Totally laparoscopic versus open pancreaticoduodenectomy: A propensity score matching analysis of short-term outcomes

2020 ◽  
Author(s):  
Michele Mazzola ◽  
Alessandro Giani ◽  
Jacopo Crippa ◽  
Lorenzo Morini ◽  
Andrea Zironda ◽  
...  
Keyword(s):  
Propensity Score ◽  
Propensity Score Matching ◽  
Short Term ◽  
Propensity Score Matching Analysis ◽  
Totally Laparoscopic ◽  
Open Pancreaticoduodenectomy

scholarly journals Short-term and middle-term evaluation of laparoscopic hepatectomies compared with open hepatectomies: A propensity score matching analysis

2016 ◽  
Vol 8 (9) ◽  
pp. 643 ◽  
Author(s):  
Xavier Untereiner ◽  
Audrey Cagnet ◽  
Riccardo Memeo ◽  
Vito De Blasi ◽  
Stylianos Tzedakis ◽  
...  
Keyword(s):  
Propensity Score ◽  
Propensity Score Matching ◽  
Short Term ◽  
Middle Term ◽  
Propensity Score Matching Analysis ◽  
Term Evaluation

scholarly journals Short-term outcomes of laparoscopic versus open liver resection for hepatocellular carcinoma in elderly patients: A propensity score matching analysis

2020 ◽  
Author(s):  
Kazuteru Monden ◽  
Hiroshi Sadamori ◽  
Masayoshi Hioki ◽  
Satoshi Ohno ◽  
Norihisa Takakura
Keyword(s):  
Hepatocellular Carcinoma ◽  
Liver Resection ◽  
Propensity Score ◽  
Elderly Patients ◽  
Propensity Score Matching ◽  
Oral Intake ◽  
Short Term ◽  
Open Liver Resection ◽  
Propensity Score Matching Analysis ◽  
Baseline Characteristics

Abstract The number of elderly patients with hepatocellular carcinoma (HCC) requiring surgical treatment has been continuously increasing. This study aimed to examine the safety and feasibility of laparoscopic liver resection (LLR) versus open liver resection (OLR) for HCC in elderly patients at our institution in Japan.Between 2010 and 2018, LLR and OLR were performed in 80 and 138 elderly patients (>70 years) who were diagnosed with HCC, respectively. Propensity score matching (PSM) analysis with covariates of baseline characteristics was applied. Intra- and postoperative data were evaluated in both groups.After PSM, 56 patients who underwent LLR and OLR, respectively, were compared. No significant differences in demographic, clinical data, and operative times were observed. Blood loss (OLR: 327 mL; LLR: 50 mL; P< 0.001), length of postoperative hospital stay (OLR: 12 days; LLR: 7 days; P< 0.001), and time to start oral intake (OLR: 2 days; LLR: 1 day; P< 0.001) were significantly lower and shorter in the LLR group than in the OLR group. The incidence of complications over Clavien-Dindo class IIIa was similar between both groups.Our results suggest that advanced age alone is not a contraindication, and LLR can be a treatment option for elderly patients with HCC.

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