Can liver venous system diameters predict difficulty of laparoscopic liver resection?
Abstract Background Laparoscopic liver resection is a feasible and fast-disseminating, yet demanding technique that requires careful preoperative preparation. Due to its varying difficulty, many scales were developed to evaluate possible intraoperative difficulties and to select cases properly, espe...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2025-07-01
|
| Series: | BMC Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12893-025-03051-z |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849333829935824896 |
|---|---|
| author | Wojciech A. Serednicki Anna Grochowska Wacław Hołówko Anna Dąbrowska Natalia Janik Michał Pędziwiatr |
| author_facet | Wojciech A. Serednicki Anna Grochowska Wacław Hołówko Anna Dąbrowska Natalia Janik Michał Pędziwiatr |
| author_sort | Wojciech A. Serednicki |
| collection | DOAJ |
| description | Abstract Background Laparoscopic liver resection is a feasible and fast-disseminating, yet demanding technique that requires careful preoperative preparation. Due to its varying difficulty, many scales were developed to evaluate possible intraoperative difficulties and to select cases properly, especially during the learning curve. Our aim was to seek additional radiological parameters, such as liver venous system diameters, that may be useful in assessing possible intraoperative difficulties and predicting postoperative outcomes. Methods A retrospective study included 85 patients who underwent laparoscopic liver resection with previous computed tomography or magnetic resonance. Patients were divided into 3 groups of varying difficulty according to the Institute Mutualiste Montsouris (IMM) scale. Using syngo.via radiological system, the diameters of portal vessels and inferior vena cava were measured. Statistical analysis was performed to assess the correlation between measured radiological parameters and perioperative outcomes. Results Statistical analysis showed no correlation between portal and splenic vein diameter and perioperative outcomes in all patient population and in each of the IMM groups. Superior mesenteric vein (SMV) diameter correlated positively with intraoperative complication rate, but only in the IMM 2 group. Intraoperative Oslo complication rate was higher in < 10 mm splenic vein diameter group and the Clavien-Dindo complication rate was higher in < 13 mm SMV population, but only in the IMM 2 group. Conclusions Our study presents that portal system veins and inferior vena cava (IVC) diameter have low relevance to perioperative outcomes and don’t seem to be a good predictor of intraoperative blood loss and complication rate. However, they may be useful in selected difficulty groups, therefore further studies addressing this issue may be beneficial. |
| format | Article |
| id | doaj-art-39f874795f674cd1bdde35c75fe53e7c |
| institution | Kabale University |
| issn | 1471-2482 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Surgery |
| spelling | doaj-art-39f874795f674cd1bdde35c75fe53e7c2025-08-20T03:45:44ZengBMCBMC Surgery1471-24822025-07-012511810.1186/s12893-025-03051-zCan liver venous system diameters predict difficulty of laparoscopic liver resection?Wojciech A. Serednicki 0Anna Grochowska1Wacław Hołówko2Anna Dąbrowska3Natalia Janik4Michał Pędziwiatr5Department of Medical Education, Faculty of Medicine, Jagiellonian University Medical CollegeDepartment of Radiology, Jagiellonian University Medical CollegeDepartment of General, Transplant and Liver Surgery, Medical University of WarsawJagiellonian University Medical CollegeJagiellonian University Medical College2nd Department of General Surgery, Jagiellonian University Medical CollegeAbstract Background Laparoscopic liver resection is a feasible and fast-disseminating, yet demanding technique that requires careful preoperative preparation. Due to its varying difficulty, many scales were developed to evaluate possible intraoperative difficulties and to select cases properly, especially during the learning curve. Our aim was to seek additional radiological parameters, such as liver venous system diameters, that may be useful in assessing possible intraoperative difficulties and predicting postoperative outcomes. Methods A retrospective study included 85 patients who underwent laparoscopic liver resection with previous computed tomography or magnetic resonance. Patients were divided into 3 groups of varying difficulty according to the Institute Mutualiste Montsouris (IMM) scale. Using syngo.via radiological system, the diameters of portal vessels and inferior vena cava were measured. Statistical analysis was performed to assess the correlation between measured radiological parameters and perioperative outcomes. Results Statistical analysis showed no correlation between portal and splenic vein diameter and perioperative outcomes in all patient population and in each of the IMM groups. Superior mesenteric vein (SMV) diameter correlated positively with intraoperative complication rate, but only in the IMM 2 group. Intraoperative Oslo complication rate was higher in < 10 mm splenic vein diameter group and the Clavien-Dindo complication rate was higher in < 13 mm SMV population, but only in the IMM 2 group. Conclusions Our study presents that portal system veins and inferior vena cava (IVC) diameter have low relevance to perioperative outcomes and don’t seem to be a good predictor of intraoperative blood loss and complication rate. However, they may be useful in selected difficulty groups, therefore further studies addressing this issue may be beneficial.https://doi.org/10.1186/s12893-025-03051-zLaparoscopyLiver surgeryDifficulty scaleBlood lossTransfusion rateLiver veins |
| spellingShingle | Wojciech A. Serednicki Anna Grochowska Wacław Hołówko Anna Dąbrowska Natalia Janik Michał Pędziwiatr Can liver venous system diameters predict difficulty of laparoscopic liver resection? BMC Surgery Laparoscopy Liver surgery Difficulty scale Blood loss Transfusion rate Liver veins |
| title | Can liver venous system diameters predict difficulty of laparoscopic liver resection? |
| title_full | Can liver venous system diameters predict difficulty of laparoscopic liver resection? |
| title_fullStr | Can liver venous system diameters predict difficulty of laparoscopic liver resection? |
| title_full_unstemmed | Can liver venous system diameters predict difficulty of laparoscopic liver resection? |
| title_short | Can liver venous system diameters predict difficulty of laparoscopic liver resection? |
| title_sort | can liver venous system diameters predict difficulty of laparoscopic liver resection |
| topic | Laparoscopy Liver surgery Difficulty scale Blood loss Transfusion rate Liver veins |
| url | https://doi.org/10.1186/s12893-025-03051-z |
| work_keys_str_mv | AT wojciechaserednicki canlivervenoussystemdiameterspredictdifficultyoflaparoscopicliverresection AT annagrochowska canlivervenoussystemdiameterspredictdifficultyoflaparoscopicliverresection AT wacławhołowko canlivervenoussystemdiameterspredictdifficultyoflaparoscopicliverresection AT annadabrowska canlivervenoussystemdiameterspredictdifficultyoflaparoscopicliverresection AT nataliajanik canlivervenoussystemdiameterspredictdifficultyoflaparoscopicliverresection AT michałpedziwiatr canlivervenoussystemdiameterspredictdifficultyoflaparoscopicliverresection |