Implementation and outcome of minor and major minimally invasive liver surgery in the Netherlands

Marcel J. van der Poel; Robert S. Fichtinger; Marc Bemelmans; Koop Bosscha; Andries E. Braat; Marieke T. de Boer; Cornelis H. C. Dejong; Pascal G. Doornebosch; Werner A. Draaisma; Michael F. Gerhards; Paul D. Gobardhan; Burak Gorgec; Jeroen Hagendoorn; Geert Kazemier; Joost Klaase; Wouter K. G. Leclercq; Mike S. Liem; Daan J. Lips; Hendrik A. Marsman; J. Sven D. Mieog; Quintus I. Molenaar; Vincent B. Nieuwenhuijs; Carolijn L. Nota; Gijs A. Patijn; Arjen M. Rijken; Gerrit D. Slooter; Martijn W. J. Stommel; Rutger-Jan Swijnenburg; Pieter J. Tanis; Wouter W. te Riele; Turkan Terkivatan; Petrousjka M. van den Tol; Peter B. van den Boezem; Joost A. van der Hoeven; Maarten Vermaas; Moh'd Abu Hilal; Ronald M. van Dam; Marc G. Besselink; Babs Zonderhuis; Inne B. Rinkes; Christiaan Hoff; Steven Oosterling; Dutch Liver Collaborative Group

doi:10.1016/j.hpb.2019.05.002

Implementation and outcome of minor and major minimally invasive liver surgery in the Netherlands

Marcel J. van der Poel, Robert S. Fichtinger, Marc Bemelmans, Koop Bosscha, Andries E. Braat, Marieke T. de Boer, Cornelis H. C. Dejong, Pascal G. Doornebosch, Werner A. Draaisma, Michael F. Gerhards, Paul D. Gobardhan, Burak Gorgec, Jeroen Hagendoorn, Geert Kazemier, Joost Klaase, Wouter K. G. Leclercq, Mike S. Liem, Daan J. Lips, Hendrik A. Marsman, J. Sven D. MieogQuintus I. Molenaar, Vincent B. Nieuwenhuijs, Carolijn L. Nota, Gijs A. Patijn, Arjen M. Rijken, Gerrit D. Slooter, Martijn W. J. Stommel, Rutger-Jan Swijnenburg, Pieter J. Tanis, Wouter W. te Riele, Turkan Terkivatan, Petrousjka M. van den Tol, Peter B. van den Boezem, Joost A. van der Hoeven, Maarten Vermaas, Moh'd Abu Hilal, Ronald M. van Dam, Marc G. Besselink^*, Babs Zonderhuis, Inne B. Rinkes, Christiaan Hoff, Steven Oosterling, Dutch Liver Collaborative Group

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

Background: While most of the evidence on minimally invasive liver surgery (MILS) is derived from expert centers, nationwide outcomes remain underreported. This study aimed to evaluate the implementation and outcome of MILS on a nationwide scale.

Methods: Electronic patient files were reviewed in all Dutch liver surgery centers and all patients undergoing MILS between 2011 and 2016 were selected. Operative outcomes were stratified based on extent of the resection and annual MILS volume.

Results: Overall, 6951 liver resections were included, with a median annual volume of 50 resections per center. The overall use of MILS was 13% (n = 916), which varied from 3% to 36% (P <0.001) between centers. The nationwide use of MILS increased from 6% in 2011 to 23% in 2016 (P <0.001). Outcomes of minor MILS were comparable with international studies (conversion 0- 13%, mortality = 20 MILS annually, major MILS was associated with less conversions (14 (11%) versus 41 (30%), P <0.001), shorter operating time (184 (117- 239) versus 200 (139-308) minutes, P = 0.010), and less overall complications (37 (30%) versus 58 (42%), P = 0.040).

Conclusion: The nationwide use of MILS is increasing, although large variation remains between centers. Outcomes of major MILS are better in centers with higher volumes.

Original language	English
Pages (from-to)	1734-1743
Number of pages	10
Journal	HPB
Volume	21
Issue number	12
DOIs	https://doi.org/10.1016/j.hpb.2019.05.002
Publication status	Published - Dec 2019
Event	13th World Biennial Congress of the International Hepato Pancreato Biliary Association (IHPBA) - Geneva, Switzerland Duration: 4 Sept 2018 → 7 Sept 2018 https://www.ihpba2018.com/

Keywords

LEARNING-CURVE
RESECTION
RECOMMENDATIONS
EXPERIENCE
PROGRAM
SYSTEM
MODEL

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van der Poel, M. J., Fichtinger, R. S., Bemelmans, M., Bosscha, K., Braat, A. E., de Boer, M. T., Dejong, C. H. C., Doornebosch, P. G., Draaisma, W. A., Gerhards, M. F., Gobardhan, P. D., Gorgec, B., Hagendoorn, J., Kazemier, G., Klaase, J., Leclercq, W. K. G., Liem, M. S., Lips, D. J., Marsman, H. A., ... Dutch Liver Collaborative Group (2019). Implementation and outcome of minor and major minimally invasive liver surgery in the Netherlands. HPB, 21(12), 1734-1743. https://doi.org/10.1016/j.hpb.2019.05.002

