Fast-track protocols in laparoscopic liver surgery: Applicability and correlation with difficulty scoring systems

Table 1 Baseline data and complications in the groups of candidates and non-candidates for a fast-track protocol

	Whole series (160 cases)	Excluded learning curve (first 40 cases)	Non-candidate for FTP (42 cases)	Candidate for FTP (78 cases)	P (FTP vs no FTP)
Baseline data
Age	59 ± 13	59 ± 14	58 ±15	59 ± 14	NS
Sex (M/F ratio)	83/77	66/54	29/13	37/41	0.023
BMI	27.56 ± 4.88	27.51 ± 5.03	27.69 ± 6.21	27.43 ± 4.44	NS
Malignancy, n (%)	122 (76.25)	93 (77.50)	32 (76.19)	61 (78.20)	NS
Postoperative stay	4.41 ± 4.68	4.50 ± 5.12	7.40 ± 7.17	2.94 ± 2.46	0.001
Operative time	253.81 ± 91.91	258.41 ± 89.81	294.19 ± 84.82	239.14 ± 86.95	0.001
Tradit minor/major	82/77	58/61	16/25	42/36	NS
Iwate					0.02
Low	26	19	5	14
Intermediate	60	43	9	34
Advanced	54	43	13	30
Expert	19	14	14	0
Iwate					0.009
I	68	48	13	35
II	24	18	3	15
III	67	53	25	28
Iwate					NS
Low	21	13	3	10
Moderate	81	58	18	40
High	52	43	15	28
Extremely high	4	4	4	0
Complications
CCI	8.10 ± 17.53	4.91 ± 12.51	16.57 ± 26.34	5.18 ± 11.52	0.01
No complications, n (%)	117 (73.1)	33 (82.5)	24 (57.1)	60 (76.9)	0.024
Redo surgery, n (%)	8 (5.0)	1 (2.5)	6 (14.3)	1 (1.3)	0.04
Readmission, n (%)	12 (7.5)	1 (2.5)	5 (11.9)	6 (7.7)	NS
Minor complications (I-II), n (%)	30 (18.8)	4 (10.0)	13 (31.0)	13 (16.7)	0.024
Major complications (IIIa, IIIb, IV)	13 (8.1)	3 (7.5)	5 (11.9)	5 (6.4)	NS
	6 IIIa	1 IIIa		4 IIIa
	2 IIIb	1 IIIb		1 IIIb
	2 Iva		2 Iva
	1 IVb		1 IVb
	2 V		2 V

BMI: Body mass index; CCI: Comprehensive complication index; F: Female; FTP: Fast-track protocols; M: Male; NS: Not significant.