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Please use this identifier to cite or link to this item: http://hdl.handle.net/1942/26485

Title: The practice of laparoscopic liver surgery in Belgium: a national survey
Authors: Tomassini, Federico
Scuderi, Vincenzo
Berardi, Giammauro
Dili, Alexandra
D'Hondt, Mathieu
Sergeant, Gregory
Hubert, Catherine
Huysentruyt, Frederik
Berrevoet, Frederik
Lucidi, Valerio
Troisi, Roberto Ivan
Issue Date: 2017
Citation: ACTA CHIRURGICA BELGICA, 117(1), p. 15-20
Abstract: Background: Laparoscopic liver surgery (LLS) gained popularity bringing several advantages including decreased morbidity and reduction of length of hospital stay compared to open. Methods: To understand practice and evolution of LLS in Belgium, a 20-questions survey was sent to all members of the Royal Belgian Society for Surgery, the Belgian Section of Hepato-Pancreatic and Biliary Surgery and the Belgian Group for Endoscopic Surgery. Results: Thirty-seven surgical units representing 61 surgeons performing LLS in Belgium responded: 50% from regional hospitals, 28% from university and 22% from peripheral hospitals. Replies from high volume centers (>50 liver-surgery/year) were 19%. More than 25% of liver procedures were performed laparoscopically in 35% of centers. LLS is adopted since more than 15-years in 14.5% of centers with an increasing rate reported in 59%. Low relevance of LLS in the hospital organization (26.5%) and lack of time in surgical schedules (12%) or of specific training (9%) are the main barriers for further diffusion. More than 80% of the responders agreed to participate to a national prospective registry. Conclusion: LLS is mainly performed in experienced HPB units with an increasing interest in peripheral centers. A prospective national registry will be useful by providing real data in terms of indications, morbidity and overall evolution.
URI: http://hdl.handle.net/1942/26485
DOI: 10.1080/00015458.2016.1202478
ISI #: 000396648800003
ISSN: 0001-5458
Category: A1
Type: Journal Contribution
Appears in Collections: Research publications

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