ArticleSurgical endoscopy2020
Robotic versus laparoscopic hepatectomy: application of the difficulty scoring system.
Article in Surgical endoscopy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 5 of them syntheses that pooled it.
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Who cites it
41 citing papers in PubMed, 5 syntheses or guidelines pooled it, 75 citations in OpenAlex.
- From laparoscopy to robotics in living donor hepatectomy: a systematic review and meta-analysis of comparative outcomes.Journal of robotic surgery · 2026Pooled it
- Pooled it
- Simultaneous robotic-assisted resection of colorectal cancer and synchronous liver metastases: a systematic review.Journal of robotic surgery · 2021Pooled it
- State of the art in robotic liver surgery: a meta-analysis.Updates in surgery · 2021Pooled it
- Comparative clinical outcomes of robot-assisted liver resection versus laparoscopic liver resection: A meta-analysis.PloS one · 2020Pooled it
- Minimally invasive versus open liver resection for benign disease: analysis of textbook outcomes according to difficulty of resections and role of the robotic approach.Surgical endoscopy · 2026Article
- Robotic versus laparoscopic surgery in hepatobiliary procedures: a scoping review.BMC surgery · 2026Article
- Robotic Hepatectomy for Primary Liver Cancer.Annals of surgical oncology · 2026Review
- A modified multi-angle suture training module for laparoscopic training curriculum on emergency intestinal surgery.World journal of emergency surgery : WJES · 2025Article
- Complete transition from laparoscopic to robotic liver surgery achieves superior outcomes in difficult hepatectomies: a seven-year retrospective study.Surgical endoscopy · 2025Article
- Robotic liver surgery: should improving the safety and expanding the indication over laparoscopic liver surgery.Hepatobiliary surgery and nutrition · 2025Article
- The First Report on Liver Resection Using the Novel Japanese hinotori™ Surgical Robot System: First Case Series Report of 10 Cases.Journal of clinical medicine · 2024Article
- Robotic management of huge hepatic angiomyolipoma: A case report and literature review.Annals of hepato-biliary-pancreatic surgery · 2024Article
- Robotic versus laparoscopic hepatectomy for liver malignancies (ROC'N'ROLL): a single-centre, randomised, controlled, single-blinded clinical trial.The Lancet regional health. Europe · 2024Article
- Article
- Early outcomes of single-port robotic left lateral sectionectomy in patients with hepatic tumor.Annals of surgical treatment and research · 2024Article
- Comparison of clinical outcome between laparoscopic and open hepatectomy of high difficulty score for hepatocellular carcinoma: a propensity score analysis.Surgical endoscopy · 2024Article
- Robotic versus laparoscopic liver resections: propensity-matched comparison of two-center experience.Surgical endoscopy · 2023Article
- Robotic versus laparoscopic liver resections for hepatolithiasis: an international multicenter propensity score matched analysis.Surgical endoscopy · 2023Article
- Development and validation of a preoperative difficulty scoring system for endoscopic resection of gastric gastrointestinal stromal tumor: a multi-center study.Surgical endoscopy · 2023Article
Corrections and comments
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Authors and funding
8 authors at 1 institution in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe development of robotic system may help to relieve the difficulties encountered during laparoscopic hepatectomy. A difficulty scoring system (DSS) was developed to assess the difficulty of various laparoscopic liver resection procedures. The aim of this study is to explore if the DSS is applicable in robotic hepatectomy and to compare the outcomes of robotic hepatectomy and laparoscopic hepatectomy among different difficulty levels.
methodsClinical data from all consecutive patients who underwent robotic and conventional laparoscopic hepatectomy at the Prince of Wales Hospital, Hong Kong, were prospectively collected and reviewed. The difficulty level of operations was graded using the DSS. Perioperative outcomes of robotic and conventional laparoscopic hepatectomy were compared at each difficulty level.
resultsA total of 107 and 94 patients underwent robotic and laparoscopic hepatectomy during the study period, respectively. Among them, 16 and 2 patients were operated for recurrent pyogenic cholangitis, respectively, and were excluded because no mark for tumour location can be assigned. For robotic hepatectomy, a higher DSS was significantly correlated with higher minor complication rate (p = 0.001), more intraoperative blood loss (p = 0.002), longer operation time (p < 0.001) and longer post-operative hospital stay (p < 0.001). The mean DSS scores of robotic and laparoscopic hepatectomy were 4.5 and 3.6, respectively. (p = 0.004). For cases with low (DSS 1-3) and intermediate (DSS 4-6) difficulty level, there was no significant difference in operative blood loss, operation time and overall complications rate. Only 2 cases (2.2%) with high difficulty level were operated with laparoscopic approach while 20% of patients operated with robotic approach had DSS > 6.
conclusionsDSS significantly correlated with surgical outcomes in patient who underwent robotic hepatectomy. Perioperative outcomes following robotic and conventional laparoscopic hepatectomy were similar in cases with low and intermediate difficulty. However, robotic system allowed minimally invasive approach in cases with higher difficulty level.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.