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International Survey on Technical Aspects of Laparoscopic Liver resection: a web‐based study on the global diffusion of laparoscopic liver surgery prior to the 2nd International Consensus Conference on Laparoscopic Liver Resection in I wate, J apan
Author(s) -
Hibi Taizo,
Cherqui Daniel,
Geller David A.,
Itano Osamu,
Kitagawa Yuko,
Wakabayashi Go
Publication year - 2014
Publication title -
journal of hepato‐biliary‐pancreatic sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.63
H-Index - 60
eISSN - 1868-6982
pISSN - 1868-6974
DOI - 10.1002/jhbp.141
Subject(s) - medicine , resection , general surgery , surgery
The technique of laparoscopic liver resection ( LLR ) has been greatly improved since the first international consensus conference. Our aim was to evaluate the worldwide spread of LLR prior to the 2nd International Consensus Conference on Laparoscopic Liver Resection in I wate, J apan (4–6 O ctober 2014). The International Survey on Technical Aspects of Laparoscopic Liver resection was designed to assess dissemination of LLR , indications, and the surgical techniques. The anonymous questionnaire was e‐mailed to liver surgeons worldwide. A total of 448 liver surgeons responded to the survey. The peak age range of surgeons performing LLR was 41–50 years. J apan had by far the largest number of respondents ( n = 223), followed by the US ( n = 38) and F rance ( n = 20). In J apan, the majority of surgeons performing LLR belonged to community hospitals, where LLR has been increasingly used since its implementation in 2009 or later, comprising up to 40% of all liver resection cases. In contrast, in N orth A merica and E urope, LLR was mostly performed at academic medical centers. LLR has undergone global dissemination after the first international consensus conference in 2008. J apan has experienced unparalleled, explosive diffusion characterized by the adoption of LLR at middle‐tier, regional institutions.