The University of Southampton
University of Southampton Institutional Repository

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

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

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.

Journal Article
1365-182X
231
Halls, Mark, Christopher
1074982b-1829-40be-863a-25a38d63ad19
Cherqui, Daniel
a40fc79a-2c49-4663-a96b-74f995485cc3
Taylor, Mark A
c416c3ad-c253-4a84-82f0-cd81c246fc4d
Primrose, John N
d85f3b28-24c6-475f-955b-ec457a3f9185
Abu Hilal, Mohammed
384e1c60-8519-4eed-8e92-91775aad4c47
Collaborators of The Difficulty of Laparoscopic Liver Surgery Survey
Halls, Mark, Christopher
1074982b-1829-40be-863a-25a38d63ad19
Cherqui, Daniel
a40fc79a-2c49-4663-a96b-74f995485cc3
Taylor, Mark A
c416c3ad-c253-4a84-82f0-cd81c246fc4d
Primrose, John N
d85f3b28-24c6-475f-955b-ec457a3f9185
Abu Hilal, Mohammed
384e1c60-8519-4eed-8e92-91775aad4c47

Halls, Mark, Christopher, Cherqui, Daniel, Taylor, Mark A, Primrose, John N and Abu Hilal, Mohammed , Collaborators of The Difficulty of Laparoscopic Liver Surgery Survey (2018) Are the current difficulty scores for laparoscopic liver surgery telling the whole story?: An international survey and recommendations for the future. HPB, 20 (3), 231. (doi:10.1016/j.hpb.2017.08.028).

Record type: Article

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.

Text
Are current LLS difficulty scores sufficient [REVISION] - Accepted Manuscript
Download (157kB)

More information

Accepted/In Press date: 26 August 2017
e-pub ahead of print date: 29 September 2017
Published date: 1 March 2018
Additional Information: Copyright © 2017 International Hepato-Pancreato-Biliary Association Inc. Published by Elsevier Ltd. All rights reserved.
Keywords: Journal Article

Identifiers

Local EPrints ID: 414751
URI: https://eprints.soton.ac.uk/id/eprint/414751
ISSN: 1365-182X
PURE UUID: 9ede40be-fe5b-47ce-abed-64bc312a5ecb
ORCID for John N Primrose: ORCID iD orcid.org/0000-0002-2069-7605

Catalogue record

Date deposited: 10 Oct 2017 16:31
Last modified: 14 Mar 2019 05:32

Export record

Altmetrics

Contributors

Author: Mark, Christopher Halls
Author: Daniel Cherqui
Author: Mark A Taylor
Author: John N Primrose ORCID iD
Author: Mohammed Abu Hilal

University divisions

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton: eprints@soton.ac.uk

ePrints Soton supports OAI 2.0 with a base URL of https://eprints.soton.ac.uk/cgi/oai2

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×