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Table 3 Characteristics of patients with pure LRH vs. HALS/open conversion

From: Appropriate indications for laparoscopic repeat hepatectomy

Characteristic

Pure LRH (n = 34)

HALS/open conversion (n = 6)

P

Sex (male), n (%)

26 (76%)

3 (50%)

0.18

Age (years)

71.3 ± 1.9

67.3 ± 4.5

0.43

BMI (kg/m2)

22.8 ± 0.5

24.6 ± 1.2

0.17

Diagnosis

  

0.4

 CRLM, n (%)

11 (32%)

3 (50%)

 

 HCC, n (%)

23 (68%)

3 (50%)

 

Frequency of hepatectomy (2 times/≥3 times), n (%)

27 (79%)/7 (21%)

3 (50%)/3 (50%)

0.13

Tumor location (S2-6/S7-8), n (%)

26 (76%)/8 (24%)

3 (50%)/3 (50%)

0.18

Maximum tumor size (mm)

20.7 ± 1.5

26.8 ± 3.5

0.11

Number of tumors

1.3 ± 0.1

1.8 ± 0.2

0.01

Previous hepatectomy

   

 Laparoscopy/open, n (%)

27 (79%)/7 (21%)

3 (50%)/3 (50%)

0.13

 Extent of resection (Hr0/HrS-1/Hr2-3), n (%)

26 (76%)/7 (21%)/1 (2.9%)*

3 (50%)/1 (17%)/2 (33%)*

0.033

 The use of anti-adhesive agents, n (%)

5 (15%)

1 (17%)

0.9

Relationship to previous hepatectomy

   

 Same/opposite lobe, n (%)

23 (68%)/11 (32%)

5 (83%)/1 (17%)

0.44

 Adjacent/non-adjacent section, n (%)

26 (76%)/8 (24%)

6 (100%)/0 (0%)

0.18

RH (Hr0/HrS/Hr1-2), n (%)

31 (91%)/1 (2.9%)*/2 (5.9%)

4 (67%)/2 (33%)*/0

0.03

RH requiring a repeat hepatic hilar approach, n (%)

0

2 (33%)

0.0006

Tumor proximity to major vessels, n (%)

1(2.9%)

0

0.67

IWATE criteria difficulty score

3.5 ± 0.3

5.3 ± 0.8

0.04

Operative time (min)

194.1 ± 14.8

302.2 ± 35.1

0.007

Blood loss (mL)

97.3 ± 34.9

261.7 ± 81.9

0.07

Complications after surgery (CD ≥ III), n (%)

1 (2.9%)

0

0.67

Postoperative hospital stay (days)

8.9 ± 0.6

9.0 ± 1.4

0.97

  1. Abbreviations: BMI, body mass index; CD, Clavien-Dindo classification; CRLM, colorectal liver metastasis; HALS, hand-assisted laparoscopic surgery; HCC, hepatocellular carcinoma; LRH, laparoscopic repeat hepatectomy; RH, repeat hepatectomy
  2. * Significant difference by post hoc analysis