Transatlantic registries for minimally invasive liver surgery: towards harmonization

التفاصيل البيبلوغرافية
العنوان: Transatlantic registries for minimally invasive liver surgery: towards harmonization
المؤلفون: Nicky van der Heijde, Burak Görgec, Joal D. Beane, Francesca Ratti, Giulio Belli, Andrea Benedetti Cacciaguerra, Fulvio Calise, Umberto Cillo, Marieke T. De Boer, Alexander M. Fagenson, Åsmund A. Fretland, Elizabeth M. Gleeson, Michelle R. de Graaff, Niels F. M. Kok, Kristoffer Lassen, Marcel J. van der Poel, Andrea Ruzzenente, Robert P. Sutcliffe, Bjørn Edwin, Luca Aldrighetti, Henry A. Pitt, Mohammad Abu Hilal, Marc G. Besselink
المساهمون: Surgery, Graduate School, CCA - Cancer Treatment and Quality of Life, CCA - Imaging and biomarkers, AGEM - Amsterdam Gastroenterology Endocrinology Metabolism
المصدر: Surgical endoscopy, 37(5), 3580-3592. Springer New York
بيانات النشر: Springer Science and Business Media LLC, 2023.
سنة النشر: 2023
مصطلحات موضوعية: Minimally invasive liver surgery, Surgery, Nationwide registries, Liver surgery, Laparoscopic liver surgery, Robotic liver surgery
الوصف: Background: Several registries focus on patients undergoing minimally invasive liver surgery (MILS). This study compared transatlantic registries focusing on the variables collected and differences in baseline characteristics, indications, and treatment in patients undergoing MILS. Furthermore, key variables were identified. Methods: The five registries for liver surgery from North America (ACS-NSQIP), Italy, Norway, the Netherlands, and Europe were compared. A set of key variables were established by consensus expert opinion and compared between the registries. Anonymized data of all MILS procedures were collected (January 2014–December 2019). To summarize differences for all patient characteristics, treatment, and outcome, the relative and absolute largest differences (RLD, ALD) between the smallest and largest outcome per variable among the registries are presented. Results: In total, 13,571 patients after MILS were included. Both 30- and 90-day mortality after MILS were below 1.1% in all registries. The largest differences in baseline characteristics were seen in ASA grade 3–4 (RLD 3.0, ALD 46.1%) and the presence of liver cirrhosis (RLD 6.4, ALD 21.2%). The largest difference in treatment was the use of neoadjuvant chemotherapy (RLD 4.3, ALD 20.6%). The number of variables collected per registry varied from 28 to 303. From the 46 key variables, 34 were missing in at least one of the registries. Conclusion: Despite considerable variation in baseline characteristics, indications, and treatment of patients undergoing MILS in the five transatlantic registries, overall mortality after MILS was consistently below 1.1%. The registries should be harmonized to facilitate future collaborative research on MILS for which the identified 46 key variables will be instrumental.
تدمد: 1432-2218
0930-2794
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::507c676384dec53138a093e7a38fd2f6
https://doi.org/10.1007/s00464-022-09765-y
حقوق: RESTRICTED
رقم الأكسشن: edsair.doi.dedup.....507c676384dec53138a093e7a38fd2f6
قاعدة البيانات: OpenAIRE