Laparoscopic and open liver resection in children: comparison of results
https://doi.org/10.16931/1995-5464.2023-1-41-47
Abstract
Aim. To compare the results of laparoscopic and open resections in children with hepatic neoplasms.
Materials and methods. A retrospective analysis of the immediate and long-term results of laparoscopic and open liver resections for the period from 2018 to 2021 was performed. In order to apply pseudorandomization, the observations were compared according to 10 cofounders, taking into account anamnestic data, anatomical and physiological features.
Results. 30 children were operated on laparoscopically and 77 – by the open method. After pseudorandomization, 26 pairs of comparable observations were obtained. Statistically significant differences were identified in the period of safety drainage removal, duration of analgesic therapy and postoperative period with the advantage of laparoscopic access both before and after pseudorandomization. The authors reported no significant differences in the incidence of postoperative complications, lethal outcomes and long-term treatment results.
Conclusion. Shorter postoperative period indicates further study of the results of laparoscopic liver resections with specialized institutions to be involved. This will enable indications for such interventions to be finally formulated.
About the Authors
D. G. Akhaladze
Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology, Ministry of Health of Russian Federation
Russian Federation
Russian Federation
Dmitry G. Akhaladze – Doct. of Sci. (Med.), Head of Thoracoabdominal Surgery Unit
1, Samory Mashela str., Moscow, 117997
Phone: +7-905-587-89-92
I. V. Tverdov
Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology, Ministry of Health of Russian Federation
Russian Federation
Russian Federation
Ivan V. Tverdov – Physician, Pediatric Surgeon, Oncology and Pediatric Surgery Unit
1, Samory Mashela str., Moscow, 117997
G. S. Rabaev
Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology, Ministry of Health of Russian Federation; Russian Children's Clinical Hospital, Oncology Unit of Surgical Methods “Pirogov Russian National Research Medical University of the Ministry of Healthcare of the Russian Federation”
Russian Federation
Russian Federation
Gavriil S. Rabaev – Cand. of Sci. (Med.), Physician, Pediatric Surgeon, Oncology Unit of Surgical Methods; Physician, Pediatric Surgeon, Oncology and Pediatric Surgery Unit
1, Samory Mashela str., Moscow, 117997
117, Leninsky pr-t, Moscow, 119571
N. S. Grachev
Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology, Ministry of Health of Russian Federation
Russian Federation
Russian Federation
Nikolay S. Grachev – Doct. of Sci. (Med.), Deputy General Director, Director of Institute of Pediatric Surgery and Oncology, Head of Oncology and Pediatric Surgery Unit
1, Samory Mashela str., Moscow, 117997
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For citations:
Akhaladze D.G., Tverdov I.V., Rabaev G.S., Grachev N.S. Laparoscopic and open liver resection in children: comparison of results. Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2023;28(1):41-47. (In Russ.) https://doi.org/10.16931/1995-5464.2023-1-41-47
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