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A cost effective analysis of a laparoscopic versus an open left lateral sectionectomy in a liver transplant unit

Lookup NU author(s): Sanjay PandanaboyanaORCiD


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© 2014 International Hepato-Pancreato-Biliary Association.Introduction This study aimed to assess the cost effectiveness of a laparoscopic left lateral sectionectomy (LLLS) compared with an open (OLLS) procedure and its role as a training operation as well as the learning curve associated with a laparoscopic approach. Method Between 2004 and 2013, a prospectively maintained database was reviewed. LLLS were compared with age- and sex-matched OLLS. In addition, the outcomes of LLLS with a consultant as the primary surgeon were compared with those performed by trainees. Results Forty-three LLLS were performed during the study period. LLLS was a significantly cheaper operation compared with OLLS (P = 0.001, £3594.14 versus £5593.41). The median hospital stay was shorter in the laparoscopic group (P = 0.002, 3 versus 7 days). No difference was found in outcomes between a LLLS performed by a trainee or consultant (operating time, morbidity or R1 resection rate). The procedure length was significantly shorter during the later half of the study period [120 versus 129 min (P = 0.045)]. Conclusion LLLS is a significantly cost effective operation compared with an open approach with a reduction in hospital stay. In addition, it is suitable to use as a training operation.

Publication metadata

Author(s): Bell R, Pandanaboyana S, Hanif F, Shah N, Hidalgo E, Lodge JPA, Toogood G, Prasad KR

Publication type: Article

Publication status: Published

Journal: HPB

Year: 2015

Volume: 17

Issue: 4

Pages: 332-336

Print publication date: 01/04/2015

Acceptance date: 22/09/2014

ISSN (print): 1365-182X

ISSN (electronic): 1477-2574

Publisher: Blackwell Publishing Ltd


DOI: 10.1111/hpb.12354

PubMed id: 25403492


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