Comparison of laparoscopic major hepatectomy with propensity score matched open cases from the National Clinical Database in Japan

Takeshi Takahara, Go Wakabayashi, Hiroyuki Konno, Mitsukazu Gotoh, Hiroki Yamaue, Katsuhiko Yanaga, Jirou Fujimoto, Hironori Kaneko, Michiaki Unno, Itaru Endo, Yasuyuki Seto, Hiroaki Miyata, Masaru Miyazaki, Masakazu Yamamoto

研究成果: Article

29 引用 (Scopus)

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Background: The National Clinical Database (NCD) in Japan is a nationwide registry that collects the data of more than 1,200,000 surgical cases annually from over 3,500 hospitals. Based on the NCD data, this study compared the perioperative outcomes of major laparoscopic liver resection (LLR) with those of major open liver resection (OLR) using the propensity score matching method. Methods: We collected data on 15,191 major hepatectomy cases (929 major LLR cases and 14,262 major OLR cases), and investigated the short-term outcomes in well-matched groups. Results: In the LLR group, 30-day mortality, in-hospital mortality, and operative mortality were 0.9%, 1.7%, and 1.7% respectively. The mean blood loss in the LLR group (865.4 ± 1,148.2 ml) was significantly less than in the OLR group (1,053.8 ± 1,176.6 ml), and the median postoperative hospital stay for the LLR patients (21.37 ± 19.71 days) was significantly shorter than for the OLR patients (26.25 ± 24.53 days). The complication rate in the LLR group (16.4%) was significantly lower than that in the OLR group (23.5%). Conclusion: LLR in selected patients is currently safely performed as well as OLR even in patients requiring major hepatectomy, associated with less blood loss, shorter hospital stays, and fewer complications.

元の言語English
ページ(範囲)721-734
ページ数14
ジャーナルJournal of Hepato-Biliary-Pancreatic Sciences
23
発行部数11
DOI
出版物ステータスPublished - 2016 11 1
外部発表Yes

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ASJC Scopus subject areas

  • Surgery
  • Hepatology

これを引用

Takahara, T., Wakabayashi, G., Konno, H., Gotoh, M., Yamaue, H., Yanaga, K., Fujimoto, J., Kaneko, H., Unno, M., Endo, I., Seto, Y., Miyata, H., Miyazaki, M., & Yamamoto, M. (2016). Comparison of laparoscopic major hepatectomy with propensity score matched open cases from the National Clinical Database in Japan. Journal of Hepato-Biliary-Pancreatic Sciences, 23(11), 721-734. https://doi.org/10.1002/jhbp.405