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












  • 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

  • Survey of trends in minimally invasive intervention for necrotizing pancreatitis.

    abstract:BACKGROUND:Minimally invasive techniques to manage infected pancreatic necrosis have been recently developed and changes in their pattern of use are unknown. The aims of this survey were to determine the trends in the role of minimally invasive techniques to manage infected complications of necrotizing pancreatitis and...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Loveday BP,Rossaak JI,Mittal A,Phillips A,Windsor JA

    更新日期:2011-01-01 00:00:00

  • Risk factors, treatment and impact on outcomes of bile leakage after hemihepatectomy.

    abstract:BACKGROUND:Risk factors for bile leakage after hemihepatectomy are unknown. METHODS:A prospectively maintained database review identified patients undergoing hemihepatectomy between 1 January 2009 and 30 September 2014. Patients were divided into B/C and non-B/C bile leakage groups. Risk factors for bile leakage were ...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Zheng SM,Li H,Li GC,Yu DS,Ying DJ,Zhang B,Lu CD,Zhou XH

    更新日期:2017-07-01 00:00:00

  • Surgical procedures for melanoma in public and private New South Wales hospitals, 2001-2002.

    abstract:BACKGROUND:Evidence suggests that there is considerable variation in the types of procedures used to treat cancer. This variation may result in suboptimal or cost-ineffective care. The present study examined the variation in surgical treatment of melanoma before the establishment of a Melanoma Network that could promot...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Barton MB,Gabriel GS,Frommer MS,Holt PE,Thompson JF

    更新日期:2006-05-01 00:00:00

  • Investigations and time trends in loop ileostomy reversals following anterior resections: a single Australian institution seven-years' experience.

    abstract:BACKGROUND:Currently no consensus exists regarding what pre-reversal investigations are required to assess integrity of the rectal anastomosis. The objective of this study was to compare pre-reversal assessments of anastomotic integrity and to evaluate trends that might have influenced timings for reversal. METHODS:Fr...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Taylor D,Besson A,Faragher IG,Chan STF,Yeung JM

    更新日期:2020-12-09 00:00:00

  • Late two-stage laparoscopic cholecystectomy is associated with an increased risk of major bile duct injury.

    abstract:BACKGROUND:Late laparoscopic cholecystectomy (LC) after endoscopic retrograde cholangiopancreatography (ERCP) and sphincterotomy (ES) for common bile duct (CBD) stone clearance, two-stage LC (TSLC), is associated with difficult surgical dissection and an increased rate of conversion to open procedure. The purpose of th...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Beliaev AM,Booth M

    更新日期:2016-01-01 00:00:00

  • Trainee surgeons and patient outcomes in carotid endarterectomy: a retrospective cohort study.

    abstract:BACKGROUND:In Australia and New Zealand, more than 2000 carotid endarterectomies are performed annually. The major morbidities arising from this procedure are post-operative stroke, cranial nerve injury and death. Carotid endarterectomy surgery is a key component of the vascular surgical training programme. We assessed...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Johnson NW,Smoll NR,Tan C,Brooks CE

    更新日期:2020-09-01 00:00:00

  • Repair of mandible defect with tissue engineering bone in rabbits.

    abstract:BACKGROUND:The aim of the present study was to investigate the effect of tissue engineering bone composed of bone marrow-derived osteoblasts and demineralized bone in repairing mandible defect. METHODS:Bone marrow-derived osteoblasts of 20 rabbits were cultured and seeded into scaffold of allogeneic demineralized bone...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Li Z,Li ZB

    更新日期:2005-11-01 00:00:00

  • Anal abscesses and fistulas.

