Defining global benchmarks for laparoscopic right posterior sectionectomy/H67: an international multicenter study
Zhao, Jianping Lu, Yuanxiang Zhang, Wanguang Chua, Darren W Liu, Qu Liu, Rong Pratschke, Johann Ratti, Francesca Zimmitti, Giuseppe Aghayan, Davit L
Zhao, Jianping
Lu, Yuanxiang
Zhang, Wanguang
Chua, Darren W
Liu, Qu
Liu, Rong
Pratschke, Johann
Ratti, Francesca
Zimmitti, Giuseppe
Aghayan, Davit L
Abstract
OBJECTIVE: To establish global benchmark outcomes indicators for laparoscopic right posterior sectionectomies (L-RPSs)/H67.
BACKGROUND: Minimally invasive liver resections have seen an increase in uptake in recent years. Over time, challenging procedures such as L-RPS/H67 are also increasingly adopted.
METHODS: This is a post hoc analysis of a multicenter database of 854 patients undergoing minimally invasive RPS in 57 international centers in 4 continents between 2015 and 2021. There were 651 pure L-RPS and 160 robotic 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.
RESULTS: There 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.
CONCLUSIONS: The present study established the first global benchmark values for L-RPS/H6/7. The benchmark provided an up-to-date reference of the best achievable outcomes for surgical auditing and benchmarking.
MIDER Authors
Date
2024-06-28
Type
Article
Collections
Citation
Zhao J, Lu Y, Zhang W, Chua DW, Liu Q, Liu R, Pratschke J, Ratti F, Zimmitti G, Aghayan DL, Edwin B, Siow TF, Scatton O, Herman P, Marino MV, Mazzaferro V, Chiow AKH, Sucandy I, Ivanecz A, Choi SH, Lee JH, Gastaca M, Vivarelli M, Giuliante F, Ruzzenente A, Yong CC, Yin M, Fondevila C, Efanov M, Morise Z, Di Benedetto F, Brustia R, Dalla Valle R, Boggi U, Geller D, Belli A, Memeo R, Mejia A, Park JO, Rotellar F, Choi GH, Robles-Campos R, Wang X, Sutcliffe RP, Lai ECH, Chong CCN, D'Hondt M, Monden K, Lopez-Ben S, Kingham TP, Ferrero A, Ettorre GM, Cherqui D, Liang X, Soubrane O, Fuks D, Wakabayashi G, Troisi RI, Cheung TT, Sugioka A, Long TCD, Abu Hilal M, Aldrighetti L, Chen KH, Han HS, Goh BKP; International robotic and laparoscopic liver resection study group investigators. Defining Global Benchmarks for Laparoscopic Right Posterior Sectionectomy/H67: An International Multicenter Study. Ann Surg. 2026 Feb 1;283(2):297-307. doi: 10.1097/SLA.0000000000006418. Epub 2024 Jun 28.
Journal / Source Title
Annals of Surgery
DOI
10.1097/SLA.0000000000006418
PMID
38939972
Publisher
Lippincott Williams & Wilkins
Publisher’s URL
https://journals.lww.com/annalsofsurgery/Pages/default.aspx