Laparoscopic Liver Resection Difficulty Score-a Validation Study.

ABSTRACT:

Objective(s)

The technical complexity of laparoscopic liver resection (LLR) poses unique challenges distinct from open surgery. An objective scoring system was developed that preoperatively quantifies the difficulty of LRR to help guide surgeon decision-making regarding the feasibility and safety of minimally invasive approaches. The aim of this multiinstitutional study was to externally validate this scoring system.

Methods

Patients who underwent LLR at two institutions were reviewed. LLR difficulty score (LDS) was calculated based on patient, tumor, and anatomic characteristics by two independent, blinded hepatobiliary surgeons. Surrogates of case complexity (e.g., conversion rate, operative time) were used for validation of this index.

Results

From 2006 to 2016, 44

SUBMITTER: Lee SY 

PROVIDER: S-EPMC7545446 | biostudies-literature | 2019 Mar

REPOSITORIES: biostudies-literature