Minimally invasive versus open right anterior sectionectomy and central hepatectomy for central liver malignancies: a propensity‐score‐matched analysis

2021 ◽  
Vol 91 (4) ◽  
Author(s):  
Ken Min Chin ◽  
Yun‐Le Linn ◽  
Chin Kai Cheong ◽  
Ye‐Xin Koh ◽  
Jin‐Yao Teo ◽  
...  
Author(s):  
Mohamed A. Abd El Aziz ◽  
Giacomo Calini ◽  
Fabian Grass ◽  
Kevin T. Behm ◽  
Anne-Lise D’ Angelo ◽  
...  

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hui Tan ◽  
Erjia Huang ◽  
Xicheng Deng ◽  
Dongping Li ◽  
Shayuan Ouyang

Abstract Background The focus of clinical care after treating congenital heart disease (CHD) has shifted from saving patients’ lives to improving their quality of life. This study aimed to examine the influence of minimally invasive and traditional surgeries on the quality of life of children with CHD. Methods This was a retrospective cross-sectional study. A total of 459 children aged 2–18 years with CHD treated at Second Xiangya Hospital of Central South University from July 2016 to June 2017 were enrolled, among whom 219 underwent minimally invasive surgery and 240 traditional surgery. The quality of life of children with CHD after surgery was reported by the patients’ parents. We applied propensity score matching to correct for confounding factors and conducted multiple linear regression analysis to examine the related effects of minimally invasive and traditional surgeries on the quality of life of children with CHD. Results The scores of problems related to perceived physical appearance in children undergoing minimally invasive surgery was higher than those in those undergoing traditional surgery (p = 0.004). Different treatment modes were independent influencing factors for problems related to perceived physical appearance in children with CHD. There was no significant difference in average treatment effect scores of children undergoing different surgical procedures in other quality of life dimensions (problems related to cardiac symptoms and their treatment, drug treatment, anxiety regarding treatment, cognitive psychology, and communication), suggesting that different operation modes were not independent influencing factors for these related problems. Conclusion Compared with traditional surgery, minimally invasive surgery can significantly improve the physical appearance perception scores of children with CHD after surgery. Therefore, minimally invasive surgery can improve the quality of life of children with CHD.


2018 ◽  
Vol 48 (7) ◽  
pp. 539-548 ◽  
Author(s):  
Takehiro Noda ◽  
Hidetoshi Eguchi ◽  
Yoshifumi Iwagami ◽  
Daisaku Yamada ◽  
Tadafumi Asaoka ◽  
...  

HPB ◽  
2019 ◽  
Vol 21 ◽  
pp. S714
Author(s):  
J. van Hilst ◽  
T. de Rooij ◽  
S. Klompmaker ◽  
M. Rawashdeh ◽  
F. Aleotti ◽  
...  

Author(s):  
Paolo Berretta ◽  
Mariano Cefarelli ◽  
Luca Montecchiani ◽  
Jacopo Alfonsi ◽  
Walter Vessella ◽  
...  

Abstract OBJECTIVES The impact of minimally invasive extracorporeal circulation (MiECC) systems on the clinical outcomes of patients undergoing minimally invasive aortic valve replacement (MI-AVR) has still to be defined. This study compared in-hospital and 1 year outcomes of MI-AVR interventions using MiECC systems versus conventional extracorporeal circulation (c-ECC). METHODS Data from 288 consecutive patients undergoing primary isolated MI-AVR using MiECC (n = 102) or c-ECC (n = 186) were prospectively collected. Treatment selection bias was addressed by the use of propensity score matching (MiECC vs c-ECC). After propensity score matching, 2 groups of 93 patients each were created. RESULTS Compared with c-ECC, MiECC was associated with a higher rate of autologous priming (82.4% vs 0%; P < 0.001) and a greater nadir haemoglobin (9.3 vs 8.7 g/dl; P = 0.021) level and haematocrit (27.9% vs 26.4%; P = 0.023). Patients who had MiECC were more likely to receive ultra-fast-track management (60.8% vs 26.9%; P < 0.001) and less likely to receive blood transfusions (32.7% vs 44%; P = 0.04). The in-hospital mortality rate was 1.1% in the MiECC group and 0% in the c-ECC group (P = 0.5). Those in the MiECC group had reduced rates of bleeding requiring revision (0% vs 5.3%; P = 0.031) and postoperative atrial fibrillation (AF) (30.1% vs 44.1%; P = 0.034). The 1-year survival rate was 96.8% and 97.5% for MiECC and c-ECC patients, respectively (P = 0.4). CONCLUSIONS MiECC systems were a safe and effective tool in patients who had MI-AVR. Compared with c-ECC, MiECC promotes ultra-fast-track management and provides better clinical outcomes as regards bleeding, blood transfusions and postoperative AF. Thus, by reducing surgical injury and promoting faster recovery, MiECC may further validate MI-AVR interventions.


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