Vol:.(1234567890) Surg Endosc (2017) 31:4458–4465 DOI 10.1007/s00464-017-5498-9 1 3 Minor laparoscopic liver resection: toward 1-day surgery? Nicola de’Angelis 1  · Benjamin Menahem 2,3  · Philippe Compagnon 1  · Jean Claude Merle 4  · Francesco Brunetti 1  · Alain Luciani 5,6  · Daniel Cherqui 7  · Alexis Laurent 1,6   Received: 10 December 2016 / Accepted: 28 February 2017 / Published online: 4 April 2017 © Springer Science+Business Media New York 2017 and the conditions required for an early discharge. They were also provided with a 24-h dedicated phone number for assistance. Results Twenty-four patients [mean age 48.9 year (SD 14.75); 12 women] with no more than one comorbidity were included. The majority (87.5%) was classifed as ASA I or II. Thirteen patients (46%) were operated on for malig- nant lesions. The median operative time was 90 min, the median pneumoperitoneum time was 60 min, and the esti- mated blood loss was 50 mL. Mortality was zero. No trans- fusion, conversion, or pedicule clamping was necessary. No anesthesia-related complications occurred. All patients were discharged at 24 h. Only one patient (4.2%) was read- mitted at postoperative day 3 for intolerable abdominal pain due to a wound abscess that was treated by antibiotics. Conclusion By applying a standardized protocol for admission, preoperative workup, and anesthesia, early dis- charge after minor LLR can be successfully carried out in highly selected patients with minimal impact on primary healthcare services. Keywords Laparoscopic liver resection · Hepatectomy · Hospital stay · Health-related costs · Laparoscopy Over the past 2 decades, laparoscopic surgery has evolved considerably, and its application has continued to expand. This minimally invasive approach ofers the advantages of less postoperative pain, better cosmetic results, faster recovery, shorter hospital stay, and decreased morbidity, which recently have translated into increased patient con- venience and reduced healthcare-related costs [1–4]. The advancements in laparoscopy techniques and the introduc- tion of enhanced recovery after surgery (ERAS) programs have progressively decreased the need for hospitalization, Abstract Background Technical advances in laparoscopy and enhanced recovery after surgery programs have progres- sively decreased the need for hospitalization. The present study aimed to explore the feasibility and safety of an early discharge protocol after minor laparoscopic liver resection (LLR). Methods The study sample consisted of patients with both benign and malignant hepatic lesions involving no more than two hepatic segments who underwent minor LLR and were discharged within 24 h. Patients were selected based on their ftness for surgery, proximity to the hospital, and availability of a responsible adult to care for them once dis- charged. Patients and their accompanying caregiver were instructed about the procedure, its potential complications, and Other Interventional Techniques * Alexis Laurent alexis.laurent@hmn.aphp.fr 1 Unit of Digestive, Hepato-Pancreato-Biliary Surgery, and Liver Transplantation, Henri Mondor Hospital, AP- HP, Université Paris Est—UPEC, Address: 51, Avenue du Maréchal de Lattre de Tassigny, 94010 Créteil, France 2 UMR INSERM U1086 Cancers et Prevention, Centre François Baclesse, Avenue du Général Harris, 14045 Caen Cedex, France 3 UFR de Médecine, 2 rue des Rochambelles, 14033 Caen Cedex, France 4 Department of Anesthesiology, Henri Mondor Hospital, AP- HP, Créteil, France 5 Department of Radiology, Henri Mondor Hospital, AP-HP, Créteil, France 6 INSERM U955, Team 18, Institut Mondor de Recherche Biomédicale, Créteil, France 7 Hepatobiliary and Pancreatic Surgery and Liver Transplantation Unit, Paul Brousse Hospital, Paris, France