Research Article

Laparoscopic Hepatectomy: Current State in Japan Based on the 4th Nationwide Questionnaire

Table 4

The rate of conversion to open surgery and complications in each surgical approach.

All
()
Pure-LH
()
HALS
()
Hybrid-LH
()
HCC
()
Meta
()

Conversion to open surgery59 (2.0%)41 (2.2%)12 (6.0%)6 (0.6%)49 (2.6%)8 (1.1%)
Mortality2 (0.07%)1 (0.05%)01 (0.01%)1 (0.05%)1 (0.13%)
Reoperation4 (0.14%)3 (0.16%)01 (0.01%)3 (0.16%)1 (0.13%)

Intraoperative accidents68 (2.3%)54 (2.2%)6 (3.0%)8 (0.9%)55 (2.9%)9 (1.2%)
 Bleeding39 (1.3%)
 Hyper carbon dioxidemia1 (0.03%)
 Gas embolism2 (0.06%)

Postoperative complications94 (3.2%)34 (1.9%)12 (6.0%)48 (5.6%)66 (3.5%)24 (3.3%)
 Bleeding8 (0.3%)
 Liver failure2 (0.07%)
 Bile leakage15 (0.5%)
 Pleural effusion/ascites24 (0.8%)
 Surgical site infection18 (0.6%)
 Liver abscess9 (0.3%)
 Hyper carbon dioxidemia1 (0.03%)
 Ileus2 (0.07%)