PDF(Pubmed)
Abstract：
UNASSIGNED: Laparoscopic liver resection is a challenging surgical procedure that may require prolonged operation time, particularly during the learning curve. Operation time significantly decreases with increasing experience; however, prolonged operation time may significantly increase the risk of postoperative complications.
UNASSIGNED: To assess whether prolonged operation time over the benchmark value influences short-term postoperative outcomes after laparoscopic liver resection.
UNASSIGNED: A retrospective cohort study based on data from the National Polish Registry of Minimally Invasive Liver Surgery was performed. A total of 197 cases consisting of left lateral sectionectomy (LLS), left hemihepatectomy (LH), and right hemihepatectomy (RH) with established benchmark values for operation time were included. Data about potential confounders for prolonged operation time and worse short-term outcomes were exported.
UNASSIGNED: Most cases (129; 65.5%) were performed during the learning curve, while the largest rate was observed in LLS (57; 78.1%). Median operation time exceeded the benchmark value in LLS (Me = 210 min) and LH (Me = 350 min), while in RH the benchmark value was exceeded in 39 (44.3%) cases. Textbook outcomes were achieved in 138 (70.1%) cases. Univariate analysis (OR = 1.11; 95% CI: 0.61-2.06; p = 0.720) and multivariate analysis (OR = 1.16; 95% CI: 0.50-2.68; p = 0.734) did not reveal a significant impact of prolonged surgery on failing to achieve a textbook outcome.
UNASSIGNED: Prolonging the time of laparoscopic liver resection does not significantly impair postoperative results. There is no reason related to the patients\' safety to avoid prolonging the time of laparoscopic liver resection over the benchmark value.
UNASSIGNED: To assess whether prolonged operation time over the benchmark value influences short-term postoperative outcomes after laparoscopic liver resection.
UNASSIGNED: A retrospective cohort study based on data from the National Polish Registry of Minimally Invasive Liver Surgery was performed. A total of 197 cases consisting of left lateral sectionectomy (LLS), left hemihepatectomy (LH), and right hemihepatectomy (RH) with established benchmark values for operation time were included. Data about potential confounders for prolonged operation time and worse short-term outcomes were exported.
UNASSIGNED: Most cases (129; 65.5%) were performed during the learning curve, while the largest rate was observed in LLS (57; 78.1%). Median operation time exceeded the benchmark value in LLS (Me = 210 min) and LH (Me = 350 min), while in RH the benchmark value was exceeded in 39 (44.3%) cases. Textbook outcomes were achieved in 138 (70.1%) cases. Univariate analysis (OR = 1.11; 95% CI: 0.61-2.06; p = 0.720) and multivariate analysis (OR = 1.16; 95% CI: 0.50-2.68; p = 0.734) did not reveal a significant impact of prolonged surgery on failing to achieve a textbook outcome.
UNASSIGNED: Prolonging the time of laparoscopic liver resection does not significantly impair postoperative results. There is no reason related to the patients\' safety to avoid prolonging the time of laparoscopic liver resection over the benchmark value.
摘要：
■腹腔镜肝切除术是一项具有挑战性的外科手术，可能需要延长手术时间，特别是在学习曲线期间。随着经验的增加，操作时间显着减少；但是，延长手术时间可能会显著增加术后并发症的风险。
■评估超过基准值的手术时间是否影响腹腔镜肝切除术后的短期术后结果。
■根据波兰国家微创肝脏手术登记处的数据进行了一项回顾性队列研究。共197例，包括左外侧部分切除术（LLS），左半肝切除术(LH),包括已建立手术时间基准值的右半肝切除术（RH）。输出了有关延长手术时间和较差短期结果的潜在混杂因素的数据。
■大多数情况（129；65.5％）是在学习曲线期间进行的，而在LLS中观察到最大的比率(57;78.1%)。在LLS(Me=210min)和LH(Me=350min)中,中值运行时间超过基准值,而在RH中，39例(44.3%)超过了基准值。138例(70.1%)实现了教科书成果。单因素分析（OR=1.11;95％CI：0.61-2.06;p=0.720）和多因素分析（OR=1.16;95％CI：0.50-2.68;p=0.734）未显示延长手术时间对未能达到预期结果的显着影响。
■延长腹腔镜肝切除术的时间不会显著损害术后效果。没有理由与患者的安全性相关，以避免延长腹腔镜肝切除术的时间超过基准值。
■评估超过基准值的手术时间是否影响腹腔镜肝切除术后的短期术后结果。
■根据波兰国家微创肝脏手术登记处的数据进行了一项回顾性队列研究。共197例，包括左外侧部分切除术（LLS），左半肝切除术(LH),包括已建立手术时间基准值的右半肝切除术（RH）。输出了有关延长手术时间和较差短期结果的潜在混杂因素的数据。
■大多数情况（129；65.5％）是在学习曲线期间进行的，而在LLS中观察到最大的比率(57;78.1%)。在LLS(Me=210min)和LH(Me=350min)中,中值运行时间超过基准值,而在RH中，39例(44.3%)超过了基准值。138例(70.1%)实现了教科书成果。单因素分析（OR=1.11;95％CI：0.61-2.06;p=0.720）和多因素分析（OR=1.16;95％CI：0.50-2.68;p=0.734）未显示延长手术时间对未能达到预期结果的显着影响。
■延长腹腔镜肝切除术的时间不会显著损害术后效果。没有理由与患者的安全性相关，以避免延长腹腔镜肝切除术的时间超过基准值。
