Robotic‐Assisted Versus Laparoscopic Left Lateral Sectionectomy: Analysis of Surgical Outcomes and Costs by a Propensity Score Matched Cohort Study

Salloum, Chady; Lim, Chetana; Lahat, Eylon; Gavara, Concepcion Gomez; Levesque, Éric; Compagnon, Philippe; Azoulay, Daniel

doi:10.1007/s00268-016-3736-2

Cited by 55 publications

(37 citation statements)

References 60 publications

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“…In case of overlapping populations, the most recent or most informative studies were included in the systematic review (Supplemental Table S2). From the 803 records retrieved, 31 studies were finally deemed eligible, incorporating a total of 1148 patients. The majority of studies were from Europe (14/31), followed by Asia (10/31) and the USA (7/31).…”

Section: Resultsmentioning

confidence: 99%

“…A detailed classification of complications according to the Clavien‐Dindo system was provided only in 18 studies (Supplemental Table S4). Overall, grade I/II complications were observed in 12.2%, grade III/IV in 5.9% and grade V in 0.1%.…”

Section: Resultsmentioning

confidence: 99%

“…Even though the robotic approach preserves the advantages of MIS over open surgery, it remains unclear whether these beneficial effects are also observed when compared with laparoscopy. Most of the available studies suggest no benefit in safety and feasibility of the robotic approach over laparoscopy; however, the results were obtained from single centers and may be biased due to the learning curve of the robotic system, since most studies reflected the initial experience of each individual center …”

Section: Discussionmentioning

confidence: 99%

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Safety and oncologic outcomes of robotic liver resections: A systematic review

Tsilimigras

Moris

Vagios

et al. 2018

Journal of Surgical Oncology

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The robotic system has emerged as a new minimally invasive technology with promising results. We sought to systematically review the available literature on the safety and the oncologic outcomes of robotic liver surgery. A systematic review was conducted using Medline (PubMed), Embase and Cochrane library through November 12th, 2017. A robotic approach may be a safe and feasible surgical option for minor and major liver resections.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Safety and oncologic outcomes of robotic liver resections: A systematic review

Tsilimigras

Moris

Vagios

et al. 2018

Journal of Surgical Oncology

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“…41 The Henri Mondor Hospital group of Paris, which has an internationally renowned expertise in laparoscopic liver surgery, has published a further, very recent analysis. 42 The authors reported on a propensity-score-matched comparison between laparoscopic and robotic left lateral sectionectomy. Overall, the two techniques were equal on both perioperative and postoperative outcomes.…”

Section: Discussionmentioning

confidence: 99%

Surgical and oncological outcomes after ultrasound‐guided robotic liver resections for malignant tumor. Analysis of a prospective database

Pesi

Moraldi

Guerra

et al. 2019

Robotics Computer Surgery

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Aim Robotic surgery is thought to have a role in widening the application of minimally invasive liver surgery. Nonetheless, data concerning surgical results for liver malignancies are presently still lacking. We aimed to evaluate the surgical and oncological outcomes of ultrasound guided robotic liver resections for hepatic malignancies. Methods All consecutive patients who received robotic resection of primary and secondary liver malignancies from September 2008 to January 2017 were analyzed. The same surgical team performed all procedures following the principle of parenchymal‐sparing surgery. Results From a total of 51 patients, 13 patients (25%) underwent major and 38 (75%) minor hepatectomy. No mortality occurred. Two procedures were converted to open surgery. Five patients experienced major complications, with a reintervention rate of 6%. Median hospital stay was 5 days. Conclusions Robotic surgery is a safe and feasible procedure for liver resection even when dealing with malignancies. Our data show that robotic surgery can be considered a valid option to treat patients with liver malignancies in a minimally invasive manner, without compromise the oncological results.

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“…Most data were obtained from prospectively maintained databases. Tables 3 and 4 showed the results of nonrandomized comparative studies comparing robotic and laparoscopic partial hepatectomy in patients with minor hepatectomies [18][19][20][21][22][23][24][25] and in patients with minor and major hepatectomies [26][27][28][29] . Although the perioperative outcomes seemed to be similar in both groups, the benefit of robotic approach has been shown in several studies.…”

Section: Robotic Vs Conventional Laparoscopic Partial Hepatectomymentioning

confidence: 99%

Robotic hepatectomy for hepatocellular carcinoma: a clinical review

Lai¹,

Chung²,

Chan³

et al. 2017

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How to cite this article: Lai ECH, Chung DTM, Chan OCY, Tang CN. Robotic hepatectomy for hepatocellular carcinoma: a clinical review. Hepatoma Res 2017;3:278-83.The robotic surgical system was developed to overcome the disadvantages of conventional laparoscopic surgery. The use of robots in liver surgery was not well evaluated. This article aimed at reviewing robotic partial hepatectomy to conventional laparoscopic or open partial hepatectomy in terms of perioperative, oncologic, and healthcare costs for hepatocellular carcinoma (HCC). Studies were identified by searching MEDLINE and PubMed databases for articles from January 2004 to June 2017 using the keywords "laparoscopic hepatectomy", "robotic surgery", "robotic hepatectomy", and "hepatocellular carcinoma". Case reports were not included. The open conversion rate, overall morbidity rate, and mortality rate of robotic partial hepatectomy were reported as 0-14.3%, 0-27%, and 0-3%, respectively. Although little data regarding robotic approach for HCC have been reported, it appears to be better than open approach, particularly blood loss and hospital stay, and similar to conventional laparoscopic approach in terms of short term outcomes. The oncological outcomes were comparable to open or laparoscopic approach. Well-known advantages of the robotic system allow resection of tumor location over posterior and superior segments or major hepatectomy with more ease. The main disadvantage of robotic approach was its high cost. In conclusion, oncological data from homogenous series of HCC after robotic partial hepatectomy was needed. Robotic approach was safe to be an alternative option of minimally invasive hepatectomy for HCC. Its future implementation will depend on the advantages that it can provide over open or conventional laparoscopy approach. Key words:Laparoscopy, hepatectomy, robotic surgery, hepatocellular carcinoma ABSTRACTArticle history:

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Robotic‐Assisted Versus Laparoscopic Left Lateral Sectionectomy: Analysis of Surgical Outcomes and Costs by a Propensity Score Matched Cohort Study

Cited by 55 publications

References 60 publications

Safety and oncologic outcomes of robotic liver resections: A systematic review

Safety and oncologic outcomes of robotic liver resections: A systematic review

Surgical and oncological outcomes after ultrasound‐guided robotic liver resections for malignant tumor. Analysis of a prospective database

Robotic hepatectomy for hepatocellular carcinoma: a clinical review

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