Robotic versus laparoscopic liver resections for hepatolithiasis: an international multicenter propensity score matched analysis

Kwak, Bong Jun; Lee, Jae Hoon; Chin, Ken Min; Syn, Nicholas; Choi, Sung Hoon; Cheung, Tan To; Chiow, Adrian Kah Heng; Sucandy, Iswanto; Marino, Marco Vito; Prieto, Mikel; Chong, Charing C.N.; Choi, Gi Hong; Ефанов, Михаил; Kingham, T. Peter; Sutcliffe, Robert P.; Troisi, Roberto; Pratschke, Johann; Wang, Xiaoying; D’Hondt, Mathieu; Tang, Chung Ngai; Mishima, Kazuo; Wakabayashi, Go; Cherqui, Daniel; Edwin, Bjørn; Scatton, Olivier; Sugioka, Atsushi; Long, Tran Cong Duy; Fondevila, Constantino; Alzoubi, Mohammad; Hilal, Mohammad Abu; Ruzzenente, Andrea; Ferrero, Alessandro; Herman, Paulo; Lee, Boram; Fuks, David; Cipriani, Francesco; Liu, Qu; Aldrighetti, Luca; Liu, Rong; Han, Ho‐Seong; Goh, Brian K. P.; Chan, Chung‐Yip; Meurs, Juul; Meyere, Céline De; Lai, Eric C. H.; Krenzien, Felix; Schmelzle, Moritz; Kadam, Prashant; Montalti, Roberto; Giglio, Mariano Cesare; Lee, Kit‐Fai; Salimgereeva, Diana; Alikhanov, Ruslan; Lee, Lip Seng; Gastaca, Mikel; Jang, Jae Young; Lim, Chetana; Nghia, Phan Phuoc; Kojima, Masayasu; Kato, Yutaro; Saleh, Mansour; Pascual, Franco; Coelho, Fabrício Ferreira; Krüger, Jaime Arthur Pirola; Fretland, Astmund Avdem; Ghotbi, Jacob; Valle, Bernardo Dalla; Guzmán, Yoelimar

doi:10.1007/s00464-023-10051-8

Cited by 6 publications

(5 citation statements)

References 48 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The two procedures demonstrated similar results for mortality and morbidity. A robotic procedure was statistically significantly associated with less blood loss and less conversion to open surgery [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

“…In the Latin American experience, the 30-day mortality is around 0.7%, and the morbidity is 30% after surgery [4]. Thus, minimally invasive therapeutics for treating IHL are on the rise, such as biliary tract exploration via the left hepatic duct, percutaneous transhepatic drainage, per-oral cholangioscopy, and cholangioscopy associated with laparoscopic and robotic procedures [5][6][7][8]. We describe a case of laser lithotripsy via biliaryenteric anastomosis utilizing cholangioscopy in a combined surgical and endoscopic procedure.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Complex Intrahepatic Lithiasis: A Case Report of Combined Treatment With Surgical Exploration of the Bilioenteric Anastomosis and Laser Lithotripsy by Cholangioscopy

Lera dos Santos,

Sasso,

Figueira

et al. 2023

Cureus

View full text Add to dashboard Cite

Intrahepatic lithiasis, or hepatolithiasis, is an endemic disease in southeast Asia, although, with immigration from Eastern countries, the incidence of this pathology is rising worldwide. The Latin American experience demonstrates morbidity and mortality compatible with other Western countries, but minimally invasive procedures are lacking. We demonstrate a case of a combined surgical and endoscopic approach for stone clearance. We present a case of a 47-year-old female patient with biliary enteric anastomosis to treat recurrent pyogenic cholangitis resulting from intrahepatic lithiasis. The patient was admitted to the emergency room, presented with a new episode of cholangitis, and submitted to transcutaneous hepatobiliary drainage. The multidisciplinary approach, including the endoscopic and surgical teams, successfully performed the stone clearance with laser lithotripsy and stone removal by open access. The postoperative period was uneventful, and the patient did not present any sign of recurrence after one year. A combined surgical and endoscopic approach achieved short-term clinical and technical success in this novel case. Moreover, individualizing cases requiring open surgical access is feasible, which allows a combined endoscopic approach with safety.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Complex Intrahepatic Lithiasis: A Case Report of Combined Treatment With Surgical Exploration of the Bilioenteric Anastomosis and Laser Lithotripsy by Cholangioscopy

Lera dos Santos,

Sasso,

Figueira

et al. 2023

Cureus

View full text Add to dashboard Cite

show abstract

“…[1][2][3] Moreover, the incidence of hepatolithiasis is progressively rising in European countries. [4][5][6][7][8][9][10] The stone residual rate of hepatolithiasis is 15%-30%, 2,11 which not only increases the difficulty and risk of surgery, but also brings huge physical and mental trauma and economic pressure to patients. The complex condition can lead to complications such as biliary cirrhosis, liver atrophy and, in advanced stages, cholangiocarcinoma (10% of cases).…”

Section: Introductionmentioning

confidence: 99%

“…The complex condition can lead to complications such as biliary cirrhosis, liver atrophy and, in advanced stages, cholangiocarcinoma (10% of cases). 6,[12][13][14] At present, there is no established standard treatment for hepatolithiasis, and surgical options include percutaneous transhepatic choledochoscopic lithotripsy, choledocholithotomy, hepatectomy and liver transplantation. Among these, hepatectomy has significantly improved outcomes in the treatment of hepatolithiasis.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of hepatectomy for hepatolithiasis using 3D visualization combined with ICG fluorescence imaging: A retrospective cohort study

Huang,

Zeng,

Zeng

et al. 2024

World j. surg.

