Robotic versus laparoscopic liver resection: a comparative study from a single center

Yu, Young Dong; Kim, Ki Hun; Jung, Dong Hwan; Namkoong, Jung Man; Yoon, Sun-Young; Jung, Sung Won; Lee, Sang Kyung; Lee, Sung Gyu

doi:10.1007/s00423-014-1238-y

Cited by 98 publications

(92 citation statements)

References 19 publications

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“…Robotic MIS hepatectomy as a field is moving past its infancy. Nota et al (12) recently reported a collected series analysis of the 12 best studies up to 2015 (7,8,(13)(14)(15)(16)(17)(18)(19)(20)(21)(22). There is no doubt that hemi-hepatectomies can be performed with safety by the robotically-assisted approach (7,8).…”

Section: Discussionmentioning

confidence: 99%

Selecting incision-dominant cases for robotic liver resection: towards outpatient hepatectomy with rapid recovery

Melstrom

Warner

Woo

et al. 2018

Hepatobiliary Surg. Nutr.

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Section: Discussionmentioning

confidence: 99%

Selecting incision-dominant cases for robotic liver resection: towards outpatient hepatectomy with rapid recovery

Melstrom

Warner

Woo

et al. 2018

Hepatobiliary Surg. Nutr.

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“…Only in the series of major hepatectomies, a mean operative time ranged from 229.4 to 621 min [27][28][29], and the estimated blood loss was from 200 to 478 mL [24][25][26], a conversion to open rate was 3.7-7% , a morbidity rate 7.1-40% [26][27][28][29], a null mortality rate and R0 resection rate of 100% were reported except for the series of Lai et al [29]. In conclusion, the postoperative results in case of major hepatectomies are similar for robotic and laparoscopic approaches, underlying the safety of the robotic technique.…”

Section: Discussionmentioning

confidence: 99%

Comparative Study of the Initial Experience in Performing Robotic and Laparoscopic Right Hepatectomy with Technical Description of the Robotic Technique

Marino¹,

Shabat²,

Guarrasi³

et al. 2018

Dig Surg

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Background: Despite potential benefits of robotic liver surgery, it is still considered a “development in progress” technique. Methods: The outcomes of 14 patients undergoing robotic right hepatectomy were analyzed and compared with the results of 20 laparoscopic right hepatectomies consecutively performed by the same young surgeon. Results: The overall mean operative time was less in robotic arm (425 ± 139 vs. 565.18 ± 183.73, p = 0.022) and the estimated blood loss was similar (335.15 ± 139.8 vs. 423.95 ± 205.15, p = 0.17); no blood transfusion was required. Two patients in robotic group and 5 in laparoscopic group (p = 0.454) underwent conversion to open surgery; the overall morbidity was 21.4 and 15% in studied arms, respectively (p = 0.634). Pathology reports showed a mean surgical margin of 26.02 ± 3.9 in robotic arm, 28.76 ± 4.6 for laparoscopic, (p = 0.079) and we achieved a R0 resection rate of 91.66 and 85%, respectively. Reoperation and 90-days mortality rate were both null in robotic arm. One patient in laparoscopic group was reoperated due to postoperative hemorrhage. One-year overall and disease free-survival rate were 92.3 and 84.6%, respectively in robotic arm and 90 and 85% in laparoscopic arm. Conclusions: Robotic right hepatectomy is a safe and feasible technique providing promising short-term outcomes and oncological results also in the initial phase of learning curve.

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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 versus laparoscopic liver resection: a comparative study from a single center

Cited by 98 publications

References 19 publications

Selecting incision-dominant cases for robotic liver resection: towards outpatient hepatectomy with rapid recovery

Selecting incision-dominant cases for robotic liver resection: towards outpatient hepatectomy with rapid recovery

Comparative Study of the Initial Experience in Performing Robotic and Laparoscopic Right Hepatectomy with Technical Description of the Robotic Technique

Robotic hepatectomy for hepatocellular carcinoma: a clinical review

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