Introduction: In recent years laparoscopic approach to liver resections has
gained important attention from surgeons worldwide. The aim of this review
was to compare the results of laparoscopic and open liver resections.
Material and methods: We have performed a search in Medline, Embase
and the Cochrane Library databases. Studies comparing laparoscopic and
open liver resections were included.
Results: No randomized clinical trial were identified. In the 16 observational
studies included in the analysis there were 927 laparoscopic and 1049 open
liver resections. The laparoscopy group had lower blood loss (MD = 244.93 ml,
p < 0.00001), lower odds of transfusion (OR = 0.35, p = 0.0002), lower odds
of positive margins on pathology report (OR = 0.22, p < 0.00001), lower odds
of readmission (OR = 0.36, p = 0.04), lower odds of pulmonary (OR = 0.38,
p = 0.003) and cardiac complications (OR = 0.30, p = 0.02) and lower odds
of postoperative liver failure (OR = 0.24, p = 0.001), but in many cases the
results were based on a low number of events reported in included studies.
Conclusions: Laparoscopic resection of liver yields complications rates comparable to open resection, but the results are based on low quality evidence
from nonrandomised studies.
keywords in English:
hepatectomy, surgery, meta-analysis
departmental parameterization:
30
affiliation:
Wydział Lekarski : Zakład Anatomii, Wydział Lekarski : Zakład Higieny i Dietetyki
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