ArticleSurgical endoscopy2021
Robotic versus open hemihepatectomy: a propensity score-matched study.
Article in Surgical endoscopy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 3 of them syntheses that pooled it.
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Who cites it
25 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Comparison of efficacy between robotic and open hepatectomy: a systematic review and meta-analysis of propensity score-matched studies.Journal of robotic surgery · 2025Pooled it
- A meta-analysis between robotic hepatectomy and conventional open hepatectomy.Journal of robotic surgery · 2024Pooled it
- Short-Term Outcomes After Robotic Versus Open Liver Resection: A Systematic Review and Meta-analysis.Journal of gastrointestinal cancer · 2023Pooled it
- Robotic recipient liver transplantation worldwide: a systematic review and meta-analysis of the first 93 patients, from feasibility to early outcomes.EClinicalMedicine · 2026Article
- [500 minimally invasive liver resections-Experiences, results and technical developments of a high-volume center].Chirurgie (Heidelberg, Germany) · 2026Article
- [Minimally invasive liver resection-New techniques].Chirurgie (Heidelberg, Germany) · 2026Review
- Anaesthesiological and perioperative aspects of fully robotic versus open liver transplantation: a matched case-control study.Journal of anesthesia, analgesia and critical care · 2026Article
- Robotic-assisted versus laparoscopic versus open liver resection: comparison of postoperative outcomes according to the IWATE difficulty score.Surgical endoscopy · 2025Article
- Robotic hepatopancreatobiliary surgery using the Toumai® system: initial experience and technical considerations from a single center.Updates in surgery · 2025Article
- Comment on: "Comparison of efficacy between robotic and open hepatectomy: a systematic review and meta-analysis of propensity score-matched studies".Journal of robotic surgery · 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 resection for hepatocellular carcinoma: a new dawn?Hepatobiliary surgery and nutrition · 2024Article
- Introduction of day-case robotic liver surgery: a case series from a tertiary hepatobiliary and pancreatic centre.Surgical endoscopy · 2024Article
- Comparative study of operative expenses: robotic vs. laparoscopic vs. open liver resections at a university hospital in the UK.Journal of robotic surgery · 2024Article
- International experts consensus guidelines on robotic liver resection in 2023.World journal of gastroenterology · 2023Review
- Robotic versus laparoscopic liver resections for hepatolithiasis: an international multicenter propensity score matched analysis.Surgical endoscopy · 2023Article
- Robotic versus laparoscopic versus open major hepatectomy - an analysis of costs and postoperative outcomes in a single-center setting.Langenbeck's archives of surgery · 2023Article
- Robotic versus laparoscopic liver resection for huge (≥10 cm) liver tumors: an international multicenter propensity-score matched cohort study of 799 cases.Hepatobiliary surgery and nutrition · 2023Article
- Minimally invasive versus open liver resection for hepatocellular carcinoma: a propensity score matching analysis of 224 patients.Langenbeck's archives of surgery · 2023Article
- Based on the IWATE criteria: to investigate the influence of different surgical approaches on the perioperative outcomes of hepatectomy.Surgical endoscopy · 2023Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMinimally invasive approach has been increasingly applied in liver resection. However, laparoscopic major hepatectomy is technically demanding and is practiced only in expert centers around the world. Conversely, use of robot may help to overcome the difficulty and facilitate major hepatectomy.
methodsBetween September 2010 and March 2019, 151 patients received robotic hepatectomy for various indications in our center. 36 patients received robotic hemihepatectomy: 26 left hepatectomy and 10 right hepatectomy. During the same period, 737 patients received open hepatectomy and out of these, 173 patients received open hemihepatectomy. A propensity score-matched analysis was performed in a 1:1 ratio.
resultsAfter matching, there were 36 patients each in the robotic and open group. The two groups were comparable in demographic data, type of hemihepatectomy, underlying pathology, size of tumor, and background cirrhosis. Conversion was needed in 3 patients (8.3%) in the robotic group. There was no operative mortality. The operative blood loss and resection margin were similar. Though not significantly different, there was a higher rate of complications in the robotic group (36.1% vs. 22.2%) and this difference was mostly driven by higher intra-abdominal collection (16.7% vs. 5.6%) and bile leak (5.6% vs. 2.8%). Operative time was significantly longer (400.8 ± 136.1 min vs 255.4 ± 74.4 min, P < 0.001) but the postoperative hospital stay was significantly shorter (median 5 days vs 6.5 days, P = 0.040) in the robotic group. When right and left hepatectomy were analyzed separately, the advantage of shorter hospital stay remained in left but not right hepatectomy. For patients with hepatocellular carcinoma, there was no difference between the two groups in 5-year overall and disease-free survival.
conclusionCompared with the open approach, robotic hemihepatectomy has longer operation time but shorter hospital stay. Thus, use of robot is feasible and effective in hemihepatectomy with the benefit of shorter hospital stay.
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