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Master Thesis

Impact de l'IMC sur la morbi-mortalité des hépatectomies par voie coelioscopique : étude tri-centrique

Abstract : Introduction: Few data exist in the literature on laparoscopic hepatectomy’s morbidity and mortality in obese patients. Methods: From 1998 to 2018, 125 obese patients had laparoscopic hepatectomy in the Henri Mondor hospital and in the IMM and, from 2015 to 2019, 23 obese patients had laparoscopic hepatectomy in Caen. Preoperative data (age, BMI, comorbidities, ASA score), perioperative data (type of resection and conversion rate) and postoperative data (medical and surgical complications, revision surgery rate and Clavien-Dindo score) were studied. The objective was to compare post-operative outcomes (short and long) of the development of an innovative surgical technique in a center and then to compare this center to 2 others more experienced centers. The primary end point was the postoperative morbidity and mortality. Results: Morbidity and mortality, conversion and stays in intensive care unit rates are similar between the 2 different groups of patients. Medical complications rate is higher in the group “Caen”: 34,78% vs 11,2% (p<0,002). Revision surgery rate is higher in the group “Caen”: 8,7% vs 0,8% (p<0,01). Conclusion: Laparoscopic hepatectomy is a feasible, safe, standardized and reproductible technique.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03169012
Contributor : Ufr Santé Unicaen <>
Submitted on : Monday, March 15, 2021 - 9:22:35 AM
Last modification on : Wednesday, April 14, 2021 - 3:29:53 AM
Long-term archiving on: : Wednesday, June 16, 2021 - 6:19:08 PM

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  • HAL Id : dumas-03169012, version 1

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Camille Godet. Impact de l'IMC sur la morbi-mortalité des hépatectomies par voie coelioscopique : étude tri-centrique. Médecine humaine et pathologie. 2020. ⟨dumas-03169012⟩

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