Robot-assisted versus open liver resection in the right posterior section

Alberto Patriti, Federica Cipriani, Francesca Ratti, Alberto Bartoli, Graziano Ceccarelli, Luciano Casciola, Luca Aldrighetti

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

Background: Open liver resection is the current standard of care for lesions in the right posterior liver section. The objective of this study was to determine the safety of robot-assisted liver resection for lesions located in segments 6 and 7 in comparison with open surgery. Methods: Demographics, comorbidities, clinicopathologic characteristics, surgical treatments, and outcomes from patients who underwent open and robot-assisted liver resection at 2 centers for lesions in the right posterior section between January 2007 and June 2012 were reviewed. A 1:3 matched analysis was performed by individually matching patients in the robotic cohort to patients in the open cohort on the basis of demographics, comorbidities, performance status, tumor stage, and location. Results: Matched patients undergoing robotic and open liver resections displayed no significant differences in postoperative outcomes as measured by blood loss, transfusion rate, hospital stay, overall complication rate (15.8% vs 13%), R0 negative margin rate, and mortality. Patients undergoing robotic liver surgery had significantly longer operative time (mean, 303 vs 233 minutes) and inflow occlusion time (mean, 75 vs 29 minutes) compared with their open counterparts. Conclusions: Robotic and open liver resections in the right posterior section display similar safety and feasibility.

Original languageEnglish
Article numbere2014.00040
JournalJSLS : Journal of the Society of Laparoendoscopic Surgeons / Society of Laparoendoscopic Surgeons
Volume18
Issue number3
DOIs
Publication statusPublished - 2014

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Robotics
Liver
Comorbidity
Demography
Safety
Standard of Care
Operative Time
Blood Transfusion
Length of Stay
Mortality
Neoplasms

Keywords

  • Hepatocellular carcinoma
  • Liver
  • Liver metastasis
  • Liver resection
  • Robot-assisted liver resection

ASJC Scopus subject areas

  • Surgery

Cite this

Robot-assisted versus open liver resection in the right posterior section. / Patriti, Alberto; Cipriani, Federica; Ratti, Francesca; Bartoli, Alberto; Ceccarelli, Graziano; Casciola, Luciano; Aldrighetti, Luca.

In: JSLS : Journal of the Society of Laparoendoscopic Surgeons / Society of Laparoendoscopic Surgeons, Vol. 18, No. 3, e2014.00040, 2014.

Research output: Contribution to journalArticle

Patriti, Alberto ; Cipriani, Federica ; Ratti, Francesca ; Bartoli, Alberto ; Ceccarelli, Graziano ; Casciola, Luciano ; Aldrighetti, Luca. / Robot-assisted versus open liver resection in the right posterior section. In: JSLS : Journal of the Society of Laparoendoscopic Surgeons / Society of Laparoendoscopic Surgeons. 2014 ; Vol. 18, No. 3.
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AU - Ratti, Francesca

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AU - Ceccarelli, Graziano

AU - Casciola, Luciano

AU - Aldrighetti, Luca

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N2 - Background: Open liver resection is the current standard of care for lesions in the right posterior liver section. The objective of this study was to determine the safety of robot-assisted liver resection for lesions located in segments 6 and 7 in comparison with open surgery. Methods: Demographics, comorbidities, clinicopathologic characteristics, surgical treatments, and outcomes from patients who underwent open and robot-assisted liver resection at 2 centers for lesions in the right posterior section between January 2007 and June 2012 were reviewed. A 1:3 matched analysis was performed by individually matching patients in the robotic cohort to patients in the open cohort on the basis of demographics, comorbidities, performance status, tumor stage, and location. Results: Matched patients undergoing robotic and open liver resections displayed no significant differences in postoperative outcomes as measured by blood loss, transfusion rate, hospital stay, overall complication rate (15.8% vs 13%), R0 negative margin rate, and mortality. Patients undergoing robotic liver surgery had significantly longer operative time (mean, 303 vs 233 minutes) and inflow occlusion time (mean, 75 vs 29 minutes) compared with their open counterparts. Conclusions: Robotic and open liver resections in the right posterior section display similar safety and feasibility.

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KW - Hepatocellular carcinoma

KW - Liver

KW - Liver metastasis

KW - Liver resection

KW - Robot-assisted liver resection

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