the safety and feasibility of this laparoscopic procedure. Methods A multicenter retrospective cohort study including all patients who underwent LRCL in 4 high-volume hepatobiliary units between January 2000 and May 2018 was performed. Perioperative, postoperative, and survival outcomes were assessed. Postoperative morbidity was stratified according to the Clavien-Dindo classification with severe complications defined by grade III or more. The Kaplan-Meier method was used for survival analysis. Results A total of 32 patients were included, including 22 (68.8%) with colorectal liver metastasis (CRLM), one (3.1%) with cholangiocarcinoma, four (12.5%) with other malignancies, and five (15.6%) with symptomatic benign lesions. Simultaneous colorectal and/or additional liver resection was performed in 20 (62.5%) patients. The median (IQR) operative time was 155 (121-280) minutes, blood loss was 100 (50-275) ml, conversion rate was 9.4% (n = 3), severe complications were observed in 2 patients (6.3%), and median (range) length of hospital stay was 3 [1-39] days. No 90-day postoperative mortality was noticed. The median (IQR) follow-up for the CRLM group was 14 [10-23] months. Five-year overall survival rate was 82% in this subgroup. Small interinstitutional differences were observed without major impact on surgical outcomes. Conclusion LRCL is safe and feasible when performed in high-volume centers. Profound anatomical knowledge, advanced laparoscopic skills, and mastering intraoperative ultrasound are essential. No major interinstitutional differences were ascertained. | - |
dc.language.iso | en | - |
dc.publisher | SPRINGER | - |
dc.rights | Springer-Verlag GmbH Germany | - |
dc.subject.other | Laparoscopic caudate lobe resection | - |
dc.subject.other | Caudate lobectomy | - |
dc.subject.other | Colorectal liver metastasis | - |
dc.title | A multicenter cohort analysis of laparoscopic hepatic caudate lobe resection | - |
dc.type | Journal Contribution | - |
dc.identifier.epage | 189 | - |
dc.identifier.issue | 2 | - |
dc.identifier.spage | 181 | - |
dc.identifier.volume | 405 | - |
local.bibliographicCitation.jcat | A1 | - |
local.publisher.place | ONE NEW YORK PLAZA, SUITE 4600, NEW YORK, NY, UNITED STATES | - |
local.type.refereed | Refereed | - |
local.type.specified | Article | - |
dc.identifier.doi | 10.1007/s00423-020-01867-2 | - |
dc.identifier.isi | 000522910400001 | - |
local.provider.type | Web of Science | - |
local.uhasselt.international | yes | - |
item.fullcitation | Cappelle, M; Aghayan, DL; van der Poel, MJ; Besselink, MG; SERGEANT, Gregory; Edwin, B; Parmentier, I; De Meyere, C; Vansteenkiste, F & D'Hondt, M (2020) A multicenter cohort analysis of laparoscopic hepatic caudate lobe resection. In: LANGENBECKS ARCHIVES OF SURGERY, 405 (2) , p. 181 -189. | - |
item.contributor | Cappelle, M | - |
item.contributor | Aghayan, DL | - |
item.contributor | van der Poel, MJ | - |
item.contributor | Besselink, MG | - |
item.contributor | SERGEANT, Gregory | - |
item.contributor | Edwin, B | - |
item.contributor | Parmentier, I | - |
item.contributor | De Meyere, C | - |
item.contributor | Vansteenkiste, F | - |
item.contributor | D'Hondt, M | - |
item.fulltext | With Fulltext | - |
item.accessRights | Restricted Access | - |
crisitem.journal.issn | 1435-2443 | - |
crisitem.journal.eissn | 1435-2451 | - |
Appears in Collections: | Research publications |
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Cappelle2020_Article_AMulticenterCohortAnalysisOfLa.pdf Restricted Access | Published version | 435.14 kB | Adobe PDF | View/Open Request a copy |
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