View full text Add to dashboard Cite

BackgroundHepatolithiasis is a complex condition that poses challenges and difficulties in surgical treatment. Three‐dimensional visualization technology combined with fluorescence imaging (3DVT‐FI) enables accurate preoperative assessment and real‐time intraoperative navigation. However, the perioperative outcomes of 3DVT‐FI in hepatolithiasis have not been reported. We aim to evaluate the efficacy of 3DVT‐FI in the treatment of hepatolithiasis.MethodsA retrospective analysis was performed on 128 patients who underwent hepatectomy for hepatolithiasis at the Department of Hepatobiliary Surgery, Zhujiang Hospital, between January 2017 and December 2022. Among them, 50 patients underwent hepatectomy using 3DVT‐FI (3DVT‐FI group), while 78 patients underwent conventional hepatectomy without 3DVT‐FI (CH group). The operative data, postoperative liver function indices, complication rates and stone residue were compared between the two groups.ResultsThere were no significant differences in preoperative baseline data between the two groups (p > 0.05). Compared with the CH group, the 3DVT‐FI group exhibited lower intraoperative blood loss (140.00 ± 112.12 vs. 225.99 ± 186.50 mL, p = 0.001), and a lower intraoperative transfusion rate (8.0% vs. 23.1%, p = 0.027). The overall incidence of postoperative complications did not differ significantly (22.0% vs. 35.9%, p = 0.096). The 3DVT‐FI group was associated with a lower immediate residual stone rate (16.0% vs. 34.6%, p = 0.021). There were no perioperative deaths in the 3DVT‐FI group, while one perioperative death occurred in the CH group.ConclusionsThe 3DVT‐FI may offer significant benefits in terms of surgical safety, reduced intraoperative bleeding and decreased stone residue during hepatectomy for hepatolithiasis.

show abstract

“…RALR provides a greater range of motion, high-resolution 3D visualization, elimination of the surgeon's tremor and improvement of the surgeon's ergonomics [13][14][15]. This results in comparable postoperative outcomes but lower conversion rates and less intraoperative blood loss in comparison to LLRs [13,[16][17][18][19][20][21][22][23].…”

Section: Introductionmentioning

confidence: 99%

Validation of the IWATE Criteria in Robotic-Assisted Liver Resections

Lamberty,

Hoelzen,

Katou

et al. 2024

JCM

View full text Add to dashboard Cite

The IWATE criteria are well-established as a helpful tool to preoperatively estimate the difficulty and perioperative outcome of laparoscopic liver resections. We evaluated the relationship between the IWATE criteria and the perioperative outcomes in robotic-assisted liver resections (RARLs). Methods: We retrospectively analyzed the data of 58 patients who underwent robotic-assisted liver surgery at our center between July 2019 and April 2023. The operative difficulty of every patient was graded according to the IWATE criteria and compared to the perioperative outcome. Results: The median operation time was 236.5 min (range 37–671 min), and the median length of stay was 6 days (range 3–37 min). The majority had no complications (65.5%; n = 38), 18 (31.0%) patients suffered from mild complications (CD ≤ 3A) and 2 patients (3.4%) suffered from relevant complications (CD ≥ 3B). We observed no deaths within 30 postoperative days. The surgery time, postoperative ICU stay and perioperative blood transfusions increased significantly with a higher difficulty level (p = < 0.001; p < 0.001; p = 0.016). The length of stay, conversion to open surgery (n = 2) and complication rate were not significantly linked to the resulting IWATE group. Conclusions: The IWATE criteria can be implemented in robotic-assisted liver surgery and can be helpful in preoperatively estimating the difficulty of robotic liver resections. Whether there is a “robotic effect” in minimally invasive liver resections has to be further clarified. The IWATE criteria can help to develop curricula for robotic training.

show abstract

Robotic versus laparoscopic liver resections for hepatolithiasis: an international multicenter propensity score matched analysis

Cited by 6 publications

References 48 publications

Complex Intrahepatic Lithiasis: A Case Report of Combined Treatment With Surgical Exploration of the Bilioenteric Anastomosis and Laser Lithotripsy by Cholangioscopy

Complex Intrahepatic Lithiasis: A Case Report of Combined Treatment With Surgical Exploration of the Bilioenteric Anastomosis and Laser Lithotripsy by Cholangioscopy

Efficacy of hepatectomy for hepatolithiasis using 3D visualization combined with ICG fluorescence imaging: A retrospective cohort study

Validation of the IWATE Criteria in Robotic-Assisted Liver Resections

Contact Info

Product

Resources

About