Comparing practice and outcome of laparoscopic liver resection between high-volume expert centres and nationwide low-to-medium volume centres.
B GörgecR S FichtingerFrancesca RattiDavit L AghayanM J Van der PoelR Al-JarrahT ArmstrongFederica CiprianiÅ A FretlandA SuhoolM BemelmansK BosschaA E BraatM T De BoerC H C DejongP G DoorneboschW A DraaismaM F GerhardsP D GobardhanJ HagendoornG KazemierJ KlaaseW K G LeclercqM S LiemD J LipsH A MarsmanJ S D MieogQ I MolenaarV B NieuwenhuijsC L NotaG A PatijnA M RijkenG D SlooterM W J StommelR J SwijnenburgP J TanisW W Te RieleT TerkivatanP M P Van den TolP B Van den BoezemJ A Van der HoevenM VermaasB EdwinLuca A AldrighettiR M Van DamM Abu HilalMarc G H BesselinkPublished in: The British journal of surgery (2021)
High-volume expert centres had a sixfold higher use of laparoscopic liver resection, less conversions, and shorter hospital stay, as compared to a nationwide low-medium volume practice. Stratification into Southampton difficulty score risk groups identified some differences but largely outcomes appeared better for high-volume centres in each risk group.