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    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,评审


    authors: Rickard MJ

    更新日期:2005-01-01 00:00:00

  • Nodal metastasis microRNA expression correlates with the primary tumour in MTC.

    abstract:INTRODUCTION:Lymph node metastases represent a diagnostic and management challenge in patients with disseminated medullary thyroid carcinoma (MTC). Our understanding of microRNA (miRNA) profiles of metastatic disease also remains limited and may unveil novel therapeutic strategies for these patients. METHODS:MTC patie...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Gundara JS,Zhao JT,Gill AJ,Clifton-Bligh R,Robinson BG,Delbridge L,Sidhu SB

    更新日期:2014-04-01 00:00:00

  • Factors affecting fluid requirement on the first day after severe burn trauma.

    abstract:BACKGROUND:Parkland formula (PF) is the most often used schema for calculating intravenous resuscitation fluid requirement in burn patients. Some studies have reported that PF underestimates the fluid requirement in 45-63% of patients. The aim of this retrospective study was to analyse factors influencing first-day int...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Csontos C,Foldi V,Fischer T,Bogar L

    更新日期:2007-09-01 00:00:00

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    pub_type: 杂志文章


    authors: Davis SS,Babidge WJ,McCulloch GAJ,Maddern GJ

    更新日期:2019-06-01 00:00:00

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    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Chiu PW,Lam CY,Chow TL,Kwok SP

    更新日期:2001-11-01 00:00:00

  • Second primary colorectal cancer in the era of prevalent screening and imaging.

    abstract:BACKGROUND:Oncology literature is increasingly recognizing prevalence of second primary cancers including several longitudinal studies showing an increased risk of colorectal cancer following a prostate cancer diagnosis. A retrospective study was conducted to examine the relationship between prior prostate cancer diagn...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Bae S,Asadi M,Jones I,McLaughlin S,Bui A,Steele M,Tie J,Gibbs P

    更新日期:2013-12-01 00:00:00

  • Functional response to total hip arthroplasty in patients with hip dysplasia.

    abstract:BACKGROUND:While recent studies have shown patients with developmental dysplasia of the hip (DDH) undergoing total hip arthroplasty (THA) to achieve comparable post-operative outcomes to patients with primary osteoarthritis (OA), it is unclear whether DDH patients display better or worse preoperative function than the ...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Boyle MJ,Singleton N,Frampton CM,Muir D

    更新日期:2013-07-01 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

  • The Auburn Elective Surgery Pilot Project.

    abstract:BACKGROUND:The aim of this project was to increase rates of day surgery, reduce elective surgical waiting lists, give patients a guaranteed date of surgery and improve operating theatre utilization. The guiding principle behind the project was to treat the administration of elective surgery as a separate business unit,...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Singh N,Brooke-Cowden GL,Whitehurst C,Smith D,Senior J

    更新日期:2005-09-01 00:00:00

  • Effect of nitric oxide on the hypoglycaemic phase of endotoxaemia.

    abstract:BACKGROUND:Depletion of liver glycogen stores and subsequent hypoglycaemia is one of the unresolved features in endotoxaemia. The aim of this study was to elucidate the effect of L-arginine treatment on the glucose requirement and impending liver damage during the hypoglycaemic period of endotoxaemia. METHODS:Sixty-th...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Engin A,Zemheri M,Bukan N,Memiş L

    更新日期:2006-06-01 00:00:00

  • Developmental anomaly of the inferior vena cava.

    abstract::Despite the many possible modes of presentation, congenital anomalies of the inferior vena cava are increasingly being found in asymptomatic patients. Although plain chest radiography may reveal enough suggestive signs, the diagnosis is usually confirmed by ultrasound, computed tomography and magnetic resonance imagin...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Sandercoe GD,Brooke-Cowden GL

    更新日期:2003-05-01 00:00:00

  • Intermediate to long-term results of repairing incompetent multiple deep venous valves using external valvular stenting.

    abstract:INTRODUCTION:Chronic venous insufficiency is a major cause of morbidity in the community. The purpose of the present study was to assess the efficacy and safety of repairing multiple deep venous valves with an External Valvular Stent. METHODS:Forty-two limbs with chronic venous disease were operated on between 1987 an...

