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Safety and Feasibility of Pure Laparoscopic Extended Cholecystectomy: Comparison with the Open Technique in a Propensity Analysis at a Single Center by Wan-Joon Kim; Tae-Wan Lim; Pyoung-Jae Park; Sae-Byeol Choi; Wan-Bae Kim is a Medicine article available to read on EtoBox.

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## Background: The aim of this study was to validate the safety and feasibility of pure laparoscopic extended cholecystectomy (lec) by comparing the outcome with that of open extended cholecystectomy (oec). moreover, on the basis of our experience, we also aimed to investigate the learning curve of pure lec. ## Methods: This single-center study enrolled patients who were diagnosed primary gallbladder cancer with pathologically confirmed and underwent r0 resection with curative intent between january 2016 and december 2019. a total of 31 patients who underwent oec and 17 patients who underwent lec were selected. propensity score matching analysis was performed in a 1:1 ratio using the nearest-neighbor matching method, and clinical information was retrospectively collected from medical records and analyzed. ## Results: The postoperative hospital stay was statistically shorter in the lec group (7 days) than in the oec group (12 days). the overall surgical complication rate did not differ between the two groups. the 1- and 3-year disease-free survival rates were 82.4% and 82.4% in the oec group and 94.2% and 71.5% in the lec group, respectively (p = 0.94). considering the correlation b

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Author

Wan-Joon Kim; Tae-Wan Lim; Pyoung-Jae Park; Sae-Byeol Choi; Wan-Bae Kim

Publisher

Springer Science and Business Media LLC

Published

2021

Language

EN

Field

Medicine (Health Sciences)