ArticleWorld journal of surgery2019
Short- and Long-term Outcomes after Robotic and Laparoscopic Liver Resection for Malignancies: A Propensity Score-Matched Study.
Article in World journal of surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 8 of them syntheses that pooled it.
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Who cites it
29 citing papers in PubMed, 8 syntheses or guidelines pooled it.
- Green surgery: a systematic review of the environmental impact of laparotomy, laparoscopy, and robotics.Updates in surgery · 2025Pooled it
- Robotic versus laparoscopic hepatectomy: meta-analysis of propensity-score matched studies.BJS open · 2025Pooled it
- Pooled it
- Robotic versus laparoscopic liver resection for liver malignancy: a systematic review and meta-analysis of propensity score-matched studies.Surgical endoscopy · 2024Pooled it
- The role of robotic surgery for the treatment of hilar cholangiocarcinoma: A systematic review.Frontiers in oncology · 2022Pooled it
- State of the art in robotic liver surgery: a meta-analysis.Updates in surgery · 2021Pooled it
- Pooled it
- Comparative clinical outcomes of robot-assisted liver resection versus laparoscopic liver resection: A meta-analysis.PloS one · 2020Pooled it
- Global research trends in robot-assisted hepatectomy for hepatocellular carcinoma: a visualized bibliometric analysis.Journal of robotic surgery · 2026Article
- Minimally invasive versus open liver resection for hepatocellular carcinoma with microvascular invasion: a propensity score-matching study.Surgical endoscopy · 2025Article
- Surgical protocol of robotic liver resection using a two-surgeon technique (TAKUMI-3): a technical note and initial outcomes.World journal of surgical oncology · 2025Article
- Efficacy and safety of robotic versus laparoscopic liver resection for hepatocellular carcinoma: a propensity score-matched retrospective cohort study.Hepatology international · 2024Article
- Article
- Robotic versus laparoscopic liver resections: propensity-matched comparison of two-center experience.Surgical endoscopy · 2023Article
- Robotic versus laparoscopic liver resection in posterosuperior region: a retrospective study of consecutive cases.Surgical endoscopy · 2023Article
- Robotic hepatectomy: challenge and progression.Hepatobiliary surgery and nutrition · 2023Article
- Article
- Robotic liver resection for hepatocellular carcinoma: analysis of surgical margins and clinical outcomes from a western tertiary hepatobiliary center.Journal of robotic surgery · 2023Article
- Short- and long-term outcomes after robotic and open liver resection for elderly patients with hepatocellular carcinoma: a propensity score-matched study.Surgical endoscopy · 2022Article
- Article
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesA laparoscopic approach improves short-term outcomes and maintains long-term outcomes compared to an open approach. In turn, the recent development of robotic surgery raises the question whether it performs as well as laparoscopic surgery. The aim of this study was to compare the short- and long-term outcomes of laparoscopic liver resection (LLR) and robotic liver resection (RLR) for malignancies.
methodFrom 2011 to 2017, the study population included 111 patients in the LLR group and 61 in the RLR group. Short- and long-term outcomes were compared before and after propensity score matching (PSM).
resultsOperative mortality rate was nil. The intraoperative blood transfusion rate was higher during RLR (15% vs. 2%, p = 0.0009). Major morbidity and hospital stay were not different between the two groups. The resection margin width (LLR 7 mm vs. RLR 10 mm, p = 0.13) and R1 resection rates (resection margin width < 1 mm; LLR 15% vs. RLR 11%, p = 0.49) were similar. After PSM (55 patients in each group), the blood transfusion, major morbidity, hospital stay and R1 resection were similar between the two groups. When considering the largest subset of patients with hepatocellular carcinoma including 114 patients (66%), the 3-year overall survival rate was 80% in the LLR group and 97% in the RLR group (p = 0.10) and remained similar after PSM (p = 0.27). The 3-year recurrence-free survival rate was 50% in the LLR group and 64% in the RLR group (p = 0.30) and remained similar after PSM (p = 0.26).
conclusionsNo differences were found in blood transfusion, incidence of positive resection margins and long-term outcomes between the two techniques. RLR does not compromise short-term and oncologic outcomes in patients with liver cancers.
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