Are the current difficulty scores for laparoscopic liver surgery telling the whole story? An international survey and recommendations for the future

Collaborators of The Difficulty of Laparoscopic Liver Surgery Survey

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Background: Recent studies have suggested that the difficulty of laparoscopic liver resections are related to both patient and tumour factors, however the available difficulty scoring systems only incorporate tumour factors. The aim of this study was to assess the opinion of laparoscopic liver surgeons regarding the factors that affect the perceived difficulty of laparoscopic liver resections. Method: Using a Visual Analogue Scale an international survey of laparoscopic liver surgeons was undertaken to assess the perceived difficulty of 26 factors previously demonstrated to affect the difficulty of a laparoscopic liver resection. Results: 80 surgeons with a combined experience of over 7000 laparoscopic liver resections responded to the survey. The difficulty of laparoscopic liver surgery was suggested to be increased by a BMI > 35 by 89% of respondents; neo-adjuvant chemotherapy by 79%; repeated liver resection by 99% and concurrent procedures by 59% however these factors have not been included in the previous difficulty scoring systems. Conclusion: The results suggests that the difficulty of laparoscopic liver surgery is not fully assessed by the available difficulty scoring systems and prompts the development of a new difficulty score that incorporates all factors believed to increase difficulty.
Original languageEnglish
Pages (from-to)216-221
JournalHPB
Volume20
Issue number3
DOIs
Publication statusPublished - 2018
Externally publishedYes

Cite this

Collaborators of The Difficulty of Laparoscopic Liver Surgery Survey. / Are the current difficulty scores for laparoscopic liver surgery telling the whole story? An international survey and recommendations for the future. In: HPB. 2018 ; Vol. 20, No. 3. pp. 216-221.
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title = "Are the current difficulty scores for laparoscopic liver surgery telling the whole story? An international survey and recommendations for the future",
abstract = "Background: Recent studies have suggested that the difficulty of laparoscopic liver resections are related to both patient and tumour factors, however the available difficulty scoring systems only incorporate tumour factors. The aim of this study was to assess the opinion of laparoscopic liver surgeons regarding the factors that affect the perceived difficulty of laparoscopic liver resections. Method: Using a Visual Analogue Scale an international survey of laparoscopic liver surgeons was undertaken to assess the perceived difficulty of 26 factors previously demonstrated to affect the difficulty of a laparoscopic liver resection. Results: 80 surgeons with a combined experience of over 7000 laparoscopic liver resections responded to the survey. The difficulty of laparoscopic liver surgery was suggested to be increased by a BMI > 35 by 89{\%} of respondents; neo-adjuvant chemotherapy by 79{\%}; repeated liver resection by 99{\%} and concurrent procedures by 59{\%} however these factors have not been included in the previous difficulty scoring systems. Conclusion: The results suggests that the difficulty of laparoscopic liver surgery is not fully assessed by the available difficulty scoring systems and prompts the development of a new difficulty score that incorporates all factors believed to increase difficulty.",
author = "{Collaborators of The Difficulty of Laparoscopic Liver Surgery Survey} and Halls, {Mark C.} and Daniel Cherqui and Taylor, {Mark A.} and Primrose, {John N.} and {Abu Hilal}, Mohammed and {Abu Hilal}, M. and L. Aldrighetti and {Al Saati}, H. and A. Alseidi and S. Aroori and G. Belli and M. Besselink and B. Edwin and M. D'Hondt and I. Dagher and C. Dejong and D. Geller and Z. Hamady and M. Hamoui and B. Isaksson and A. Ivanecz and {le Roux}, G. and M. Lesurtel and N. O'Rouke and R. Prasad and {Prieto Calvo}, M. and S. Reddy and F. Rotellar and J. Santoyo and Z. Soonawalla and O. Soubrane and G. Stavrou and D. Subar and R. Sutcliffe and P. Tanis and R. Troisi and {van Dam}, Ronald and G. Wakabayashi and S. White and {Abu Hilal}, M. and L. Aldrighetti and {Al Saati}, H. and A. Alseidi and S. Aroori and G. Belli and M. Besselink and B. Edwin and M. D'Hondt and I. Dagher and C. Dejong",
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Are the current difficulty scores for laparoscopic liver surgery telling the whole story? An international survey and recommendations for the future. / Collaborators of The Difficulty of Laparoscopic Liver Surgery Survey.

