Robotic hepatectomy: the Korean experience and perspective

Choi, Gi Hong; Chong, Jae Uk; Han, Dai Hoon; Choi, Jin Sub; Lee, Woo Jung

doi:10.21037/hbsn.2017.01.14

Cited by 74 publications

(87 citation statements)

References 15 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%

Section: Article Selection and Study Demographicsmentioning

confidence: 99%

“…Median operative time was 295.5 min (range, and median blood loss was 224.5 mL (range, 0-5000) ( A detailed classification of complications according to the Clavien-Dindo system was provided only in 18 studies 11,13,21,[23][24][25][26][27]29,30,32,34,35,37,38,40,45,48 ( Supplemental Table S4). Overall, grade I/II complications were observed in 12.2%, grade III/IV in 5.9%…”

Section: Perioperative Outcomesmentioning

confidence: 99%

“…The robotic system is the latest advancement of minimally invasive liver surgery. First attempted in humans in Czech Republic in 2006, robotic liver surgery has increasingly been incorporated into clinical practice . Advantages over the laparoscopic method include improved precision and visual magnification, as well as decreased fatigue and less tremor .…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

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: Article Selection and Study Demographicsmentioning

confidence: 99%

Section: Perioperative Outcomesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

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 impact of robotics in liver surgery: A worldwide systematic review and short‐term outcomes meta‐analysis on 2,728 cases

Ciria

Berardi

Alconchel

et al. 2020

J Hepato Biliary Pancreat

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Background:The dissemination of robotic liver surgery is slow-paced and must face the obstacle of demonstrating advantages over open and laparoscopic (LLS) approaches. Our objective was to show the current position of robotic liver surgery (RLS) worldwide and to identify if improved short-term outcomes are observed, including secondary meta-analyses for type of resection, etiology, and cost analysis.Methods: A PRISMA-based systematic review was performed to identify manuscripts comparing RLS vs open or LLS approaches. Quality analysis was performed using the Newcatle-Ottawa score. Statistical analysis was performed after heterogeneity test and fixed-or random-effect models were chosen accordingly. Results: After removing duplications, 2728 RLS cases were identified from the final set of 150 manuscripts. More than 75% of the cases have been performed on malignancies. Meta-analysis from the 38 comparative reports showed that RLS may offer improved short-term outcomes compared to open procedures in most of the variables screened. Compared to LLS, some advantages may be observed in favour of RLS for major resections in terms of operative time, hospital stay and rate of complications.Cost analyses showed an increased cost per procedure of around US$5000. Conclusions: The advantages of RLS still need to be demonstrated although early results are promising. Advantages vs open approach are demonstrated. Compared to laparoscopic surgery, minor perioperative advantages may be observed for major resections although cost analyses are still unfavorable to the robotic approach.

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Feasibility and safety of robotic liver resection for huge (≥10 cm) hepatocellular carcinoma in a single centre: A propensity score‐matched single‐surgeon study

Wu,

Boyuan,

Zeng

et al. 2024

Robotics Computer Surgery

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BackgroundThe applicability of robot‐assisted resection for huge hepatocellular carcinoma (HCC) of ≥10 cm remains contentious with limited available data.MethodsThis retrospective analysis involved 337 patients who underwent robotic liver resection for HCC by a single surgeon. Propensity score matching (PSM) was employed to compare perioperative indicators between patients with regular and huge HCC.ResultsThe regular HCC group exhibited a shorter median operative duration than the huge HCC group. The IWATE criteria revealed higher scores in the huge HCC group than in the regular HCC group. No significant differences were observed between the two groups in Pringle time, drainage tube removal, duration of hospital stays, blood loss volume, blood product transfusion, margin status, conversion rate to open surgery, bile leakage, in‐hospital mortality, and reoperation rate.ConclusionRobotic liver resection is feasible for huge HCC, with effective perioperative risk management potentially improving outcomes for subsequent minimally invasive surgeries.

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Robotic hepatectomy: the Korean experience and perspective

Cited by 74 publications

References 15 publications

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

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

The impact of robotics in liver surgery: A worldwide systematic review and short‐term outcomes meta‐analysis on 2,728 cases

Feasibility and safety of robotic liver resection for huge (≥10 cm) hepatocellular carcinoma in a single centre: A propensity score‐matched single‐surgeon study

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