Laparoscopic liver resection in cirrhotics: feasibility and short-term outcomes compared to non-cirrhotics.


BACKGROUND:Laparoscopic liver resection (LLR) is increasingly common worldwide but its suitability in patients with cirrhosis is not clearly defined. There are minimal data in the western literature on this topic and previous work has compared LLR to open hepatectomy rather than to LLR in non-cirrhotic patients. This study compared short-term outcomes of LLR in cirrhotic patients to LLR in non-cirrhotic patients. METHODS:Retrospective review of minor LLR at the Royal Infirmary of Edinburgh from January 2006 to January 2018 was conducted. Patients were stratified by whether they had cirrhosis - defined as per radiological appearances and liver function tests. Variables of interest included baseline clinicopathological information with short-term outcomes (length of stay and complications) regarded as the primary outcome of interest. RESULTS:Out of 1207 liver resections in the study period, there were 120 LLR with 30 patients having cirrhosis. Patients with cirrhosis were more likely to be male and have higher median American Society of Anesthesiologists scores (3 versus 2; P < 0.01). The most common operation was left lateral sectionectomy (n = 67). There was no difference in duration of surgery (cirrhosis 88 min versus no cirrhosis 99 min; P = 0.64) and patients in the cirrhosis arm had no conversions to open (0% versus 12%; P = 0.06). There was no difference in complications (12% versus 13%; P = 0.75) or median length of stay (4 versus 4 days; P = 0.14) and no difference in survival between both groups. CONCLUSION:With careful patient selection, LLR is feasible in patients with cirrhosis and provides comparable outcomes to non-cirrhotic patients undergoing LLR.


ANZ J Surg


ANZ journal of surgery


Srinivasa S,Hughes M,Azodo IA,Adair A,Ravindran R,Harrison E,Wigmore SJ




Has Abstract


2020-06-01 00:00:00












  • Factors related to post-operative metabolic acidosis following major abdominal surgery.

    abstract:BACKGROUND:Metabolic acidosis is frequently observed in perioperative patients, especially those who undergo major surgery. The aim of this study was to evaluate the factors related to post-operative metabolic acidosis and to attempt to identify the clinical effect of metabolic acidosis following major abdominal surger...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Park CM,Chun HK,Jeon K,Suh GY,Choi DW,Kim S

    更新日期:2014-07-01 00:00:00

  • Internal pancreatic fistulas with pancreatic ascites and pancreatic pleural effusions: recognition and management.

    abstract:BACKGROUND:Internal pancreatic fistulas are well recognized complications of chronic pancreatitis. METHODS:Six patients with internal pancreatic fistulas were treated over a period of 5 years from 1995 to 1999. Four patients presented with ascites, one patient presented with ascites and bilateral pleural effusion and ...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Kaman L,Behera A,Singh R,Katariya RN

    更新日期:2001-04-01 00:00:00

  • Comparative issues in aviation and surgical crew resource management: (1) are we too solution focused?

    abstract::Although the published work in health care increasingly promotes aviation as a high-reliability industry to be emulated, there is little empirical research to justify equating the dynamics of health care's operating environment with that of aviation. This article examines some of the potential key areas of difference ...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Hunt GJ,Callaghan KS

    更新日期:2008-08-01 00:00:00

  • Prolonged surgical duration, higher body mass index and current smoking increases risk of surgical site infection after intra-articular fracture of distal femur.

    abstract:BACKGROUND:This study aimed to investigate incidence of surgical site infection (SSI) following the surgery of intra-articular fractures of distal femur. METHODS:Between July 2014 and December 2017, inpatient medical records of consecutive patients who had intra-articular fractures of distal femur treated by open redu...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Xu H,Yu L,Li Y,Gong Z

    更新日期:2019-06-01 00:00:00

  • Randomized blinded control trial into tourniquet tolerance in awake volunteers.

    abstract:BACKGROUND:The ability to tolerate a tourniquet is often the limiting factor to elective and emergent procedures of the upper limb performed under local anaesthesia. This study aims to demonstrate that upper limb tourniquets are more predictably and better tolerated when inflated to 200 mmHg than to the traditional inf...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Lim E,Shukla L,Barker A,Trotter DJ

