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Laparoscopic Liver Resection: A South American Experience with 2887 Cases

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Abstract

Background

Laparoscopic liver resections (LLR) have been increasingly performed in recent years. Most of the available evidence, however, comes from specialized centers in Asia, Europe and USA. Data from South America are limited and based on single-center experiences. To date, no multicenter studies evaluated the results of LLR in South America. The aim of this study was to evaluate the experience and results with LLR in South American centers.

Methods

From February to November 2019, a survey about LLR was conducted in 61 hepatobiliary centers in South America, composed by 20 questions concerning demographic characteristics, surgical data, and perioperative results.

Results

Fifty-one (83.6%) centers from seven different countries answered the survey. A total of 2887 LLR were performed, as follows: Argentina (928), Brazil (1326), Chile (322), Colombia (210), Paraguay (9), Peru (75), and Uruguay (8). The first program began in 1997; however, the majority (60.7%) started after 2010. The percentage of LLR over open resections was 28.4% (4.4–84%). Of the total, 76.5% were minor hepatectomies and 23.5% major, including 266 right hepatectomies and 343 left hepatectomies. The conversion rate was 9.7%, overall morbidity 13%, and mortality 0.7%.

Conclusions

This is the largest study assessing the dissemination and results of LLR in South America. It showed an increasing number of centers performing LLR with the promising perioperative results, aligned with other worldwide excellence centers.

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Authors and Affiliations

  1. HPB Surgery Section, General Surgery Service, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina

    J. Pekolj, R. Clariá Sánchez, M. de Santibañes & O. Mazza

  2. Hospital Ramón Santamarina, Tandil, Argentina

    J. Salceda

  3. Hospital Británico, Buenos Aires, Argentina

    R. J. Maurette

  4. Fundación Favaloro, Buenos Aires, Argentina

    P. B. Schelotto

  5. Clínica Nefrología, Clínica Uruguay, Hospital Iturraspe, Santa Fe, Argentina

    L. Pierini

  6. Hospital Privado de Comunidad, Mar del Plata, Argentina

    E. Cánepa

  7. Hospital Italiano - Regional Sur, Bahía Blanca, Argentina

    M. Moro & G. Stork

  8. Unidad HPB Sur, General Roca, Argentina

    N. Resio

  9. Hospital Italiano de Mendoza, Mendoza, Argentina

    J. Neffa

  10. Hospital Alemán, Buenos Aires, Argentina

    L. Mc Cormack

  11. Hospital El Cruce, Buenos Aires, Argentina

    E. Quiñonez

  12. Hospital Argerich, Buenos Aires, Argentina

    G. Raffin

  13. Hospital Universitario Privado, Córdoba, Argentina

    L. Obeide

  14. Clínica Pueyrredón, Mar del Plata, Argentina

    D. Fernández

  15. Sanatorio Güemes, Buenos Aires, Argentina

    G. Pfaffen

  16. Sanatorio 9 de Julio, Santiago del Estero, Argentina, Hospital Centro de Salud, San Miguel de Tucumán, Argentina

    C. Salas

  17. Hospital Angel C. Padilla, San Miguel de Tucumán, Argentina

    M. Linzey

  18. Hospital Escuela Gral, Corrientes, Argentina

    G. Schmidt

  19. Clínica Colón, Mar del Plata, Argentina

    S. Ruiz

  20. Clínica Reina Fabiola, Hospital Italiano, Córdoba, Argentina

    F. Alvarez

  21. Hospital Lagommagiore, Mendoza, Argentina

    J. Buffaliza

  22. Hospital Papa Francisco, Salta, Argentina

    R. Maroni

  23. Clínica Regional General Pico, Santa Rosa, Argentina

    O. Campi

  24. Hospital Español, Mendoza, Argentina

    C. Bertona

  25. Hospital Sírio Libanês, São Paulo, Brazil

    M. Belotto de Oliveira & M. A. Machado

  26. A.C. Camargo Cancer Center, São Paulo, Brazil

    A. L. Diniz

  27. Ipanema Federal Hospital, Rio de Janeiro, Brazil

    M. Enne de Oliveira

  28. Santa Casa de Porto Alegre, Universidade Federal de Ciências da Saúde, Porto Alegre, Brazil

    A. N. Kalil

  29. Hospital Santa Catarina de Blumenau, Blumenau, Brazil

    R. D. Pinto

  30. Hospital Mater Dei, Belo Horizonte, Brazil

    A. P. Rezende

  31. Hospital Nossa Senhora das Graças, Curitiba, Brazil

    E. J. B. Ramos

  32. Hospital Americas Medical City Hospital Samaritano, Rio de Janeiro, Brazil

    A. Talvane T. Oliveira

  33. Hospital Universitario HUUFMA, Hospital São Domingos, UDI Hospital, Fortaleza, Brazil

    O. J. M. Torres

  34. Universidad Católica de Chile, Santiago, Chile

    N. Jarufe Cassis

  35. Clínica Las Condes, Santiago, Chile

    E. Buckel

  36. Hospital de Concepción, Concepción, Chile

    R. Quevedo Torres

  37. Clínica Santa María, Santiago, Chile

    J. Chapochnick

  38. Hospital Sotero del Río, Santiago, Chile

    M. Sanhueza Garcia

  39. Hospital de Talca, Talca, Chile

    C. Muñoz

  40. Hospital de Arica, Arica, Chile

    G. Castro

  41. Hospital de Temuco, Temuco, Chile

    H. Losada

  42. Clínica Vida - Fundación Colombiana de Cancerología, Medellin, Colombia

    F. Vergara Suárez

  43. Instituto Nacional de Cancerologia, Bogotá, Colombia

    O. Guevara

  44. Clínica CES, Medellín, Colombia

    D. Dávila & O. Palacios

  45. Hospital Clínicas, Asunción, Paraguay

    A. Jimenez

  46. Clínica Anglo Americana, Lima, Peru

    L. Poggi

  47. Hospital Guillermo Almenara ESSALUD, Lima, Peru

    V. Torres

  48. Hospital das Clínicas - University of São Paulo School of Medicine, São Paulo, Brazil

    G. M. Fonseca, J. A. P. Kruger, F. F. Coelho & P. Herman

  49. Hospital Maciel, Casmu, Montevideo, Uruguay

    L. Russo

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  1. J. Pekolj
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  2. R. Clariá Sánchez
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  57. L. Russo
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  58. P. Herman
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Correspondence to P. Herman.

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Pekolj, J., Clariá Sánchez, R., Salceda, J. et al. Laparoscopic Liver Resection: A South American Experience with 2887 Cases. World J Surg 44, 3868–3874 (2020). https://doi.org/10.1007/s00268-020-05646-4

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