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; T. rkan 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

doi:https://doi.org/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, T. rkan 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

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

26 Citations (Scopus)

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 <1%). In centers which performed ≥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
Journal	HPB
Volume	21
Issue number	12
DOIs	https://doi.org/10.1016/j.hpb.2019.05.002
Publication status	Published - Dec 2019

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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., ... Oosterling, S. (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{ec9716451e4c4fa09fab3c7026e08b4b,

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 <1%). In centers which performed ≥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.",

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 Terkivatan, {T. rkan} and {van den Tol}, {Petrousjka M.} and {van den Boezem}, {Peter B.} and {van der Hoeven}, {Joost A.} and Maarten Vermaas and Hilal, {Moh'd Abu} and {van Dam}, {Ronald M.} and Besselink, {Marc G.} and Babs Zonderhuis and Rinkes, {Inne B.} and Christiaan Hoff and Steven Oosterling",

year = "2019",

month = dec,

doi = "https://doi.org/10.1016/j.hpb.2019.05.002",

language = "English",

volume = "21",

pages = "1734--1743",

journal = "HPB",

issn = "1365-182X",

publisher = "John Wiley and Sons Inc.",

number = "12",

}

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, TR, van den Tol, PM, van den Boezem, PB, van der Hoeven, JA, Vermaas, M, Hilal, MA, van Dam, RM, Besselink, MG , Zonderhuis, B, Rinkes, IB, Hoff, C & Oosterling, S 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, T. rkan

AU - van den Tol, Petrousjka M.

AU - van den Boezem, Peter B.

AU - van der Hoeven, Joost A.

AU - Vermaas, Maarten

AU - Hilal, Moh'd Abu

AU - van Dam, Ronald M.

AU - Besselink, Marc G.

AU - Zonderhuis, Babs

AU - Rinkes, Inne B.

AU - Hoff, Christiaan

AU - Oosterling, Steven

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 <1%). In centers which performed ≥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 <1%). In centers which performed ≥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.

UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85067515438&origin=inward

UR - https://www.ncbi.nlm.nih.gov/pubmed/31235430

U2 - https://doi.org/10.1016/j.hpb.2019.05.002

DO - https://doi.org/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

ER -

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

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