%0 Journal Article %T Laparoscopic versus open resection of intrahepatic cholangiocarcinoma: nationwide analysis %+ Université Paris Cité (UPCité) %+ Hôpital Beaujon [AP-HP] %+ Institut Mutualiste de Montsouris (IMM) %+ Université Paris Descartes - Paris 5 (UPD5) %+ Centre Hospitalier Régional Universitaire de Tours (CHRU Tours) %+ Centre Hospitalier Régional Universitaire [Montpellier] (CHRU Montpellier) %+ Université de Montpellier (UM) %+ Hôpital Claude Huriez [Lille] %+ Chirurgie digestive [CHU Amiens] %+ Simplification des soins chez les patients complexes - UR UPJV 7518 (SSPC) %+ Centre Hospitalier Régional Universitaire [Lille] (CHRU Lille) %+ L'Institut hospitalo-universitaire de Strasbourg (IHU Strasbourg) %+ Institut de Recherche Contre les Cancers de l'Appareil Digestif-European Institute of Telesurgery (IRCAD/EITS) %+ CHU Strasbourg %+ CHU Trousseau [APHP] %+ Physiopathologie et traitement des maladies du foie %+ Hôpital Paul Brousse %+ Centre de Recherche Saint-Antoine (CRSA) %A Hobeika, Christian %A Cauchy, François %A Fuks, David %A Barbier, Louise %A Fabre, Jean-Michel %A Boleslawski, Emmanuel %A Regimbeau, Jean-Marc %A Farges, Olivier %A Pruvot, François-René %A Pessaux, Patrick %A Salame, Éphrem %A Soubrane, Olivier %A Vibert, E. %A Scatton, Olivier %< avec comité de lecture %@ 0007-1323 %J British Journal of Surgery %I Wiley %V 108 %N 4 %P 419-426 %8 2021-04-30 %D 2021 %R 10.1093/bjs/znaa110 %M 33793726 %Z Life Sciences [q-bio] %Z Life Sciences [q-bio]/Human health and pathology/SurgeryJournal articles %X Background: The relevance of laparoscopic resection of intrahepatic cholangiocarcinoma (ICC) remains debated. The aim of this study was to compare laparoscopic (LLR) and open (OLR) liver resection for ICC, with specific focus on textbook outcome and lymph node dissection (LND).Methods: Patients undergoing LLR or OLR for ICC were included from two French, nationwide hepatopancreatobiliary surveys undertaken between 2000 and 2017. Patients with negative margins, and without transfusion, severe complications, prolonged hospital stay, readmission or death were considered to have a textbook outcome. Patients who achieved both a textbook outcome and LND were deemed to have an adjusted textbook outcome. OLR and LLR were compared after propensity score matching.Results: In total, 548 patients with ICC (127 LLR, 421 OLR) were included. Textbook-outcome and LND completion rates were 22.1 and 48.2 per cent respectively. LLR was independently associated with a decreased rate of LND (odds ratio 0.37, 95 per cent c.i. 0.20 to 0.69). After matching, 109 patients remained in each group. LLR was associated with a decreased rate of transfusion (7.3 versus 21.1 per cent; P = 0.001) and shorter hospital stay (median 7 versus 14 days; P = 0.001), but lower rate of LND (33.9 versus 73.4 per cent; P = 0.001). Patients who underwent LLR had lower rate of adjusted TO completion than patients who had OLR (6.5 versus 17.4 per cent; P = 0.012).Conclusion: The laparoscopic approach did not substantially improve quality of care of patients with resectable ICC. %G English %L hal-03595516 %U https://u-picardie.hal.science/hal-03595516 %~ INRIA %~ UNIV-PICARDIE %~ UNIV-PSUD %~ APHP %~ U938 %~ UNIV-PARIS-SACLAY %~ UNIV-PSUD-SACLAY %~ UNIV-MONTPELLIER %~ INRIA-AUT %~ CHU-UNIV-PARIS5 %~ SORBONNE-UNIVERSITE %~ SORBONNE-UNIV %~ SU-MEDECINE %~ SU-MED %~ UNIV-PARIS %~ UNIVERSITE-PARIS %~ UNIVERSITE-PARIS-SACLAY %~ GS-LIFE-SCIENCES-HEALTH %~ GS-HEALTH-DRUG-SCIENCES %~ U-PICARDIE %~ SSPC %~ ALLIANCE-SU %~ UM-2015-2021