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Commentary for article “Conditional Cumulative Incidence of Postoperative Complications Stratified By Complexity Classification for Laparoscopic Liver Resection: Optimization of In-Hospital Observation”

Published:November 18, 2022DOI:https://doi.org/10.1016/j.surg.2022.09.023
      Laparoscopic liver surgery is increasing in frequency, but the uptake has been slower compared with all other abdominal surgeries, especially for complex procedures. Purported benefits over open liver surgery include fewer complications and shorter lengths of hospital stay. Two recent randomized controlled trials have confirmed that this benefit is real, with the differences more marked in minor resections.
      • Fretland Å.A.
      • Aghayan D.
      • Edwin B.
      OSLO-COMET Trial Group
      Long-term survival after laparoscopic versus open resection for colorectal liver metastases.
      ,
      • Fichtinger R.S.
      • Aldrighetti L.
      • Troisi R.
      • et al.
      Laparoscopic versus open hemihepatectomy: the ORANGE II PLUS multicenter randomized controlled trial.
      It would make sense that patients with simple wedge resections can go home early if there is minimal wound pain, whereas those who have major hepatectomies may have more than wound problems.
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      References

        • Fretland Å.A.
        • Aghayan D.
        • Edwin B.
        • OSLO-COMET Trial Group
        Long-term survival after laparoscopic versus open resection for colorectal liver metastases.
        J Clin Oncol. 2019; 37 (LBA3516–LBA3516)
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        • et al.
        Laparoscopic versus open hemihepatectomy: the ORANGE II PLUS multicenter randomized controlled trial.
        Ann Oncol. 2021; 32: S531
      1. Mazzotta AD, Kawaguchi Y, Pantel L, et al. Conditional cumulative incidence of postoperative complications stratified by complexity classification for laparoscopic liver resection: optimization of in-hospital observation [e-pub online ahead of print]. Surgery https://doi.org/10.1016/j.surg.2022.07.026.

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