Robotic versus laparoscopic liver resections: propensity-matched comparison of two-center experience

Balzano, Emanuele; Bernardi, Lorenzo; Roesel, Raffaello; Vagelli, Filippo; Ghinolfi, Davide; Tincani, Giovanni; Catalano, Gabriele; Melandro, Fabio; Petrusic, Antonietta; Popeskou, Sotirios-Georgios; Christoforidis, Dimitri; Majno-Hurst, Pietro; De Simone, Paolo; Cristaudi, Alessandra

doi:10.1007/s00464-023-10358-6

Cited by 3 publications

(3 citation statements)

References 45 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The selection policy of patients to MILS in both centers was reported elsewhere in detail 19 . Briefly, MILS was initially adopted in the case of single tumors with favorable location (i.e., subcapsular, anterolateral segments), then with the increasing of experience, it was progressively introduced for multiple tumors (generally up to 3) located in posterior or superior segments.…”

Section: Methodsmentioning

confidence: 99%

Concomitant training in robotic and laparoscopic liver resections of low-to-intermediate difficulty score: a retrospective analysis of the learning curve

Bernardi,

Balzano,

Roesel

et al. 2024

Sci Rep

Self Cite

View full text Add to dashboard Cite

In the setting of minimally invasive liver surgery (MILS), training in robotic liver resections (RLR) usually follows previous experience in laparoscopic liver resections (LLR). The aim of our study was to assess the learning curve of RLR in case of concomitant training with LLR. We analyzed consecutive RLRs and LLRs by a surgeon trained simultaneously in both techniques (Surg1); while a second surgeon trained only in LLRs was used as control (Surg2). A regression model was used to adjust for confounders and a Cumulative Sum (CUSUM) analysis was carried out to assess the learning phases according to operative time and difficulty of the procedures (IWATE score). Two-hundred-forty-five procedures were identified (RobSurg1, n = 75, LapSurg1, n = 102, LapSurg2, n = 68). Mean IWATE was 4.0, 4.3 and 5.8 (p < 0.001) in each group. The CUSUM analysis of the adjusted operative times estimated the learning phase in 40 cases (RobSurg1), 40 cases (LapSurg1), 48 cases (LapSurg2); for IWATE score it was 38 cases (RobSurg1), 33 cases (LapSurg1), 38 cases (LapSurg2) respectively. Our preliminary experience showed a similar learning curve of 40 cases for low and intermediate difficulty RLR and LLR. Concomitant training in both techniques was safe and may be a practical option for starting a MILS program.

show abstract

Section: Methodsmentioning

confidence: 99%

Concomitant training in robotic and laparoscopic liver resections of low-to-intermediate difficulty score: a retrospective analysis of the learning curve

Bernardi,

Balzano,

Roesel

et al. 2024

Sci Rep

Self Cite

View full text Add to dashboard Cite

show abstract

“…Fifteen potentially eligible articles were assessed for full-text evaluation. The final analysis included eight trials with a total number of 3210 patients [4,[19][20][21][22][23][24][25], of whom 2680 underwent LRL and 530 underwent RLR surgery. Among those studies, one was designed as a prospective study, and seven were retrospective trials.…”

Section: Eligible Studies and Study Characteristicsmentioning

confidence: 99%

“…The articles analyzed in this meta-analysis were published between 2020 and 2023. Of the eight trials, two were performed in Italy [22,23], one in China [21], one in the USA [24], and one in Germany [4]. Three studies were international trials [19,20,25].…”

Section: Eligible Studies and Study Characteristicsmentioning

confidence: 99%

Robotic versus Laparoscopic Liver Resections for Colorectal Metastases: A Systematic Review and Meta-Analysis

Safiejko,

Pedziwiatr,

Pruc

et al. 2024

Cancers

View full text Add to dashboard Cite

Colorectal cancer is the third most common cancer worldwide, and the liver is the most common localization of metastatic disease. The incidence of minimally invasive liver surgery is increasing, and robotic surgery (RLR) is believed to overcome some limitations of a laparoscopic approach (LRL). We performed a systematic review and meta-analysis of operative and short-term oncologic outcomes of the laparoscopic versus robotic-assisted liver resection for colorectal liver metastases. An online search of PubMed, Embase, Scopus, and the Cochrane databases was performed. Eight studies involving 3210 patients were considered eligible for the meta-analysis. In the LRL group, a higher conversion to open rate (12.4%) was observed compared to the RLR (6.7%; p = <0.001). 30-day mortality was 0.7% for the LRL group compared to 0.5% for the RLR group (p = 0.76). Mortality in longer periods among LLR and RLR amounted to 18.2% vs. 8.0% for 1-year mortality (p = 0.07), 34.1% vs. 26.7% for 2-year mortality (p = 0.13), and 52.3% vs. 48.3% for 3-year mortality (p = 0.46). The length of hospital stay was 5.6 ± 2.5 vs. 5.8 ± 2.1 days, respectively (p = 0.47). There were no significant differences between the incidence of individual complications in the LRL and RLR groups (p = 0.78). Laparoscopic or robotic approaches for colorectal liver metastases are comparable in terms of safety and effectiveness. There are significant advantages to robotic surgery, although there is still no long-term evidence concerning overall survival, and the number of patients operated on using RLR remains small.

show abstract

Perioperative impact of liver cirrhosis on robotic liver resection for hepatocellular carcinoma: a retrospective cohort study

Song,

Wang,

Liu

et al. 2024

Surg Endosc

View full text Add to dashboard Cite

Robotic versus laparoscopic liver resections: propensity-matched comparison of two-center experience

Cited by 3 publications

References 45 publications

Concomitant training in robotic and laparoscopic liver resections of low-to-intermediate difficulty score: a retrospective analysis of the learning curve

Concomitant training in robotic and laparoscopic liver resections of low-to-intermediate difficulty score: a retrospective analysis of the learning curve

Robotic versus Laparoscopic Liver Resections for Colorectal Metastases: A Systematic Review and Meta-Analysis

Perioperative impact of liver cirrhosis on robotic liver resection for hepatocellular carcinoma: a retrospective cohort study

Contact Info

Product

Resources

About