Detailed Abstract
[E-poster - Liver (Liver Disease/Surgery)]
[EP 018] Textbook Outcomes of Liver Resection for Hepatocellular Carcinoma: 20-Year Experience of a Single High-Volume Center
Yeshong PARK 1, Jinju KIM 1, MeeYoung KANG 1, Boram LEE 1, Hae Won LEE 1, Jai Young CHO 1, Yoo-Seok YOON 1, Ho-Seong HAN 1
1 Department of Surgery, Seoul National University Bundang Hospital, REPUBLIC OF KOREA
Background : The aim of this study was to comprehensively analyze the evolution of liver resection for hepatocellular carcinoma (HCC) over twenty years at a single high-volume center through comparison of textbook outcomes.
Methods : All consecutive liver resections for HCC at Seoul National University Bundang Hospital from January 2003 to December 2022 were included. Textbook outcomes were compared between three time periods divided by the introduction of laparoscopic ultrasonography and ultrasonic cavitation device (2006) and usage of high-resolution laparoscope (2015). Textbook outcome was defined as length of hospital stay less than 50th percentile, no transfusion, free surgical margin, no critical complication, no 30-day mortality, and no 30-day readmission.
Results : Among 1341 patients, 34 (2.5%) underwent surgery during the first period (2003 –2005) 399 patients in the second period (2006 – 2014), and 908 patients in the third period (2015 – 2022). Length of hospital stay (first period 22.29 ± 32.88 vs. second period 11.13 ± 10.99 vs. third period 6.65 ± 6.27 days, P < 0.001), transfusion (first period 16 (47.1%) vs. second period 96 (24.1%) vs. third period 106 (11.7%), P < 0.001), and critical complication rates (first period 10 (29.4%) vs. second period 60 (15.0%) vs. third period 86 (9.5%), P < 0.001) significantly decreased over time. Textbook outcomes were achieved in 0%, 25.1%, and 64.1% of patients during the analyzed time periods, respectively (P < 0.001).
Conclusions : With the advance in technological innovations, textbook outcomes after liver resection improved over time, including shorter hospital stay, less transfusion, and lower critical complication rates.
Methods : All consecutive liver resections for HCC at Seoul National University Bundang Hospital from January 2003 to December 2022 were included. Textbook outcomes were compared between three time periods divided by the introduction of laparoscopic ultrasonography and ultrasonic cavitation device (2006) and usage of high-resolution laparoscope (2015). Textbook outcome was defined as length of hospital stay less than 50th percentile, no transfusion, free surgical margin, no critical complication, no 30-day mortality, and no 30-day readmission.
Results : Among 1341 patients, 34 (2.5%) underwent surgery during the first period (2003 –2005) 399 patients in the second period (2006 – 2014), and 908 patients in the third period (2015 – 2022). Length of hospital stay (first period 22.29 ± 32.88 vs. second period 11.13 ± 10.99 vs. third period 6.65 ± 6.27 days, P < 0.001), transfusion (first period 16 (47.1%) vs. second period 96 (24.1%) vs. third period 106 (11.7%), P < 0.001), and critical complication rates (first period 10 (29.4%) vs. second period 60 (15.0%) vs. third period 86 (9.5%), P < 0.001) significantly decreased over time. Textbook outcomes were achieved in 0%, 25.1%, and 64.1% of patients during the analyzed time periods, respectively (P < 0.001).
Conclusions : With the advance in technological innovations, textbook outcomes after liver resection improved over time, including shorter hospital stay, less transfusion, and lower critical complication rates.
SESSION
E-poster
E-Session 03/21 ALL DAY