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dc.creatorAliseda, D. (Daniel)-
dc.creatorMarti-Cruchaga, P. (Pablo)-
dc.creatorZozaya-Larequi, G. (Gabriel)-
dc.creatorBenito-Boilos, A. (Alberto)-
dc.creatorLopez-Olaondo, L. (Luis)-
dc.creatorRodriguez-Fraile, M. (Macarena)-
dc.creatorBilbao, J.I. (José I.)-
dc.creatorHidalgo, F. (Francisco)-
dc.creatorIñarrairaegui, M. (Mercedes)-
dc.creatorCiria-Bru, R. (Rubén)-
dc.creatorPardo, F. (Fernando)-
dc.creatorSangro, B. (Bruno)-
dc.creatorRotellar, F. (Fernando)-
dc.date.accessioned2023-02-28T09:05:19Z-
dc.date.available2023-02-28T09:05:19Z-
dc.date.issued2022-
dc.identifier.citationAliseda, D. (Daniel); Marti-Cruchaga, P. (Pablo); Zozaya, G. (Gabriel); et al. "Pure laparoscopic major liver resection after yttrium90 radioembolization: a case-matched series analysis of feasibility and outcomes". Langenbeck's Archives of Surgery. 407 (3), 2022, 1099 - 1111.es_ES
dc.identifier.issn1435-2451-
dc.identifier.urihttps://hdl.handle.net/10171/65582-
dc.description.abstractBackground: Liver surgery after radioembolization (RE) entails highly demanding and challenging procedures due to the frequent combination of large tumors, severe RE-related adhesions, and the necessity of conducting major hepatectomies. Laparoscopic liver resection (LLR) and its associated advantages could provide benefits, as yet unreported, to these patients. The current study evaluated feasibility, morbidity, mortality, and survival outcomes for major laparoscopic liver resection after radioembolization. Material and methods: In this retrospective, single-center study patients diagnosed with hepatocellular carcinoma, intrahepatic cholangiocarcinoma or metastases from colorectal cancer undergoing major laparoscopic hepatectomy after RE were identified from institutional databases. They were matched (1:2) on several pre-operative characteristics to a group of patients that underwent major LLR for the same malignancies during the same period but without previous RE. Results: From March 2011 to November 2020, 9 patients underwent a major LLR after RE. No differences were observed in intraoperative blood loss (50 vs. 150 ml; p: 0.621), operative time (478 vs. 407 min; p: 0.135) or pedicle clamping time (90.5 vs 74 min; p: 0.133) between the post-RE LLR and the matched group. Similarly, no differences were observed on hospital stay (median 3 vs. 4 days; p = 0.300), Clavien-Dindo ≥ III complications (2 vs. 1 cases; p: 0.250), specific liver morbidity (1 vs. 1 case p: 1.000), or 90 day mortality (0 vs. 0; p: 1.000). Conclusion: The laparoscopic approach for post radioembolization patients may be a feasible and safe procedure with excellent surgical and oncological outcomes and meets the current standards for laparoscopic liver resections. Further studies with larger series are needed to confirm the results herein presented.es_ES
dc.description.sponsorshipOpen Access funding provided thanks to the CRUE-CSIC agreement with Springer Nature.es_ES
dc.language.isospaes_ES
dc.publisherSpringeres_ES
dc.rightsinfo:eu-repo/semantics/openAccesses_ES
dc.subjectColorectal liver metastaseses_ES
dc.subjectHepatocellular carcinomaes_ES
dc.subjectIntrahepatic cholangiocarcinomaes_ES
dc.subjectLaparoscopic liver resectiones_ES
dc.subjectRadioembolizationes_ES
dc.titlePure laparoscopic major liver resection after yttrium90 radioembolization: a case-matched series analysis of feasibility and outcomeses_ES
dc.typeinfo:eu-repo/semantics/articlees_ES
dc.description.noteThis article is licensed under a Creative Commons Attribution 4.0 International Licensees_ES
dc.identifier.doi10.1007/s00423-022-02474-z-
dadun.citation.endingPage1111es_ES
dadun.citation.number3es_ES
dadun.citation.publicationNameLangenbeck's Archives of Surgeryes_ES
dadun.citation.startingPage1099es_ES
dadun.citation.volume407es_ES
dc.identifier.pmid35229168-

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