Laparoscopic hepatectomy reduces postoperative complications and hospital stay in overweight and obese patients

Table 2 Perioperative characteristics in the overweight and obese group (body mass index 25 kg/m²)

	LH vs OH
	LH cohort (n = 68)	OH cohort (n = 68)	P value
Operative data
Operative time (min)	194 ± 88	275 ± 131	< 0.001
Major resection, n (%)	14 (20.6)	18 (26.5)	0.419
Operative procedure, n (%)			0.064
Atypical	15 (22.1)	23 (33.8)
Segmentectomy	11 (16.2)	10 (14.7)
Bisegmentectomy	28 (41.2)	17 (25.0)
Left hepatectomy	0 (0.0)	5 (7.4)
Right hepatectomy	13 (19.1)	13 (19.1)
Extended left hepatectomy	0 (0.0)	1 (1.5)
Conversion	4 (5.9)	-
Postoperative data
Intensive care/d	0.8 ± 0.7	1.1 ± 0.8	0.031
Hospitalization/d	7.3 ± 3.6	15.7 ± 13.5	< 0.001
Blood transfusion	12 (17.6)	16 (23.5)	0.396
Hospital mortality, n (%)	0 (0.0)	3 (4.4)	0.080
Postoperative complications, n (%)			0.065
No complications	54 (79.4)	37 (54.4)
Clavien-Dindo I	4 (5.9)	5 (7.4)
Clavien-Dindo II	5 (7.4)	8 (11.8)
Clavien-Dindo IIIa	4 (5.9)	8 (11.8)
Clavien-Dindo IIIb	1 (1.5)	3 (4.4)
Clavien-Dindo IVa	0 (0.0)	4 (5.9)
Clavien-Dindo IVb	0 (0.0)	0 (0.0)
Clavien-Dindo V	0 (0.0)	3 (4.4)
Clavien ≥ IIIb	1 (1.5)	10 (14.7)
Clavien ≥ I	14 (20.6)	31 (45.6)
Biliary leakage	1 (1.5)	10 (14.7)	0.005
Liver failure	0 (0.0)	4 (5.9)	0.042
Surgical site infections	2 (2.9)	6 (8.8)	0.145
Pneumonia	0 (0.0)	6 (8.8)	0.012
CCI	3.9 ± 9.1	15.4 ± 23.6	0.000
Estimated cost (€)	10060 ± 1537	11789 ± 5973	0.779

LH: Laparoscopic hepatectomy; OH: Open hepatectomy; CCI: Comprehensive Complication Index.