Comparing practice and outcome of laparoscopic liver resection between high-volume expert centres and nationwide low-to-medium volume centres
| العنوان: | Comparing practice and outcome of laparoscopic liver resection between high-volume expert centres and nationwide low-to-medium volume centres |
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| المؤلفون: | D.J. Lips, P M P Van den Tol, Amal Suhool, Gijs A. Patijn, Türkan Terkivatan, Burak Görgec, J. S. D. Mieog, Joost M. Klaase, M. Liem, Hendrik A. Marsman, Koop Bosscha, Rutger-Jan Swijnenburg, R S Fichtinger, Marc H.A. Bemelmans, Pieter J. Tanis, Michael F. Gerhards, Wouter K. G. Leclercq, Francesca Ratti, Marc G. Besselink, J. Hagendoorn, R.M. van Dam, Martijn W J Stommel, C L Nota, Ra’ed Al-jarrah, Vincent B. Nieuwenhuijs, Chc Dejong, Paul D. Gobardhan, Federica Cipriani, Luca Aldrighetti, Werner A. Draaisma, Bjørn Edwin, Maarten Vermaas, Åsmund Avdem Fretland, T. Armstrong, Quintus Molenaar, M. Abu Hilal, Geert Kazemier, Arjen M. Rijken, Andries E. Braat, G. D. Slooter, Pascal G. Doornebosch, M de Boer, Davit L. Aghayan, M.J. van der Poel, W W Te Riele, P.B. van den Boezem, J. A. B. van der Hoeven |
| المساهمون: | Graduate School, Radiology and Nuclear Medicine, Surgery, AGEM - Amsterdam Gastroenterology Endocrinology Metabolism, CCA - Cancer Treatment and Quality of Life, Gorgec, B., Fichtinger, R. S., Ratti, F., Aghayan, D., Van Der Poel, M. J., Al-Jarrah, R., Armstrong, T., Cipriani, F., Fretland, A. A., Suhool, A., Bemelmans, M., Bosscha, K., Braat, A. E., De Boer, M. T., Dejong, C. H. C., Doornebosch, P. G., Draaisma, W. A., Gerhards, M. F., Gobardhan, P. D., Hagendoorn, J., Kazemier, G., Klaase, J., Leclercq, W. K. G., Liem, M. S., Lips, D. J., Marsman, H. A., Mieog, J. S. D., Molenaar, Q. I., Nieuwenhuijs, V. B., Nota, C. L., Patijn, G. A., Rijken, A. M., Slooter, G. D., Stommel, M. W. J., Swijnenburg, R. J., Tanis, P. J., Te Riele, W. W., Terkivatan, T., Van Den Tol, P. M. P., Van Den Boezem, P. B., Van Der Hoeven, J. A., Vermaas, M., Edwin, B., Aldrighetti, L., Van Dam, R. M., Abu Hilal, M., Besselink, M. G., RS: NUTRIM - R2 - Liver and digestive health, MUMC+: MA Heelkunde (9), RS: GROW - R3 - Innovative Cancer Diagnostics & Therapy, Groningen Institute for Organ Transplantation (GIOT), Value, Affordability and Sustainability (VALUE) |
| المصدر: | British journal of surgery, 108(8), 983-990. John Wiley and Sons Ltd British Journal of Surgery, 108, 8, pp. 983-990 British Journal of Surgery, 108(8), 983-990. OXFORD UNIV PRESS British Journal of Surgery, 108(8), 983-990. Wiley The British journal of surgery, 108(8), 983-990. John Wiley & Sons Ltd. British Journal of Surgery, 108, 983-990 |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Male, medicine.medical_specialty, Carcinoma, Hepatocellular, SURGERY, IMPACT, 030230 surgery, Liver resections, Resection, 03 medical and health sciences, Tumours of the digestive tract Radboud Institute for Health Sciences [Radboudumc 14], 0302 clinical medicine, Risk groups, Postoperative Complications, Risk Factors, Medicine, Hepatectomy, Humans, Propensity Score, Aged, Netherlands, Retrospective Studies, RISK, business.industry, General surgery, Incidence, Liver Neoplasms, Middle Aged, Reconstructive and regenerative medicine Radboud Institute for Health Sciences [Radboudumc 10], METASTASES, HOSPITALS, 030220 oncology & carcinogenesis, DIFFICULTY, Female, Laparoscopy, business, Hospital stay, Hospitals, High-Volume, Cohort study, Follow-Up Studies |
| الوصف: | Background Based on excellent outcomes from high-volume centres, laparoscopic liver resection is increasingly being adopted into nationwide practice which typically includes low-medium volume centres. It is unknown how the use and outcome of laparoscopic liver resection compare between high-volume centres and low-medium volume centres. This study aimed to compare use and outcome of laparoscopic liver resection in three leading European high-volume centres and nationwide practice in the Netherlands. Method An international, retrospective multicentre cohort study including data from three European high-volume centres (Oslo, Southampton and Milan) and all 20 centres in the Netherlands performing laparoscopic liver resection (low-medium volume practice) from January 2011 to December 2016. A high-volume centre is defined as a centre performing >50 laparoscopic liver resections per year. Patients were retrospectively stratified into low, moderate- and high-risk Southampton difficulty score groups. Results A total of 2425 patients were included (1540 high-volume; 885 low-medium volume). The median annual proportion of laparoscopic liver resection was 42.9 per cent in high-volume centres and 7.2 per cent in low-medium volume centres. Patients in the high-volume centres had a lower conversion rate (7.4 versus 13.1 per cent; P Conclusion High-volume expert centres had a sixfold higher use of laparoscopic liver resection, less conversions, and shorter hospital stay, as compared to a nationwide low-medium volume practice. Stratification into Southampton difficulty score risk groups identified some differences but largely outcomes appeared better for high-volume centres in each risk group. |
| وصف الملف: | application/pdf |
| تدمد: | 1365-2168 0007-1323 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::7e13eb76f279938e1b39e8e11d361e42Test https://pubmed.ncbi.nlm.nih.gov/34195799Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....7e13eb76f279938e1b39e8e11d361e42 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 13652168 00071323 |
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