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Health-related quality of life after laparoscopic liver resection

 Department of Surgery, Campus Charité-Mitte and Campus Virchow-Klinikum, Charité University Medicine Berlin, Berlin, Germany

Correspondence Address:
Christian Benzing,
Department of Surgery, Campus Charite-Mitte and Campus Virchow-Klinikum, Charite University Medicine Berlin, Berlin
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jmas.JMAS_137_17

PMID: 28928324

Background: Potential benefits of laparoscopic liver resections (LLRs) over open liver resections (OLRs) such as the clinical outcome and health-related quality of life (HRQoL) have not convincingly been investigated, yet. Patients and Methods: All patients who had undergone LLR and OLR at our department between 1 June 2014 and 10 October 2016 were identified. HRQoL was assessed using the short form 36 (SF-36). All patients who returned the surveys were then retrospectively analysed with regards to the perioperative outcome. Results: We received 66 eligible questionnaires (50%). The number of major liver resections did not significantly differ between both groups (LLR: 11 [33%], OLR: 16 [48%], P = 0.211).The proportion of patients with two or more co-morbidities (P = 0.044) and liver cirrhosis (P = 0.016), respectively, was significantly higher in the LLR group, when compared to the OLR group (LLR: 11 [33%] vs. 3 of 33 patients [9%], P = 0.016). HRQoL scores were good with no significant differences between both groups. Among these patients, there were significantly more pulmonary complications in the OLR group, and length of hospital stay was longer when compared to the LLR group. Conclusions: Laparoscopic liver surgery can be performed safely even in multimorbid elderly patients resulting in high HRQoL scores.

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    -  Benzing C
    -  Krenzien F
    -  Gohlke D
    -  Andreou A
    -  Haber P
    -  Wabitsch S
    -  Biebl M
    -  Zorron R
    -  Atanasov G
    -  Strücker B
    -  Raschzok N
    -  Bahra M
    -  Öllinger R
    -  Pratschke J
    -  Schmelzle M
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2004 Journal of Minimal Access Surgery
Published by Wolters Kluwer - Medknow
Online since 15th August '04