Retrospective Study
Copyright ©The Author(s) 2023.
World J Gastrointest Surg. Aug 27, 2023; 15(8): 1693-1702
Published online Aug 27, 2023. doi: 10.4240/wjgs.v15.i8.1693
Table 1 Clinicopathological characteristics
Group
Sex (male/female)
Age (yr, mean ± SD)
Child–Pugh grade A/ B
Preoperative biliary drainage (yes/no)
Bismuth classification
IIIIIaIIIbIV
Traditional group (n = 35)15/2058.55 ± 5.1329/627/8314126
eOrganmap group (n = 38)14/2457.86 ± 5.6734/430/8116138
χ2/t0.2750.5440.6750.0351.338
P value0.6000.5880.4110.8520.720
Table 2 Colligation condition during operation
Group
Traditional group (n = 35)
eOrganmap group (n = 38)
t/χ2
P value
Surgical procedure, n (%)1.2760.865
Left/right half liver + caudate lobectomy23 (65.71)27 (71.05)
Extended hemihepatectomy + caudate lobectomy6 (17.14)7 (18.42)
Liver trilobites + caudate lobectomy2 (5.71)2 (5.26)
Mesohepatectomy + caudate lobectomy1 (2.86)1 (2.63)
Other3 (8.57)1 (2.63)
Amount of intraoperative blood loss (mean ± SD, mL) 772.52 ± 112.13553.62 ± 98.568.875< 0.001
Operating time (mean ± SD, min)645.29 ± 121.14523.19 ± 103.154.648< 0.001
Surgical margin pathology, n (%)4.4250.035
R029 (82.86)37 (97.37)
R16 (17.14)1 (2.63)
No. of lymph nodes dissected (mean ± SD)9.12 ± 2.3410.75 ± 2.582.8190.006
Postoperative intestinal ventilation time (mean ± SD, d)3.15 ± 1.022.65 ± 0.712.4470.017
Postoperative hospital stay (mean ± SD, d)22.64 ± 5.2621.15 ± 4.871.2570.213
Table 3 Postoperative complications, n (%)
Complication
Traditional group (n = 35)
eOrganmap group (n = 38)
χ2/Z
P value
Bile leakage2 (5.71)2 (5.26)2.1490.708
Abdominal fluid accumulation3 (8.57)3 (7.89)
Lung infection3 (8.57)2 (5.26)
Postoperative liver insufficiency1 (2.86)0 (0.00)
Stress ulcers0 (0.00)1 (2.63)
Total complication rate9 (25.71)8 (21.05)0.2220.638
Table 4 Total bilirubin and albumin levels (mean SD)
Time
TBIL (μmol/L)
ALB (g/L)
Traditional group (n = 35)
eOrganmap group (n = 38)
t
P value
Traditional group (n = 35)
eOrganmap group (n = 38)
t
P value
T1211.26 ± 15.31209.58 ± 16.750.4460.65727.69 ± 4.1323.16 ± 3.834.863< 0.001
T2165.28 ± 14.37151.22 ± 12.584.456< 0.00129.39 ± 4.0227.24 ± 4.122.2530.027
T3148.56 ± 17.28140.37 ± 15.472.1370.03632.25 ± 3.2330.22 ± 3.542.5520.013
T4128.62 ± 14.39113.28 ± 15.274.408< 0.00134.66 ± 3.1534.85 ± 4.410.2100.834
Table 5 Aspartate transaminase and alanine transaminase levels (mean SD)
Time
AST (U/L)
ALT (U/L)
Traditional group (n = 35)
eOrganmap group (n = 38)
t
P value
Traditional group (n = 35)
eOrganmap group (n = 38)
t
P value
T1112.17 ± 28.42108.62 ± 30.230.5160.608122.15 ± 32.48123.49 ± 31.580.1790.859
T281.82 ± 10.6775.38 ± 15.432.0570.043112.41 ± 24.15101.21 ± 23.242.0190.047
T375.25 ± 10.5870.26 ± 6.382.4620.016108.36 ± 25.5895.26 ± 26.312.1540.035
T474.85 ± 9.2056.12 ± 8.399.098< 0.001107.25 ± 28.5682.28 ± 30.253.619< 0.001
Table 6 Stress response indicators (mean SD)
Indicators
Traditional group (n = 35)
eOrganmap group (n = 38)
χ2/Z
P value
IL-6 (pg/mL)
Pre-operation50.89 ± 4.4251.02 ± 4.160.1300.897
Post-operation61.66 ± 5.4862.07 ± 5.141.2430.742
Cor (ng/mL)
Pre-operation62.35 ± 5.1661.75 ± 5.580.4760.636
Post-operation72.22 ± 4.4871.74 ± 5.030.4290.669
NE (ng/L)
Pre-operation161.53 ± 10.38160.85 ± 9.470.2930.771
Post-operation177.25 ± 10.12176.95 ± 9.130.1330.894