    journal_title:ANZ journal of surgery

    pub_type: 临床试验,杂志文章


    authors: Lane RJ,Cuzzilla ML,McMahon CG

    更新日期:2003-05-01 00:00:00

  • Similar length of colon is removed regardless of localization in right-sided colonic cancer surgery.

    abstract:BACKGROUND:Colorectal cancers represent a heterogenous group of tumours. While left segmental colectomy is an accepted and oncologically safe practice for left-sided colonic cancer (CC), some authors suggest that limited segmental resection of right-sided cancer should be debated in order to preserve length of the rese...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,评审


    authors: Siebert M,Trilling B,Lamotte A,Taton N,Bellier A,Faucheron JL

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  • Patient-related factors influence the risk of developing intestinal stoma complications in early post-operative period.

    abstract:BACKGROUND:Few studies have investigated the risk factors associated with developing intestinal stoma complications using appropriate multivariable methods. We aimed to determine the prevalence of, and risk factors for, stomal complications. METHODS:A retrospective, case-control methodology was used to investigate 12 ...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Harilingam M,Sebastian J,Twum-Barima C,Boshnaq M,Mangam S,Khushal A,Marzouk D,Tsavellas G

    更新日期:2017-10-01 00:00:00

  • Regional versus metropolitan pancreaticoduodenectomy mortality in Australia.

    abstract:BACKGROUND:This retrospective, population-based cohort study aims to determine if differences in the regional distribution of procedures or variation in regional mortality contributes to the variable pancreaticoduodenectomy (PD) mortality between Australian states and territories. METHODS:De-identified procedural data...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Davis SS,Babidge WJ,Kiermeier A,Maddern GJ

    更新日期:2019-12-01 00:00:00

  • Cardiac surgery versus stenting: what is better for the patient?

    abstract::Patterns of myocardial revascularization have changed significantly over the past decade. There has been a relative decrease of coronary artery bypass grafting (CABG) compared with percutaneous coronary intervention (PCI) and some patients are undergoing PCI for coronary lesions traditionally reserved for CABG. The mi...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Edelman JJ,Wilson MK,Bannon PG,Vallely MP

    更新日期:2012-11-01 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

  • Variations in pulmonary fissural anatomy: a medicolegal autopsy study of 256 cases.

    abstract:BACKGROUND:We aimed to document the anatomical variations of pulmonary fissures found during routine forensic autopsies. METHODS:A total of 256 pairs of lungs were investigated. Presence of any variant and accessory fissures was noted. RESULTS:Seventy-seven percent of the lungs had anatomical variations. In about 2/3...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Bostanci K,Ozyurtkan MO,Polat MO,Batirel H,Lacin T,Yuksel M,Stamenovic D

    更新日期:2020-04-01 00:00:00

  • Reduction in hospital admissions with an early computed tomography scan: results of an outpatient management protocol for uncomplicated acute diverticulitis.

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    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Juszczyk K,Ireland K,Thomas B,Kroon HM,Hollington P

    更新日期:2019-09-01 00:00:00

  • Geographical variation in the management of urolithiasis in Australia.

    abstract:BACKGROUND:To examine any geographical variation in the management of urolithiasis amongst the Australian states and territories. METHODS:Retrospective study with data obtained from the Medicare Australia database, the Royal Australasian College of Surgeons and the Urological Society of Australia and New Zealand. RES...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Tran MA,Chak-Lee M,Bariol SV

    更新日期:2017-06-01 00:00:00

  • Impact of post-operative serum albumin level on anastomotic leakage after transthoracic oesophagectomy for oesophageal squamous cell carcinoma.

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    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Zhuge L,Zheng D,Mao H,Xiang J,Chen H

    更新日期:2020-11-05 00:00:00

  • Thyroidal abscesses in third and fourth branchial anomalies: not only a paediatric diagnosis.

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    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Kruijff S,Sywak MS,Sidhu SB,Shun A,Novakovic D,Lee JC,Delbridge LW

    更新日期:2015-07-01 00:00:00