    更新日期:2015-09-01 00:00:00

  • Variability of perioperative mortality of hepatic resection in Australia.

    abstract:BACKGROUND:Hepatic resection is a relatively young and complex specialized procedure. A strong relationship between volume and perioperative mortality has been reported internationally. However, there has been no multicentre study into hepatic resection in Australia. This retrospective, population-based cohort study wa...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Stevens CL,Babidge WJ,Maddern GJ

    更新日期:2018-10-01 00:00:00

  • Experience in dermomyofascial pouch coverage of immediate implants following skin sparing reduction mastectomy.

    abstract:BACKGROUND:Mastectomy for breast cancer treatment and prophylaxis has improved survival for patients. The advantage of implant reconstruction post mastectomy is that it avoids an additional donor site with its associated morbidity, which post-mastectomy autologous reconstruction necessitates. However, the deficiency of...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Chang LY,Hargreaves W,Segara D,Moisidis E

    更新日期:2013-03-01 00:00:00

  • Acute epiglottitis in adults: the Royal Melbourne Hospital experience.

    abstract:BACKGROUND:To examine the common presentations and management of acute epiglottitis in adults. METHOD:Retrospective clinical study of 17 consecutive adult patients who presented to the Royal Melbourne Hospital between January 1988 and December 2000 was undertaken. RESULTS:The mean patient age was 47 years (range 20-8...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Wong EY,Berkowitz RG

    更新日期:2001-12-01 00:00:00

  • The annual scientific conference: what does the future hold?

    abstract::It is now expected that medical practitioners around the world will engage in ongoing professional development. Many Colleges, medical associations and societies have made completion of appropriate continuing professional development (CPD) mandatory and medical registration in some jurisdictions is predicated on parti...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Hollands M,Miles C

    更新日期:2009-03-01 00:00:00

  • Left renal vein ligation for large splenorenal shunt during liver transplantation.

    abstract::Adequate hepatopetal portal vein blood flow is obligatory to ensure proper liver function after liver transplantation. Large collateral veins as shunts impair portal vein flow and even cause hepatofugal blood flow and portal steal syndrome. In particular, splenorenal shunts in liver transplant recipients can lead to a...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,评审


    authors: Tang R,Han D,Li M,Shen S,Huang X,Zhao W,Dong J

    更新日期:2017-10-01 00:00:00

  • Australian audit for the endoluminal repair of abdominal aortic aneurysm: the first 12 months.

    abstract:BACKGROUND:The Australian Safety and Efficacy Register for New Interventional Procedures - Surgical (ASERNIP-S) was contracted by the Commonwealth Department of Health and Aged Care to audit the procedure of endoluminal repair of abdominal aortic aneurysm. The purpose of the audit was to examine the safety and efficacy...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Boult M,Babidge W,Anderson J,Denton M,Fitridge R,Harris J,Lawrence-Brown M,May J,Myerstt K,Maddern G

    更新日期:2002-03-01 00:00:00

  • Does knee position during wound closure alter patella height following total knee arthroplasty?

    abstract:BACKGROUND:Patella infera is a known complication of total knee arthroplasty, and the method of soft tissue closure is a possible contributing factor. The aim of our study was to evaluate the effect of knee position during surgical closure of capsule, subcutaneous tissue and skin on patella tendon length after total kn...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Clark S,Tee L,Sutherland A

    更新日期:2019-03-01 00:00:00

  • Variations in intrinsic breast cancer characteristics in screen-detected breast cancer patients aged between 45 and 69 and above the age of 70.

    abstract:BACKGROUND:Increasing age is a well-recognized risk factor for breast cancer. With an increase in life expectancy of women, more older patients are diagnosed with breast cancer. This study aimed to identify the variations in breast cancer attributes and mortality in different age groups in New Zealand. METHODS:This wa...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Huang Y,Ip EC,Ng AKT,Cohen-Hallaleh R

    更新日期:2020-11-20 00:00:00

  • Preoperative factors prolonging the length of stay in elective colorectal surgery.

    abstract:BACKGROUND:In elective colorectal resections, the patient's preoperative social situation may play a significant role in delaying their discharge from hospital. The aim of this study was to identify which preoperative factors are associated with non-medical reasons for a delay in discharge and prolonged length of stay ...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Ngui NK,Hitos K,Ctercteko G

