Not all reoperative laparoscopic liver resection procedures are feasible for hepatolithiasis patients with a history of biliary surgery

doi:10.4254/wjh.v17.i5.105890

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May 27, 2025 (publication date) through Jun 26, 2025

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World Journal of Hepatology

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1948-5182

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Hepatol. May 27, 2025; 17(5): 105890
Published online May 27, 2025. doi: 10.4254/wjh.v17.i5.105890

Table 3 Clinical outcomes of the two subgroups of reoperative left lateral sectionectomy

Clinical outcomes	Reoperative open left lateral sectionectomy (n = 40)	Reoperative laparoscopic left lateral sectionectomy (n = 40)	χ²/Z value	P value
Selective hepatic blood flow occlusion	5/40 (12.5)	8/40 (20.0)	0.827	0.363¹
Operation duration, median (IQR), minute	200.0 (180.0-240.0)	240.0 (196.3-322.5)	-3.073	0.002²
Blood loss, median (IQR), mL	200.0 (81.3-300.0)	200.0 (75.0-281.2)	-0.743	0.457²
Blood transfusion	12/40 (30.0)	4/40 (10.0)	5.000	0.025¹
Conversion to open surgery	-	3/40 (7.5)	-	-
Postoperative intensive care unit stay	5/40 (12.5)	5/40 (12.5)	0.000	1.000¹
Postoperative hospital stay, median (IQR), days	10.0 (8.0-17.0)	8.0 (6.0-10.0)	-3.332	0.001²
Early complications within 90 days	16/40 (40.0)	17/40 (42.5)	0.052	0.820¹
Major complications within 90 days	1/40 (2.5)	2/40 (5.0)	N/A³	1.000
Reinterventions within 90 days	1/40 (2.5)	2/40 (5.0)	N/A³	1.000
Readmission within 90 days	5/40 (12.5)	6/40 (15.0)	0.105	0.745¹
90-day mortality	0/40 (0.0)	0/40 (0.0)	-	-
Initial stone clearance rate⁴	29/39 (74.4)	33/40 (82.5)	0.775	0.379¹
Re-treatment of residual stones⁴	4/39 (10.3)	2/40 (5.0)	N/A³	0.432
Final stone clearance rate⁴	32/39 (85.0)	34/40 (85.0)	0.125	0.724¹
Stone recurrence⁵	9/32(28.1 )	2/34 (5.9)	5.872	0.015¹
Late complications⁴	1/39 (2.6)	1/40 (2.5)	N/A³	1.000
Late major complications⁴	1/39 (2.6)	0/40 (0.0)	N/A³	0.494
Secondary ICC⁴	4/39 (10.3)	1/40 (2.5)	N/A³	0.201
Late death due to complications or ICC⁴	4/39 (10.3)	1/40 (2.5)	N/A³	0.201

¹χ² test was used.

²Mann-Whitney U test was used.

³No χ² value was reported for Fisher's exact test.

⁴One patients in the reoperative open left lateral sectionectomy group had no postoperative imaging and was excluded.

⁵Seven patients in the reoperative open left lateral sectionectomy group and 6 in the reoperative laparoscopic left lateral sectionectomy group were further excluded due to residual stone.

Data are presented as number/total number (percentage) of patients unless otherwise indicated. IQR: Interquartile range; ICC: Intrahepatic cholangiocarcinoma; N/A: Not applicable.

Citation: Zhang WJ, Chen G, Dai DF, Chen XP. Not all reoperative laparoscopic liver resection procedures are feasible for hepatolithiasis patients with a history of biliary surgery. World J Hepatol 2025; 17(5): 105890
URL: https://www.wjgnet.com/1948-5182/full/v17/i5/105890.htm
DOI: https://dx.doi.org/10.4254/wjh.v17.i5.105890