The practice of laparoscopic liver surgery in Belgium: a national survey.

Tomassini, Federico;Scuderi, Vincenzo;Berardi, Giammauro;Dili, Alexandra;Troisi, Roberto Ivan;et.al.
(2017) Acta Chirurgica Belgica (Bilingual Edition) — Vol. 117, n° 1, p. 15-20 (2017)

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Authors
  • Tomassini, Federico
    Author
  • Scuderi, Vincenzo
    Author
  • Berardi, Giammauro
    Author
  • Dili, AlexandraUCLouvain
    Author
  • Hubert, CatherineUCLouvain
    Author
  • Troisi, Roberto Ivan
    Author
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Abstract
(en) BACKGROUND: Laparoscopic liver surgery (LLS) gained popularity bringing several advantages including decreased morbidity and reduction of length of hospital stay compared to open. METHODS: To understand practice and evolution of LLS in Belgium, a 20-questions survey was sent to all members of the Royal Belgian Society for Surgery, the Belgian Section of Hepato-Pancreatic and Biliary Surgery and the Belgian Group for Endoscopic Surgery. RESULTS: Thirty-seven surgical units representing 61 surgeons performing LLS in Belgium responded: 50% from regional hospitals, 28% from university and 22% from peripheral hospitals. Replies from high volume centers (>50 liver-surgery/year) were 19%. More than 25% of liver procedures were performed laparoscopically in 35% of centers. LLS is adopted since more than 15-years in 14.5% of centers with an increasing rate reported in 59%. Low relevance of LLS in the hospital organization (26.5%) and lack of time in surgical schedules (12%) or of specific training (9%) are the main barriers for further diffusion. More than 80% of the responders agreed to participate to a national prospective registry. CONCLUSION: LLS is mainly performed in experienced HPB units with an increasing interest in peripheral centers. A prospective national registry will be useful by providing real data in terms of indications, morbidity and overall evolution.
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Tomassini, F., Scuderi, V., Berardi, G., Dili, A., D’Hondt, M., Sergeant, G., Hubert, C., Huysentruyt, F., Berrevoet, F., Lucidi, V., & Troisi, R. I. (2017). The practice of laparoscopic liver surgery in Belgium: a national survey. Acta Chirurgica Belgica (Bilingual Edition), 117(1), 15-20. https://doi.org/10.1080/00015458.2016.1202478 (Original work published 2017)