Evolution of Laparoscopic Liver Surgery from Innovation to Implementation to Mastery: Perioperative and Oncologic Outcomes of 2,238 Patients from 4 European.

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Presentation transcript:

Evolution of Laparoscopic Liver Surgery from Innovation to Implementation to Mastery: Perioperative and Oncologic Outcomes of 2,238 Patients from 4 European Specialized Centers Giammauro Berardi, MD, Stijn Van Cleven, MD, Åsmund Avdem Fretland, MD, PhD, Leonid Barkhatov, MD, Mark Halls, MD, Federica Cipriani, MD, Luca Aldrighetti, MD, PhD, Mohammed Abu Hilal, MD, FRCS, FACS, Bjørn Edwin, MD, PhD, Roberto I. Troisi, MD, PhD, FEBS Journal of the American College of Surgeons Volume 225, Issue 5, Pages 639-649 (November 2017) DOI: 10.1016/j.jamcollsurg.2017.08.006 Copyright © 2017 American College of Surgeons Terms and Conditions

Figure 1 Trends in annual number of (A) open (n = 4,749) and (B) laparoscopic (n = 2,238) liver resections. AAPC, average annual percentage change. Journal of the American College of Surgeons 2017 225, 639-649DOI: (10.1016/j.jamcollsurg.2017.08.006) Copyright © 2017 American College of Surgeons Terms and Conditions

Figure 2 Trends in annual percentages of laparoscopic and open liver resections. AAPC, average annual percentage change. Journal of the American College of Surgeons 2017 225, 639-649DOI: (10.1016/j.jamcollsurg.2017.08.006) Copyright © 2017 American College of Surgeons Terms and Conditions

Figure 3 Trends in annual number of laparoscopic (A) wedge resections (n = 1,149), (B) major hepatectomies (n = 34), and (C) resections located in posterosuperior segments (n = 410). AAPC, average annual percentage change. Journal of the American College of Surgeons 2017 225, 639-649DOI: (10.1016/j.jamcollsurg.2017.08.006) Copyright © 2017 American College of Surgeons Terms and Conditions

Figure 4 Trends in annual percentages of laparoscopic wedge resections, major hepatectomies, and resections located in posterosuperior segments. AAPC, average annual percentage change. Journal of the American College of Surgeons 2017 225, 639-649DOI: (10.1016/j.jamcollsurg.2017.08.006) Copyright © 2017 American College of Surgeons Terms and Conditions

Figure 5 Overall survival (OS) and recurrence-free survival (RFS) of patients with (A) colorectal liver metastases and (B) hepatocellular carcinoma undergoing laparoscopic liver resection. Journal of the American College of Surgeons 2017 225, 639-649DOI: (10.1016/j.jamcollsurg.2017.08.006) Copyright © 2017 American College of Surgeons Terms and Conditions