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Background: Laparoscopic left lateral hepatic sectionectomy (LLLHS) has been widely accepted because of the benefits of minimally invasive surgery. We aimed to assess the benefits and drawbacks of left lateral sectionectomy (of segments II/III) compared with laparoscopic and open approaches.

Methods: Relevant literature was searched using the PubMed, Embase, Cochrane, and Ovid Medline databases. We calculated odds ratios or mean differences with 95% confidence intervals (CIs) for fixed-effects and random-effects models.

Results: The meta-analysis included 14 trials involving 685 patients. There were no statistically significant differences between LLLHS and open LLHS (OLLHS) regarding analgesia (P = .31), pedicle clamping (P = .70), operative time (P = .54), hospital expenses (P = .64), postoperative alanine aminotransferase levels (P = .57), resection margin (95% CI -3.02-4.28; P = .73), or tumor recurrence (95% CI 0.51-3.05; P = .62). However, the LLLHS group showed significantly better results regarding blood transfusion (95% CI 0.14-0.73; P = .007), blood loss (95% CI -140.95 to -67.23; P <.001), total morbidity (95% CI 0.24-0.56; P <.01), and hospital stay (95% CI -3.84 to -2.31; P <.001) than the OLLHS group.

Conclusion: LLLHS has an advantage in the hospital stay, blood loss, and total morbidity. It is an ideal method for LLHS surgery.

Titel:	Laparoscopic left lateral hepatic sectionectomy was expected to be the standard for the treatment of left hepatic lobe lesions: A meta-analysis.
Autor/in / Beteiligte Person:	Liu, Z ; Ding, H ; Xiong, X ; Huang, Y
Link:	Full Text Finder (Volltext)
Zeitschrift:	Medicine, Jg. 97 (2018-02-01), Heft 7, S. e9835
Veröffentlichung:	Hagerstown, Md : Lippincott Williams & Wilkins, 2018
Medientyp:	academicJournal
ISSN:	1536-5964 (electronic)
DOI:	10.1097/MD.0000000000009835
Schlagwort:	Adult Case-Control Studies Female Humans Length of Stay Liver surgery Male Middle Aged Operative Time Treatment Outcome Hepatectomy methods Laparoscopy methods Liver Neoplasms surgery
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Journal Article; Meta-Analysis; Review Language: English [Medicine (Baltimore)] 2018 Feb; Vol. 97 (7), pp. e9835. MeSH Terms: Hepatectomy / methods ; Laparoscopy / methods ; Liver Neoplasms / *surgery ; Adult ; Case-Control Studies ; Female ; Humans ; Length of Stay ; Liver / surgery ; Male ; Middle Aged ; Operative Time ; Treatment Outcome References: World J Surg. 2016 Jan;40(1):198-205. (PMID: 26316115) ; Surg Endosc. 2015 Feb;29(2):458-65. (PMID: 24993176) ; Surg Endosc. 2008 Dec;22(12):2564-70. (PMID: 18814007) ; BMC Med Res Methodol. 2005 Apr 20;5:13. (PMID: 15840177) ; Br J Surg. 2011 Sep;98(9):1302-8. (PMID: 21717424) ; Updates Surg. 2015 Jun;67(2):169-75. (PMID: 26076916) ; Ann Chir. 2002 Mar;127(3):164-70. (PMID: 11933628) ; Ann Surg Oncol. 2010 Apr;17(4):998-1009. (PMID: 20033324) ; Surg Endosc. 2013 Jul;27(7):2542-50. (PMID: 23355170) ; PLoS Negl Trop Dis. 2013 May 02;7(5):e2195. (PMID: 23658850) ; Eur J Surg Oncol. 2014 May;40(5):536-544. (PMID: 24555996) ; Surg Endosc. 2016 Aug;30(8):3618-29. (PMID: 26572765) ; BMC Surg. 2009 Sep 07;9:14. (PMID: 19735573) ; Updates Surg. 2015 Jun;67(2):111-5. (PMID: 26198383) ; Br J Surg. 2006 Jan;93(1):67-72. (PMID: 16273531) ; Surg Laparosc Endosc Percutan Tech. 2015 Oct;25(5):392-4. (PMID: 25793351) ; JSLS. 1999 Apr-Jun;3(2):163-7. (PMID: 10444020) ; Hepatogastroenterology. 2002 Jan-Feb;49(43):56-61. (PMID: 11941985) ; Eur J Surg Oncol. 2008 Dec;34(12):1285-8. (PMID: 18316171) ; Ann Surg. 2002 Jul;236(1):90-7. (PMID: 12131090) ; HPB (Oxford). 2014 Feb;16(2):183-7. (PMID: 23600942) ; Surg Endosc. 2016 Jan;30(1):259-65. (PMID: 25861904) ; Eur J Surg Oncol. 2015 Dec;41(12):1615-20. (PMID: 26454765) ; Updates Surg. 2014 Jun;66(2):127-33. (PMID: 24659501) ; Ann Surg. 2006 Nov;244(5):815-20. (PMID: 17060776) ; Surg Endosc. 2008 Oct;22(10):2208-13. (PMID: 18622562) ; Surgery. 2000 Oct;128(4):686-93. (PMID: 11015103) ; Dig Surg. 2008;25(4):305-8. (PMID: 18784413) ; J Hepatobiliary Pancreat Surg. 2009;16(4):422-6. (PMID: 19466378) ; J Am Coll Surg. 2003 Feb;196(2):236-42. (PMID: 12595052) ; Int J Clin Exp Med. 2015 Jan 15;8(1):904-9. (PMID: 25785073) ; J Gastrointest Surg. 2008 Mar;12(3):457-62. (PMID: 17701265) ; Surg Endosc. 2011 May;25(5):1603-10. (PMID: 21136115) ; Dig Surg. 2007;24(4):300-5. (PMID: 17657156) ; World J Surg Oncol. 2016 Jan 08;14(1):6. (PMID: 26746427) Entry Date(s): Date Created: 20180215 Date Completed: 20180222 Latest Revision: 20221005 Update Code: 20231215 PubMed Central ID: PMC5839853

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Laparoscopic left lateral hepatic sectionectomy was expected to be the standard for the treatment of left hepatic lobe lesions: A meta-analysis.