Impact of Liver Cirrhosis, Severity of Cirrhosis, and Portal Hypertension on the Difficulty and Outcomes of Laparoscopic and Robotic Major Liver Resections for Primary Liver Malignancies.
Federica CiprianiLuca AldrighettiFrancesca RattiAndrew G R WuTousif KabirOlivier ScattonChetana LimWanguang ZhangJasper SijberdenDavit L AghayanTiing-Foong SiowSafi DokmakFabricio Ferreira CoelhoPaulo HermanMarco V MarinoVincenzo MazzaferroAdrian K H ChiowIswanto SucandyArpad IvaneczSung-Hoon ChoiJae Hoon LeeMikel GastacaMarco VivarelliFelice GiulianteAndrea RuzzenenteChee-Chien YongMengqiu YinConstantino FondevilaMikhail EfanovZenichi MoriseFabrizio Di BenedettoRaffaele BrustiaRaffaele Dalla ValleUgo BoggiDavid GellerAndrea BelliRiccardo MemeoSalvatore GruttadauriaAlejandro MejiaJames O ParkFernando RotellarGi-Hong ChoiRicardo Robles-CamposXiaoying WangRobert P SutcliffeJohann PratschkeEric C H LaiCharing C N ChongMathieu D'HondtKazuteru MondenSantiago Lopez-BenT Peter KinghamAlessandro FerreroGiuseppe Maria EttorreDaniel CherquiXiao LiangOlivier SoubraneGo WakabayashiRoberto I TroisiTan-To CheungYutaro KatoAtsushi SugiokaHo-Seong HanTran Cong Duy LongQu LiuRong LiuBjørn EdwinDavid FuksKuo-Hsin ChenMohammad Abu HilalBrian Kim Poh Gohnull nullPublished in: Annals of surgical oncology (2023)
The presence and severity of cirrhosis affected the difficulty and impacted the outcomes of MIMH, resulting in higher blood transfusion rates, increased postoperative morbidity, and longer hospitalization in patients with more advanced cirrhosis. As such, future difficulty scoring systems for MIMH should incorporate liver cirrhosis and its severity as variables.