Robot-assisted Versus Open Liver Resection in the Right Posterior Section

Overview

Journal JSLS

Specialty General Surgery

Date 2014 Dec 18

PMID 25516700

Citations 23

Authors

Alberto Patriti

Federica Cipriani

Francesca Ratti

Alberto Bartoli

Graziano Ceccarelli

Luciano Casciola

Luca Aldrighetti

Affiliations

Soon will be listed here.

Abstract

Background: Open liver resection is the current standard of care for lesions in the right posterior liver section. The objective of this study was to determine the safety of robot-assisted liver resection for lesions located in segments 6 and 7 in comparison with open surgery.

Methods: Demographics, comorbidities, clinicopathologic characteristics, surgical treatments, and outcomes from patients who underwent open and robot-assisted liver resection at 2 centers for lesions in the right posterior section between January 2007 and June 2012 were reviewed. A 1:3 matched analysis was performed by individually matching patients in the robotic cohort to patients in the open cohort on the basis of demographics, comorbidities, performance status, tumor stage, and location.

Results: Matched patients undergoing robotic and open liver resections displayed no significant differences in postoperative outcomes as measured by blood loss, transfusion rate, hospital stay, overall complication rate (15.8% vs 13%), R0 negative margin rate, and mortality. Patients undergoing robotic liver surgery had significantly longer operative time (mean, 303 vs 233 minutes) and inflow occlusion time (mean, 75 vs 29 minutes) compared with their open counterparts.

Conclusions: Robotic and open liver resections in the right posterior section display similar safety and feasibility.

Citing Articles

Evaluation of the economic impact of the robotic approach in major and postero-superior segment liver resections: a multicenter retrospective analysis.

Ingallinella S, Ardito F, Ratti F, Marino R, Catena M, De Rose A Hepatobiliary Surg Nutr. 2024; 13(2):241-257.

PMID: 38617496 PMC: 11007348. DOI: 10.21037/hbsn-23-407.

Current progress in robotic hepatobiliary and pancreatic surgery at a high-volume center.

McCarron F, Vrochides D, Martinie J Ann Gastroenterol Surg. 2023; 7(6):863-870.

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International experts consensus guidelines on robotic liver resection in 2023.

Liu R, Abu Hilal M, Wakabayashi G, Han H, Palanivelu C, Boggi U World J Gastroenterol. 2023; 29(32):4815-4830.

PMID: 37701136 PMC: 10494765. DOI: 10.3748/wjg.v29.i32.4815.

The safety and feasibility of laparoscopic right posterior sectionectomy vs. open approach: A systematic review and meta-analysis.

Wang M, Xiang J, Chen S, Xiao L Front Surg. 2022; 9:1019117.

PMID: 36325043 PMC: 9618829. DOI: 10.3389/fsurg.2022.1019117.

Systematic review of perioperative and oncologic outcomes of minimally-invasive surgery for hilar cholangiocarcinoma.

Cipriani F, Ratti F, Fiorentini G, Reineke R, Aldrighetti L Updates Surg. 2021; 73(2):359-377.

PMID: 33615423 DOI: 10.1007/s13304-021-01006-6.

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