Robotic-assisted versus laparoscopic major liver resection: analysis of outcomes from a single center.
Publication/Presentation Date
7-1-2019
Abstract
BACKGROUND: Debate exists regarding outcomes of robot-assisted versus laparoscopic hepatectomy. We reviewed and analyzed major hepatectomies (resection of ≥3 Couinaud liver segments) performed in a minimally invasive fashion at a single institution.
METHODS: From 2011 to 2016, 473 major hepatectomy procedures were performed, of which 173 (37%) were performed in a minimally invasive fashion (57 robot-assisted and 116 laparoscopic). Patient demographics, operating statistics and outcomes were analyzed retrospectively.
RESULTS: Patients undergoing robot-assisted versus laparoscopic hepatectomy were older (58.1 vs 53.2 years, respectively; p = 0.030), admitted to ICU postoperatively less frequently (43.9% vs 61.2%, respectively; p = 0.043), and readmitted less often within 90 days (7.0% vs 28.5%, respectively; p = 0.001). No significant differences were identified in relation to complications, blood loss, operative times, and length of stay.
CONCLUSION: Robot-assisted is an effective alternative to laparoscopic major hepatectomy for resection of malignant and benign liver lesions. Robotic-assisted offers technical advantages compared to laparoscopic surgery including improved optic visualization, operative dexterity, and ease of dissection and suturing. This experience suggested that the robotic platform was associated with improved outcomes including reduced postoperative ICU admission and 90-day readmission.
Volume
21
Issue
7
First Page
906
Last Page
911
ISSN
1477-2574
Published In/Presented At
Fruscione, M., Pickens, R., Baker, E. H., Cochran, A., Khan, A., Ocuin, L., Iannitti, D. A., Vrochides, D., & Martinie, J. B. (2019). Robotic-assisted versus laparoscopic major liver resection: analysis of outcomes from a single center. HPB : the official journal of the International Hepato Pancreato Biliary Association, 21(7), 906–911. https://doi.org/10.1016/j.hpb.2018.11.011
Disciplines
Medicine and Health Sciences
PubMedID
30617001
Department(s)
Department of Surgery, Lehigh Valley Topper Cancer Institute
Document Type
Article
