ArticleJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2019
Learning Curve in Robot-Assisted Laparoscopic Liver Resection.
Article in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 3 of them syntheses that pooled it.
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Who cites it
34 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- A meta-analytic and systematic review to compare perioperative outcomes and prognosis between robotic and conventional (laparoscopic or open) liver resection in hepatocellular carcinoma cases.World journal of surgical oncology · 2025Pooled it
- Robotic versus laparoscopic hepatectomy: meta-analysis of propensity-score matched studies.BJS open · 2025Pooled it
- Robot-assisted versus laparoscopic minor hepatectomy: A systematic review and meta-analysis.Medicine · 2021Pooled it
- Implementation of a Robotic Liver Surgery Program in a Large Municipal Hospital: A Propensity Score-Matched Analysis of Clinical, Economic, and Learning Curve Outcomes.Journal of clinical medicine · 2026Article
- Robotic liver surgery: a global snapshot. Results from an international survey.Surgical endoscopy · 2026Article
- Better outcomes of robotic liver resection in segment VII/VIII compared to open and laparoscopic approach.Journal of robotic surgery · 2026Article
- Evaluation of 350 robotic liver resections performed by an early adopter in laparoscopic liver surgery: clinical outcomes and critical appraisal of the learning curve.Surgical endoscopy · 2025Article
- Feasibility and safety of remote robotic hepatectomy: a prospective single-arm study with MP1000 system in China.EClinicalMedicine · 2025Article
- A Decade of Innovation: Short-Term Outcomes of 150 Robotic Liver Resections.Journal of clinical medicine · 2025Article
- Learning curve analysis of 100 consecutive robotic liver resections.Surgical endoscopy · 2025Article
- Complete transition from laparoscopic to robotic liver surgery achieves superior outcomes in difficult hepatectomies: a seven-year retrospective study.Surgical endoscopy · 2025Article
- Application of Robotic Surgery in Hepatocellular Carcinoma.Journal of hepatocellular carcinoma · 2025Review
- A novel low-cost high-fidelity porcine model of liver metastases for simulation training in robotic parenchyma-preserving liver resection.Journal of robotic surgery · 2024Article
- Towards a Standardization of Learning Curve Assessment in Minimally Invasive Liver Surgery.Annals of surgery · 2024Article
- Concomitant training in robotic and laparoscopic liver resections of low-to-intermediate difficulty score: a retrospective analysis of the learning curve.Scientific reports · 2024Article
- Short-term and long-term outcomes after robotic versus open hepatectomy in patients with large hepatocellular carcinoma: a multicenter study.International journal of surgery (London, England) · 2024Article
- 10 years, 100 robotic major hepatectomies: a single-center experience.Surgical endoscopy · 2024Article
- Robotic versus laparoscopic liver resections: propensity-matched comparison of two-center experience.Surgical endoscopy · 2023Article
- Robotic, laparoscopic, and open liver resection for hepatocellular carcinoma: A propensity score matched analysis of perioperative outcomes.Surgery in practice and science · 2023Article
- International experts consensus guidelines on robotic liver resection in 2023.World journal of gastroenterology · 2023Review
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe objective of this study was to evaluate the learning curve effect on the safety and feasibility of robot-assisted liver resection (RALR).
methodsIn 140 consecutive cases, all data about demographic, surgical procedure, postoperative course were collected prospectively and analyzed. Risk-adjusted cumulative sum model was used for determining the learning curve based on the need for conversion.
resultsAmong all 140 patients, no patients suffered from any organ dysfunction postoperatively and the operative mortality was 0%. The CUSUM analysis showed that at the 30th consecutive patient, the open conversion rate reached to the average value, and it further improved thereafter. In the last 70 patients, only 3 patients (4.3%) required conversion and 7 patients (10%) needed blood transfusion. Only 1 patient (1.3%) out of 79 patients with HCC had a positive resection margin. Univariate analyses showed the following risk factors associated with significantly higher risks of conversion (P < 0.05): tumor number > 1, lesions in segments 1/4a/7/8, right posterior sectionectomy, and lesions which were beyond the indications of the Louisville statement. Multivariate logistic analysis revealed that both tumor number > 1 (OR: 2.10, P < 0.05) and right posterior sectionectomy (OR: 11.19, P < 0.01) were risk factors of conversion.
conclusionsThe robotic approach for hepatectomy is safe and feasible. A learning curve effect was demonstrated in this study after the 30th consecutive patient. The long-term oncological outcomes of robotic hepatectomy still need further investigation.
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