Abstract
Laparoscopic liver surgery has not yet gained widespread acceptance among liver surgeons. Some questions remain regarding indications to surgery and health related quality of life (HRQOL) after surgery, especially for the treatment of benign lesions, has so far not yet been investigated. The aim of this study is to evaluate HRQOL at 1 month, 6 months and 1 year after surgery in two groups of patients undergoing liver resections for benign liver lesions either by laparoscopic or open surgery. From January 2004 to September 2010 75 patients underwent surgery (29 laparoscopic, 46 open) for benign liver lesions. We retrospectively compared surgical results of the two groups and evaluated HRQOL with the SF-36 test. A personal or telephonic interview was administrated for the assessment of HRQOL before surgical treatment and at 1 month, 6 months and 1 year after surgery. Sixty six patients (88%) were available for the study. The length of stay (4.7 vs. 8.2 days, p = 0.0002), the reprisal of oral intake (II post-op vs. III post-op, p = 0.02) the number of transfused patients (2 vs. 8, p = 0.1) and the overall rate of morbidity (p = 0.06) were lower in the laparoscopic group. HRQOL was significantly better in the laparoscopic group in the first year after surgery. Surgical treatment for benign liver lesions, when indicated, should be laparoscopic. This approach shows a lower rate of surgical complications with a better quality of life after surgery and a faster reprisal of social and job activities.
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References
Cherqui D (2003) Laparoscopic liver resection. Br J Surg 90:644–646
Abu Hilal M, Underwood T, Zuccaro M et al (2010) Short- and medium-term results of totally laparoscopic resection for colorectal liver metastases. Br J Surg 97:927–933
Mirnezami R, Mirnezami AH, Chandrakumaran K et al (2011) Short- and long-term outcomes after laparoscopic and open hepatic resection: systematic review and meta-analysis. HPB (Oxf) 13:295–308
Nguyen KT, Gamblin TC, Geller DA (2009) World review of laparoscopic liver resection-2,804 patients. Ann Surg 250:831–841
Vanounou T, Steel L, Nguyen KT, Tsung A, Marsh JW, Geller DA, Gamblin TC (2010) Comparing the clinical and economic impact of laparoscopic versus open liver resection. Ann Surg Oncol 17:998–1009
Mayer EK, Chow A, Vale JA, Athanasiou T (2009) Appraising the quality of care in surgery. World J Surg 33:1584–1593
Buell JF, Cherqui D, Geller DA, O’Rourke N, Iannitti D, Dagher I, Koffron AJ, Thomas M, Gayet B, Han HS, Wakabayashi G, Belli G, Kaneko H, Ker CG, Scatton O, Laurent A, Abdalla EK, Chaudhury P, Dutson E, Gamblin C, D’Angelica M, Nagorney D, Testa G, Labow D, Manas D, Poon RT, Nelson H, Martin R, Clary B, Pinson WC, Martinie J, Vauthey JN, Goldstein R, Roayaie S, Barlet D, Espat J, Abecassis M, Rees M, Fong Y, McMasters KM, Broelsch C, Busuttil R, Belghiti J, Strasberg S (2009) The international position on laparoscopic liver surgery: the Louisville Statement. Ann Surg 250:825–830
Haley SM, McHorney CA, Ware JE Jr (1994) Evaluation of the MOS SF-36 physical functioning scale (PF-10): I unidimensionality and reproducibility of the Rasch item scale. J Clin Epidemiol 47:671–684
Raczek AE, Ware JE, Bjorner JB, Gandek B, Haley SM, Aaronson NK, Apolone G, Bech P, Brazier JE, Bullinger M, Sullivan M (1998) Comparison of Rasch and Sommate rating scales constructed from SF-36 physical functioning items in seven countries results from the IQOLA project, internationl quality of life assessment. J Clin Epidemiol 51:1203–1214
Dindo D, Demartines N, Clavien PA (2004) Classification of surgical complications: a new proposal with evaluation in a cohort of 6,336 patients and results of a survey. Ann Surg 240:205–213
Pilgrim C, To H, Ustatoff V, Evans PM (2009) Laparoscopic hepatectomy is a safe procedure for cancer patients. HBP Surg 11:247–251
Farges O, Jagot P, Kirstetter P, Marty J, Belghiti J (2002) Prospective assessment of the safety and benefit of laparoscopic liver resections. J Hepatobiliary Pancreat Surg 9:242–248
Ardito F, Tayar C, Laurent A, Karoui M, Loriau J, Cherqui D (2007) Laparoscopic liver resection for benign disease. Arch Surg 142:1188–1193 (discussion 1193)
Vibert E, Kouide A, Gayet B (2004) Laparoscopic anatomic liver resection. HPB Surg 6:222–229
Viganò L, Tayar C, Laurent A, Cherqui D (2009) Laparoscopic liver resection: a systematic review. J Hepatobiliary Pancreat Surg 16:410–421
Giuliani A, Migliaccio C, Surfaro G, Ceriello A, Defez M (2012) Short- and long-term follow up. In: Calise F, Casciola L (ed) Minimally, surgery of the liver, Springer, p 167–173
Zhang L, Chen Y-J, Shang C-Z, Zhang H-W, Huang Z-J (2009) Total laparoscopic liver resection in 78 patients. World J Gastroenterol 15:5727–5731
Marvin MR, Buell JF (2009) Laparoscopic liver surgery. Adv Surg 43:159–173
Kamphues C, Rather M, Engel S, Schmidt SC, Neuhaus P, Seehofer D (2011) Laparoscopic fenestration of non-parasitic liver cysts and health-related quality of life assessment. Updates Surg 63:243–247
Giuliani A, Sicoli F, Santaniello W, Monti GGN (2012) Complications. In: Calise F, Casciola L (ed) Minimally, surgery of the liver, Springer, p 291–294
Gustafson JD, Fox JP, Ouellette JR et al (2012) Open versus laparoscopic liver resection: looking beyond the immediate postoperative period. Surg Endosc 26:468–472
Welsh FK, Tekkis PP, John TG, Rees M (2010) Open liver resection for colorectal metastases: better short- and long-term outcomes in patients potentially suitable for laparoscopic liver resection. HPB (Oxf) 12(3):188–194
Parks RW, James Garden O (2009) Benign liver lesions hepatobiliary and pancreatic surgery, 4th edn. Saunders
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Giuliani, A., Migliaccio, C., Ceriello, A. et al. Laparoscopic vs. open surgery for treating benign liver lesions: assessing quality of life in the first year after surgery. Updates Surg 66, 127–133 (2014). https://doi.org/10.1007/s13304-014-0252-5
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DOI: https://doi.org/10.1007/s13304-014-0252-5