    更新日期:2011-09-01 00:00:00

  • Lower extremity venous changes in pneumoperitoneum during laparoscopic surgery.

    abstract:BACKGROUND:The effect of pneumoperitoneum on veins of the lower limbs related to the intra-abdominal working pressures during laparoscopic cholecystectomy has not been thoroughly investigated. We tested the hypothesis that working pressures do not affect the venous haemodynamics in the lower limbs. METHODS:The cross-s...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Güleç B,Oner K,Yigitler C,Kocaoğlu M,Aydin Y,Sağlam M

    更新日期:2006-10-01 00:00:00

  • Dorsal lumbotomy incision in paediatric pyeloplasty.

    abstract:BACKGROUND:The purpose of the present study was to comprehensively assess the results of surgical management of pelvi-ureteric junction (PUJ) obstruction using lumbotomy as the surgical approach. METHODS:Records of 36 consecutive patients with unilateral PUJ obstruction who underwent pyeloplasty in the last 5 years we...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Bajpai M,Kumar A,Tripathi M,Bal CS

    更新日期:2004-06-01 00:00:00

  • Prospective comparison of return of bowel function after left versus right colectomy.

    abstract:BACKGROUND:Passage of flatus and stool represents a key milestone in recovery after colonic resections. Colorectal surgeons may hold varied expectations regarding recovery rates after left- versus right-sided colectomies, but there is currently little evidence to inform post-operative care. This study prospectively com...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,随机对照试验


    authors: Yuan L,O'Grady G,Milne T,Jaung R,Vather R,Bissett IP

    更新日期:2018-04-01 00:00:00

  • An in-vivo paradigm for the evaluation of stimulating electrodes for use with a visual prosthesis.

    abstract:BACKGROUND:Electrical stimulation of the visual cortex with surface electrodes is able to elicit basic visual perceptions in blind patients. The development of a visual prosthesis for the blind will require an in-vivo model for the optimization of cortical neurostimulation with multielectrode arrays. METHODS:In anaest...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Chowdhury V,Morley JW,Coroneo MT

    更新日期:2004-05-01 00:00:00

  • Paediatric mild head injury: is routine admission to a tertiary trauma hospital necessary?

    abstract:BACKGROUND:Previous studies have shown that children with isolated linear skull fractures have excellent clinical outcomes and low risk of surgery. We wish to identify other injury patterns within the spectrum of paediatric mild head injury, which need only conservative management. Children with low risk of evolving ne...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Tallapragada K,Peddada RS,Dexter M

    更新日期:2018-03-01 00:00:00

  • Splenic autotransplantation: a systematic review.

    abstract:BACKGROUND:Splenectomy is a surgical procedure indicated in a variety of medical conditions including trauma. Post-operatively, there is a lifelong risk of developing overwhelming sepsis from encapsulated bacteria, most commonly due to Streptococcus pneumoniae. Splenic autotransplantation has been proposed as a method ...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,评审


    authors: Surendran A,Smith M,Houli N,Usatoff V,Spelman D,Choi J

    更新日期:2020-04-01 00:00:00

  • Management of sigmoid volvulus: is early surgery justifiable?

    abstract:INTRODUCTION:Sigmoid volvulus typically occurs in older patients who have multiple co-morbidities. Therefore, often, a conservative approach to management is chosen. However, there is little data on long-term outcomes of this approach in Australasia. The aim of this study was to review the recurrence and mortality outc...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Yassaie O,Thompson-Fawcett M,Rossaak J

    更新日期:2013-01-01 00:00:00

  • Elevations of serum CA-125 predict severity of acute appendicitis in males.

    abstract:BACKGROUND:Acute appendicitis (AA) is a common indication for urgent abdominal surgery. CA-125 glycoprotein antigen is a non-specific marker for epithelial ovarian cancer; CA-125 serum levels also increased in the conditions of peritoneal inflammation. The aim of this study was to examine the correlation between serum ...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Berger Y,Nevler A,Shwaartz C,Lahat E,Zmora O,Gutman M,Shabtai M

    更新日期:2016-04-01 00:00:00

  • Ethnic disparities in rates of publicly funded bariatric surgery in New Zealand (2009-2014).

