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The role of laparoscopic liver surgery with respect to clinical outcome remains unclear.
The role of laparoscopic liver surgery with respect to clinical outcome remains unclear. The investigators hypothesized that laparoscopic liver resection (LLR) is associated with better postoperative recovery than open liver resection (OLR).
Twenty-one patients who underwent LR were included in this study (11 OLR (52.4%) and 10 LLR (47.6%), respectively). Postoperative recovery was measured by bicycle stress testing at months 1 and 6 after surgery and compared to preoperative stress testing. Standardized performance for bicycle stress testing was calculated based on age, sex, height and weight. Postoperative recovery was compared between groups as change of performance (%).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| laparoscopic liver resection | Active Comparator | Patients undergoing laparoscopic liver resection |
|
| open liver resection | Active Comparator | Patients undergoing open liver resection |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ergometry | Other | Patients underwent a preoperative ergometry to assess their physical fitness prior to their planned liver resection. Bicycle stress testing was performed preoperatively and 1 and 6 months postoperatively. |
| Measure | Description | Time Frame |
|---|---|---|
| Overall change in performance | The change in performance after 1 and 6 months postoperatively in comparison to preoperative ergometry. | 1, 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Postoperative Complications | Secondary endpoints included postoperative complications (wound healing, liver failure, adverse events) | 1 months |
| Liver resection and effect on postoperative fitness |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Klaus Kaczirek, MD | Medical University of Vienna, Department of Surgery | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Medical University of Vienna, Department of Surgery | Vienna | 1090 | Austria |
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| ID | Term |
|---|---|
| D011183 | Postoperative Complications |
| D008107 | Liver Diseases |
| ID | Term |
|---|---|
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D004066 | Digestive System Diseases |
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| ID | Term |
|---|---|
| D016552 | Ergometry |
| ID | Term |
|---|---|
| D008919 | Investigative Techniques |
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non-randomized cohort study, 2 parallel groups
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patients were divided into two groups ( major (>2 segments) vs. minor (≤2segments) liver resection) and postoperative performance was evaluated
| 2 years |
| length of stay | Length of postoperative hospital stay | 1 month |