@article{aa1b92bb77f846cbacce472be1ff9502,

title = "Implementation and outcome of minor and major minimally invasive liver surgery in the Netherlands",

abstract = "Background: While most of the evidence on minimally invasive liver surgery (MILS) is derived from expert centers, nationwide outcomes remain underreported. This study aimed to evaluate the implementation and outcome of MILS on a nationwide scale.Methods: Electronic patient files were reviewed in all Dutch liver surgery centers and all patients undergoing MILS between 2011 and 2016 were selected. Operative outcomes were stratified based on extent of the resection and annual MILS volume.Results: Overall, 6951 liver resections were included, with a median annual volume of 50 resections per center. The overall use of MILS was 13% (n = 916), which varied from 3% to 36% (P <0.001) between centers. The nationwide use of MILS increased from 6% in 2011 to 23% in 2016 (P <0.001). Outcomes of minor MILS were comparable with international studies (conversion 0- 13%, mortality = 20 MILS annually, major MILS was associated with less conversions (14 (11%) versus 41 (30%), P <0.001), shorter operating time (184 (117- 239) versus 200 (139-308) minutes, P = 0.010), and less overall complications (37 (30%) versus 58 (42%), P = 0.040).Conclusion: The nationwide use of MILS is increasing, although large variation remains between centers. Outcomes of major MILS are better in centers with higher volumes.",

keywords = "LEARNING-CURVE, RESECTION, RECOMMENDATIONS, EXPERIENCE, PROGRAM, SYSTEM, MODEL",

author = "{van der Poel}, {Marcel J.} and Fichtinger, {Robert S.} and Marc Bemelmans and Koop Bosscha and Braat, {Andries E.} and {de Boer}, {Marieke T.} and Dejong, {Cornelis H. C.} and Doornebosch, {Pascal G.} and Draaisma, {Werner A.} and Gerhards, {Michael F.} and Gobardhan, {Paul D.} and Burak Gorgec and Jeroen Hagendoorn and Geert Kazemier and Joost Klaase and Leclercq, {Wouter K. G.} and Liem, {Mike S.} and Lips, {Daan J.} and Marsman, {Hendrik A.} and Mieog, {J. Sven D.} and Molenaar, {Quintus I.} and Nieuwenhuijs, {Vincent B.} and Nota, {Carolijn L.} and Patijn, {Gijs A.} and Rijken, {Arjen M.} and Slooter, {Gerrit D.} and Stommel, {Martijn W. J.} and Rutger-Jan Swijnenburg and Tanis, {Pieter J.} and {te Riele}, {Wouter W.} and Turkan Terkivatan and {van den Tol}, {Petrousjka M.} and {van den Boezem}, {Peter B.} and {van der Hoeven}, {Joost A.} and Maarten Vermaas and {Abu Hilal}, Moh'd and {van Dam}, {Ronald M.} and Besselink, {Marc G.} and Babs Zonderhuis and Rinkes, {Inne B.} and Christiaan Hoff and Steven Oosterling and {Dutch Liver Collaborative Group}",

note = "Publisher Copyright: {\textcopyright} 2019 International Hepato-Pancreato-Biliary Association Inc.; 13th World Biennial Congress of the International Hepato Pancreato Biliary Association (IHPBA), IHPBA 2018 ; Conference date: 04-09-2018 Through 07-09-2018",

year = "2019",

month = dec,

doi = "10.1016/j.hpb.2019.05.002",

language = "English",

volume = "21",

pages = "1734--1743",

journal = "HPB",

issn = "1365-182X",

publisher = "ELSEVIER SCI LTD",

number = "12",

url = "https://www.ihpba2018.com/",

}

van der Poel, MJ, Fichtinger, RS, Bemelmans, M, Bosscha, K, Braat, AE, de Boer, MT, Dejong, CHC, Doornebosch, PG, Draaisma, WA, Gerhards, MF, Gobardhan, PD, Gorgec, B, Hagendoorn, J, Kazemier, G, Klaase, J, Leclercq, WKG, Liem, MS, Lips, DJ, Marsman, HA, Mieog, JSD, Molenaar, QI, Nieuwenhuijs, VB, Nota, CL, Patijn, GA, Rijken, AM, Slooter, GD, Stommel, MWJ, Swijnenburg, R-J, Tanis, PJ, te Riele, WW, Terkivatan, T, van den Tol, PM, van den Boezem, PB, van der Hoeven, JA, Vermaas, M, Abu Hilal, M, van Dam, RM, Besselink, MG, Zonderhuis, B, Rinkes, IB, Hoff, C, Oosterling, S & Dutch Liver Collaborative Group 2019, 'Implementation and outcome of minor and major minimally invasive liver surgery in the Netherlands', HPB, vol. 21, no. 12, pp. 1734-1743. https://doi.org/10.1016/j.hpb.2019.05.002

TY - JOUR

T1 - Implementation and outcome of minor and major minimally invasive liver surgery in the Netherlands

AU - van der Poel, Marcel J.

