Is operation time over the benchmark value a risk factor for worse short-term outcomes after laparoscopic liver resection?

Wacław Hołówko; Paweł Rykowski; Anya Wyporski; Wojciech Serednicki; Jerzy Mielko; Stanisław Pierściński; Adam Durczyński; Aleksander Tarasik; Tadeusz Wróblewski; Andrzej Budzyński; Michał Pędziwiatr; Michał Grąt

doi:10.5114/wiitm.2024.135446

eISSN: 2299-0054
ISSN: 1895-4588

Videosurgery and Other Miniinvasive Techniques

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General surgery

abstract:

Original paper

Is operation time over the benchmark value a risk factor for worse short-term outcomes after laparoscopic liver resection?

Wacław Hołówko

¹

,

Paweł Rykowski

¹

,

Anya Wyporski

¹

,

Wojciech Serednicki

²

,

Jerzy Mielko

³

,

Stanisław Pierściński

⁴

,

Adam Durczyński

⁵

,

Aleksander Tarasik

⁶

,

Tadeusz Wróblewski

¹

,

Andrzej Budzyński

⁷

,

Michał Pędziwiatr

²

,

Michał Grąt

¹

Department of General Transplant and Liver Surgery, Medical University of Warsaw, Warsaw, Poland
2nd Department of General Surgery, Jagiellonian University Medical College, Krakow, Poland
Department of Surgical Oncology, 1st Military Clinical Hospital, Lublin, Poland
Department of General, Hepatobiliary and Transplant Surgery, Nicolaus Copernicus University Collegium Medicum, Bydgoszcz, Poland
Department of General and Transplant Surgery, Medical University of Lodz, Barlicki Teaching Hospital, Lodz, Poland
Department of Oncological Surgery, Regional Oncological Centre, Bialystok, Poland
Department of General Surgery and Surgical Oncology, Ludwik Rydygier Memorial Hospital, Krakow, Poland

Videosurgery Miniinv 2024; 19 (1): 60–67

DOI: https://doi.org/10.5114/wiitm.2024.135446

Online publish date: 2024/02/14

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AMA

Hołówko W, Rykowski P, Wyporski A, et al. Is operation time over the benchmark value a risk factor for worse short-term outcomes after laparoscopic liver resection?. Videosurgery and Other Miniinvasive Techniques. 2024:60-67. doi:10.5114/wiitm.2024.135446.

APA

Hołówko, W., Rykowski, P., Wyporski, A., Serednicki, W., Mielko, J.,  & Pierściński, S. et al. (2024). Is operation time over the benchmark value a risk factor for worse short-term outcomes after laparoscopic liver resection?. Videosurgery and Other Miniinvasive Techniques, 60-67. https://doi.org/10.5114/wiitm.2024.135446

Chicago

Hołówko, Wacław, Paweł Rykowski, Anya Wyporski, Wojciech Serednicki, Jerzy Mielko, Stanisław Pierściński,  and Adam Durczyński et al. 2024. "Is operation time over the benchmark value a risk factor for worse short-term outcomes after laparoscopic liver resection?". Videosurgery and Other Miniinvasive Techniques: 60-67. doi:10.5114/wiitm.2024.135446.

Harvard

Hołówko, W., Rykowski, P., Wyporski, A., Serednicki, W., Mielko, J., Pierściński, S., Durczyński, A., Tarasik, A., Wróblewski, T., Budzyński, A., Pędziwiatr, M.,  and Grąt, M. (2024). Is operation time over the benchmark value a risk factor for worse short-term outcomes after laparoscopic liver resection?. Videosurgery and Other Miniinvasive Techniques, pp.60-67. https://doi.org/10.5114/wiitm.2024.135446

MLA

Hołówko, Wacław et al. "Is operation time over the benchmark value a risk factor for worse short-term outcomes after laparoscopic liver resection?." Videosurgery and Other Miniinvasive Techniques, 2024, pp. 60-67. doi:10.5114/wiitm.2024.135446.

Vancouver

Hołówko W, Rykowski P, Wyporski A, Serednicki W, Mielko J, Pierściński S et al. Is operation time over the benchmark value a risk factor for worse short-term outcomes after laparoscopic liver resection?. Videosurgery and Other Miniinvasive Techniques. 2024:60-67. doi:10.5114/wiitm.2024.135446.

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Introduction
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.

Aim
To assess whether prolonged operation time over the benchmark value influences short-term postoperative outcomes after laparoscopic liver resection.

Material and methods
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.

Results
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.

Conclusions
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.

keywords:

Is operation time over the benchmark value a risk factor for worse short-term outcomes after laparoscopic liver resection?

Wacław Hołówko 1 , Paweł Rykowski 1 , Anya Wyporski 1 , Wojciech Serednicki 2 , Jerzy Mielko 3 , Stanisław Pierściński 4 , Adam Durczyński 5 , Aleksander Tarasik 6 , Tadeusz Wróblewski 1 , Andrzej Budzyński 7 , Michał Pędziwiatr 2 , Michał Grąt 1

laparoscopic liver resection, learning curve, operation time, short-term outcome, textbook outcome