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BackgroundPyogenic liver abscesses are currently treated by either percutaneous computer tomography (CT)‐guided drainage or by laparoscopic and a conventional liver resection when conservative treatment fails but may be associated with substantial morbidity and mortality.
MethodsA minimally invasive technique involving debridement of right liver abscesses was employed using a minimally invasive video‐assisted...
BackgroundThe impact of body composition on outcomes after surgery for colorectal liver metastases (CRLM) remains unclear. The aim of the present study was to determine the influence of sarcopenia, obesity and sarcopenic obesity on morbidity, disease‐free (DFS) and overall survival (OS).
MethodBetween 2005 and 2012, all patients undergoing a partial liver resection for CRLM in the Maastricht University...
ObjectivesThere is debate concerning the best mode of delivery of analgesia following liver resection, with continuous i.m. infusion of bupivacaine (CIB) plus patient‐controlled i.v. analgesia (PCA) suggested as an alternative to continuous epidural analgesia (CEA). This study compares these two modalities.
MethodsA total of 498 patients undergoing major hepatectomy between July 2004 and July 2011...
BackgroundCurrently, resection criteria for colorectal cancer liver metastases (CRCLM) are only limited by remnant liver function. Morbidity and survival after a partial hepatectomy with limited or extended indication criteria were compared.
Methods/DesignBetween 1991 and 2010, patients undergoing a liver resection for CRCLM with limited (n = 169) or extended indication criteria (n = 129) were retrospectively...
BackgroundTo warrant the adoption or rejection of health care interventions in daily practice, it is important to establish the point at which the available evidence is considered sufficiently conclusive. This process must avoid bias resulting from multiple testing and take account of heterogeneity across studies. The present paper addresses the issue of whether the available evidence may be considered...
ObjectivesEnhanced recovery after surgery (ERAS) or fast‐track protocols have been implemented in different fields of surgery to attenuate the surgical stress response and accelerate recovery. The objective of this study was to systematically review the literature on outcomes of ERAS protocols applied in liver surgery.
MethodsThe MEDLINE, EMBASE, PubMed and Cochrane Library databases were searched...
ObjectivesBoth laparoscopic techniques and multimodal enhanced recovery programmes have been shown to improve recovery and reduce length of hospital stay. Interestingly, evidence‐based care programmes are not widely implemented, whereas new, minimally invasive surgical procedures are often adopted with very little evidence to support their effectiveness. The present survey aimed to shed light on experiences...
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