查看更多>>摘要:By a News Reporter-Staff News Editor at Robotics & Machine Learning Daily News Daily News – New research on Surgery - Liver Surger y is the subject of a report. According to news reporting from Brescia, Italy, b y NewsRx journalists, research stated, “The relation between operative time and postoperative complications in liver surgery is unclear. The aim of this study i s to assess the impact of operative time on the development of postoperative com plications in patients who underwent minimally invasive or open liver resections of various anatomical extent and technical difficulty levels.” The news correspondents obtained a quote from the research from Fondazione Polia mbulanza Istituto Ospedaliero, “In this retrospective cohort study, patients tha t underwent a right hemihepatectomy (RH), technically major resection (anatomica lly minor resection in segment 1, 4a, 7 or 8; TMR) or left lateral sectionectomy (LLS) between 2000 and 2022 were extracted from a multicenter database comprisi ng the prospectively maintained databases of 31 centers in 13 countries. Minimal ly invasive procedures performed during the learning curve were omitted. Logisti c regression models, performed separately for 9 different groups based on strati fication by procedure type and allocated surgical approach, were used to assess the association between the fourth quartile of operative time (25% of patients with the longest operative time) and postoperative complications. Ov erall, 5424 patients were included: 1351 underwent RH (865 open, 373 laparoscopi c and 113 robotic), 2821 TMR (1398 open, 1225 laparoscopic and 198 robotic), and 1252 LLS (241 open, 822 laparoscopic and 189 robotic). After adjusting for pote ntial confounders (age, BMI, gender, ASA grade, previous abdominal surgery, dise ase type and extent, blood loss, Pringle, intraoperative transfusions and incide nts), the fourth quartile of operative time, compared to the first three quartil es, was associated with an increased risk of postoperative complications after o pen, laparoscopic and robotic TMR (aOR 1.35, p = 0.031; aOR 1.74, p = 0.001 and aOR 3.11, p = 0.014, respectively), laparoscopic and robotic RH (aOR 1.98, p = 0 .018 and aOR 3.28, p = 0.055, respectively) and solely laparoscopic LLS (aOR 1.6 9, p = 0.019).”