In: HPB, Vol. 20, No. 3, 2018, p. 216-221.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Are the current difficulty scores for laparoscopic liver surgery telling the whole story? An international survey and recommendations for the future

AU - Collaborators of The Difficulty of Laparoscopic Liver Surgery Survey

AU - Halls, Mark C.

AU - Cherqui, Daniel

AU - Taylor, Mark A.

AU - Primrose, John N.

AU - Abu Hilal, Mohammed

AU - Abu Hilal, M.

AU - Aldrighetti, L.

AU - Al Saati, H.

AU - Alseidi, A.

AU - Aroori, S.

AU - Belli, G.

AU - Besselink, M.

AU - Edwin, B.

AU - D'Hondt, M.

AU - Dagher, I.

AU - Dejong, C.

AU - Geller, D.

AU - Hamady, Z.

AU - Hamoui, M.

AU - Isaksson, B.

AU - Ivanecz, A.

AU - le Roux, G.

AU - Lesurtel, M.

AU - O'Rouke, N.

AU - Prasad, R.

AU - Prieto Calvo, M.

AU - Reddy, S.

AU - Rotellar, F.

AU - Santoyo, J.

AU - Soonawalla, Z.

AU - Soubrane, O.

AU - Stavrou, G.

AU - Subar, D.

AU - Sutcliffe, R.

AU - Tanis, P.

AU - Troisi, R.

AU - van Dam, Ronald

AU - Wakabayashi, G.

AU - White, S.

AU - Abu Hilal, M.

AU - Aldrighetti, L.

AU - Al Saati, H.

AU - Alseidi, A.

AU - Aroori, S.

AU - Belli, G.

AU - Besselink, M.

AU - Edwin, B.

AU - D'Hondt, M.

AU - Dagher, I.

AU - Dejong, C.

PY - 2018

Y1 - 2018

N2 - Background: Recent studies have suggested that the difficulty of laparoscopic liver resections are related to both patient and tumour factors, however the available difficulty scoring systems only incorporate tumour factors. The aim of this study was to assess the opinion of laparoscopic liver surgeons regarding the factors that affect the perceived difficulty of laparoscopic liver resections. Method: Using a Visual Analogue Scale an international survey of laparoscopic liver surgeons was undertaken to assess the perceived difficulty of 26 factors previously demonstrated to affect the difficulty of a laparoscopic liver resection. Results: 80 surgeons with a combined experience of over 7000 laparoscopic liver resections responded to the survey. The difficulty of laparoscopic liver surgery was suggested to be increased by a BMI > 35 by 89% of respondents; neo-adjuvant chemotherapy by 79%; repeated liver resection by 99% and concurrent procedures by 59% however these factors have not been included in the previous difficulty scoring systems. Conclusion: The results suggests that the difficulty of laparoscopic liver surgery is not fully assessed by the available difficulty scoring systems and prompts the development of a new difficulty score that incorporates all factors believed to increase difficulty.

AB - Background: Recent studies have suggested that the difficulty of laparoscopic liver resections are related to both patient and tumour factors, however the available difficulty scoring systems only incorporate tumour factors. The aim of this study was to assess the opinion of laparoscopic liver surgeons regarding the factors that affect the perceived difficulty of laparoscopic liver resections. Method: Using a Visual Analogue Scale an international survey of laparoscopic liver surgeons was undertaken to assess the perceived difficulty of 26 factors previously demonstrated to affect the difficulty of a laparoscopic liver resection. Results: 80 surgeons with a combined experience of over 7000 laparoscopic liver resections responded to the survey. The difficulty of laparoscopic liver surgery was suggested to be increased by a BMI > 35 by 89% of respondents; neo-adjuvant chemotherapy by 79%; repeated liver resection by 99% and concurrent procedures by 59% however these factors have not been included in the previous difficulty scoring systems. Conclusion: The results suggests that the difficulty of laparoscopic liver surgery is not fully assessed by the available difficulty scoring systems and prompts the development of a new difficulty score that incorporates all factors believed to increase difficulty.

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UR - https://www.ncbi.nlm.nih.gov/pubmed/28969960

U2 - 10.1016/j.hpb.2017.08.028

DO - 10.1016/j.hpb.2017.08.028

M3 - Article

VL - 20

SP - 216

EP - 221

JO - HPB

JF - HPB

SN - 1477-2574

IS - 3

ER -