AU - Fichtinger, Robert S.

AU - Bemelmans, Marc

AU - Bosscha, Koop

AU - Braat, Andries E.

AU - de Boer, Marieke T.

AU - Dejong, Cornelis H. C.

AU - Doornebosch, Pascal G.

AU - Draaisma, Werner A.

AU - Gerhards, Michael F.

AU - Gobardhan, Paul D.

AU - Gorgec, Burak

AU - Hagendoorn, Jeroen

AU - Kazemier, Geert

AU - Klaase, Joost

AU - Leclercq, Wouter K. G.

AU - Liem, Mike S.

AU - Lips, Daan J.

AU - Marsman, Hendrik A.

AU - Mieog, J. Sven D.

AU - Molenaar, Quintus I.

AU - Nieuwenhuijs, Vincent B.

AU - Nota, Carolijn L.

AU - Patijn, Gijs A.

AU - Rijken, Arjen M.

AU - Slooter, Gerrit D.

AU - Stommel, Martijn W. J.

AU - Swijnenburg, Rutger-Jan

AU - Tanis, Pieter J.

AU - te Riele, Wouter W.

AU - Terkivatan, Turkan

AU - van den Tol, Petrousjka M.

AU - van den Boezem, Peter B.

AU - van der Hoeven, Joost A.

AU - Vermaas, Maarten

AU - Abu Hilal, Moh'd

AU - van Dam, Ronald M.

AU - Besselink, Marc G.

AU - Zonderhuis, Babs

AU - Rinkes, Inne B.

AU - Hoff, Christiaan

AU - Oosterling, Steven

AU - Dutch Liver Collaborative Group

PY - 2019/12

Y1 - 2019/12

N2 - Background: While most of the evidence on minimally invasive liver surgery (MILS) is derived from expert centers, nationwide outcomes remain underreported. This study aimed to evaluate the implementation and outcome of MILS on a nationwide scale.Methods: Electronic patient files were reviewed in all Dutch liver surgery centers and all patients undergoing MILS between 2011 and 2016 were selected. Operative outcomes were stratified based on extent of the resection and annual MILS volume.Results: Overall, 6951 liver resections were included, with a median annual volume of 50 resections per center. The overall use of MILS was 13% (n = 916), which varied from 3% to 36% (P <0.001) between centers. The nationwide use of MILS increased from 6% in 2011 to 23% in 2016 (P <0.001). Outcomes of minor MILS were comparable with international studies (conversion 0- 13%, mortality = 20 MILS annually, major MILS was associated with less conversions (14 (11%) versus 41 (30%), P <0.001), shorter operating time (184 (117- 239) versus 200 (139-308) minutes, P = 0.010), and less overall complications (37 (30%) versus 58 (42%), P = 0.040).Conclusion: The nationwide use of MILS is increasing, although large variation remains between centers. Outcomes of major MILS are better in centers with higher volumes.

AB - Background: While most of the evidence on minimally invasive liver surgery (MILS) is derived from expert centers, nationwide outcomes remain underreported. This study aimed to evaluate the implementation and outcome of MILS on a nationwide scale.Methods: Electronic patient files were reviewed in all Dutch liver surgery centers and all patients undergoing MILS between 2011 and 2016 were selected. Operative outcomes were stratified based on extent of the resection and annual MILS volume.Results: Overall, 6951 liver resections were included, with a median annual volume of 50 resections per center. The overall use of MILS was 13% (n = 916), which varied from 3% to 36% (P <0.001) between centers. The nationwide use of MILS increased from 6% in 2011 to 23% in 2016 (P <0.001). Outcomes of minor MILS were comparable with international studies (conversion 0- 13%, mortality = 20 MILS annually, major MILS was associated with less conversions (14 (11%) versus 41 (30%), P <0.001), shorter operating time (184 (117- 239) versus 200 (139-308) minutes, P = 0.010), and less overall complications (37 (30%) versus 58 (42%), P = 0.040).Conclusion: The nationwide use of MILS is increasing, although large variation remains between centers. Outcomes of major MILS are better in centers with higher volumes.

KW - LEARNING-CURVE

KW - RESECTION

KW - RECOMMENDATIONS

KW - EXPERIENCE

KW - PROGRAM

KW - SYSTEM

KW - MODEL

U2 - 10.1016/j.hpb.2019.05.002

DO - 10.1016/j.hpb.2019.05.002

M3 - Article

C2 - 31235430

SN - 1365-182X

VL - 21

SP - 1734

EP - 1743

JO - HPB

JF - HPB

IS - 12

T2 - 13th World Biennial Congress of the International Hepato Pancreato Biliary Association (IHPBA)

Y2 - 4 September 2018 through 7 September 2018

ER -

Implementation and outcome of minor and major minimally invasive liver surgery in the Netherlands

Abstract

Keywords

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