    abstract:BACKGROUND:Publicly funded bariatric surgery in New Zealand (NZ) is steadily on the rise to meet the obesity epidemic. Ethnic disparities in obesity rates exist in NZ with Māori and Pacific people having three to five times higher rates than all other ethnic groups within NZ. Ethnic disparities in rates of bariatric su...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Rahiri JL,Lauti M,Harwood M,MacCormick AD,Hill AG

    更新日期:2018-05-01 00:00:00

  • Anaplastic thyroid carcinoma: dismal outcome despite current treatment approach.

    abstract:BACKGROUND:Anaplastic thyroid carcinoma (ATC) accounts for <5% of all thyroid malignancies and is one of the most aggressive malignancies known. Survival is limited to months and death is often caused by uncontrolled neck disease. There is evidence that multimodality treatment, incorporating surgery (Sx), external beam...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,评审


    authors: Veness MJ,Porter GS,Morgan GJ

    更新日期:2004-07-01 00:00:00

  • Fresh frozen cadaver workshops for general surgical training.

    abstract:BACKGROUND:The technical proficiency of a surgeon is intricately linked to training and experience. Reduction in working hours, decreased operating time and ethical imperatives to protect patients have all resulted in a decrease in hands-on experience. The introduction of laparoscopic procedures has also decreased trai...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Chai DQ,Naunton-Morgan R,Hamdorf J

    更新日期:2019-11-01 00:00:00

  • Towards painless colonoscopy: a randomized controlled trial on carbon dioxide-insufflating colonoscopy.

    abstract:BACKGROUND:Carbon dioxide (CO2) insufflation during colonoscopy was reported to reduce pain, but data are limited. The objective of this randomized controlled trial was to assess the effect of CO2 insufflation on pain during and after colonoscopy. METHODS:Patients were randomized into CO2 insufflation (CO2i) or air in...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,随机对照试验


    authors: Wong JC,Yau KK,Cheung HY,Wong DC,Chung CC,Li MK

    更新日期:2008-10-01 00:00:00

  • Nicolaes Tulp and the golden age of the Dutch Republic.

    abstract::In the seventeenth century, Holland and the allied provinces of the northern Netherlands won final independence from their Spanish overlords and formed a worldwide economic empire. Dutch ships dominated the seas from the Caribbean to Japan and reconnoitred the coasts of Australia and New Zealand. Dutch society was cos...

    journal_title:ANZ journal of surgery

    pub_type: 传,历史文章


    authors: Simpson D

    更新日期:2007-12-01 00:00:00

  • Attitudes to evidence-based practice in urology: results of a survey.

    abstract:BACKGROUND:The advantages of promoting evidence-based care through implementation of clinical guidelines are well established. Clinical practice guidelines have been developed for lower urinary tract symptoms (LUTS) and prostate cancer screening. Aspects of the delivery of care by urologists or specialist registrars re...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Stapleton AM,Cuncins-Hearn A,Pinnock C

    更新日期:2001-05-01 00:00:00

  • Fournier's gangrene: a retrospective clinical study on forty-one patients.

    abstract:BACKGROUND:Fournier's gangrene, first described by Dr Jean Alfred Fournier in 1883, still has a high mortality rate. The prognosis and outcome of such patients were analysed. METHODS:Forty-one patients with Fournier's gangrene were reviewed on the parameters of age, sex, aetiological agents, predisposing factors, trea...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Ayan F,Sunamak O,Paksoy SM,Polat SS,As A,Sakoglu N,Cetinkale O,Sirin F

    更新日期:2005-12-01 00:00:00

  • Review of epiglottitis in the post Haemophilus influenzae type-b vaccine era.

    abstract:BACKGROUND:This study reviewed the demographics, presentation, management, complications and outcomes of acute epiglottitis post Haemophilus influenzae type-b vaccine introduction in Australia. METHODS:Retrospective review of acute epiglottitis at four Victorian tertiary centres from 2011 to 2016 was conducted. Patien...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Baird SM,Marsh PA,Padiglione A,Trubiano J,Lyons B,Hays A,Campbell MC,Phillips D

    更新日期:2018-11-01 00:00:00