• Jianping Zhao, Yuanxiang Lu, Wanguang Zhang, Darren W Chua, Qu Liu, Rong Liu, Johann Pratschke, Francesca Ratti, Giuseppe Zimmitti, Davit L Aghayan, Bjørn Edwin, Tiing-Foong Siow, Olivier Scatton, Paulo Herman, Marco V Marino, Vincenzo Mazzaferro, Adrian K H Chiow, Iswanto Sucandy, Arpad Ivanecz, Sung Hoon Choi, Jae Hoon Lee, Mikel Gastaca, Marco Vivarelli, Felice Giuliante, Andrea Ruzzenente, Chee-Chien Yong, Mengqiu Yin, Constantino Fondevila, Mikhail Efanov, Zenichi Morise, Fabrizio Di Benedetto, Raffaele Brustia, Raffaele Dalla Valle, Ugo Boggi, David Geller, Andrea Belli, Riccardo Memeo, Alejandro Mejia, James O Park, Fernando Rotellar, Gi-Hong Choi, Ricardo Robles-Campos, Xiaoying Wang, Robert P Sutcliffe, LaiEric C HECHDepartment of Surgery, Pamela Youde Nethersole Eastern Hospital, Hong Kong SAR, China., Charing C N Chong, Mathieu D'Hondt, Kazuteru Monden, Santiago Lopez-Ben, T Peter Kingham, Alessandro Ferrero, Giuseppe Maria Ettorre, Daniel Cherqui, Xiao Liang, Olivier Soubrane, David Fuks, Go Wakabayashi, Roberto I Troisi, Tan-To Cheung, Atsushi Sugioka, Tran Cong Duy Long, Mohammad Abu Hilal, Luca Aldrighetti, Kuo-Hsin Chen, Ho-Seong Han, GohBrian K PBKPDepartment of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital and National Cancer Centre Singapore, Singapore, Singapore.Surgery Academic Clinical Programme, Duke-National University of Singapore Medical School, Si, and International robotic and laparoscopic liver resection study group investigators.
• Hepatic Surgery Center and Hubei Key Laboratory of Hepato-Biliary-Pancreatic Diseases, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
• Ann. Surg. 2024 Jun 28.

ObjectiveWe aimed to establish global benchmark outcomes indicators for L-RPS/H67.BackgroundMinimally invasive liver resections has seen an increase in uptake in recent years. Over time, challenging procedures as laparoscopic right posterior sectionectomies (L-RPS)/H67 are also increasingly adopted.MethodsThis is a post hoc analysis of a multicenter database of 854 patients undergoing minimally invasive RPS (MI-RPS) in 57 international centers in 4 continents between 2015 and 2021. There were 651 pure L-RPS and 160 robotic RPS (R-RPS). Sixteen outcome indicators of low-risk L-RPS cases were selected to establish benchmark cutoffs. The 75th percentile of individual center medians for a given outcome indicator was set as the benchmark cutoff.ResultsThere were 573 L-RPS/H67 performed in 43 expert centers, of which 254 L-RPS/H67 (44.3%) cases qualified as low risk benchmark cases. The benchmark outcomes established for operation time, open conversion rate, blood loss ≥500 mL, blood transfusion rate, postoperative morbidity, major morbidity, 90-day mortality and textbook outcome after L-RPS were 350.8 minutes, 12.5%, 53.8%, 22.9%, 23.8%, 2.8%, 0% and 4% respectively.ConclusionsThe present study established the first global benchmark values for L-RPS/H6/7. The benchmark provided an up-to-date reference of best achievable outcomes for surgical auditing and benchmarking.Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.

2 keywords...

hide…