ArticleAnnals of surgical oncology2022
Robotic Versus Laparoscopic Left and Extended Left Hepatectomy: An International Multicenter Study Propensity Score-Matched Analysis.
Article in Annals of surgical oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 4 of them syntheses that pooled it.
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Who cites it
26 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- A comparative meta-analysis and systematic review of robot-assisted versus laparoscopic hemihepatectomy.Journal of robotic surgery · 2025Pooled it
- Robotic versus laparoscopic hepatectomy: meta-analysis of propensity-score matched studies.BJS open · 2025Pooled it
- Pooled it
- Comparative analysis of perioperative outcomes in obese patients undergoing robot-assisted radical prostatectomy (RARP) versus open radical prostatectomy (ORP): a systematic review and meta-analysis.Journal of robotic surgery · 2024Pooled it
- Safety of robotic liver resection under antiplatelet therapy: a propensity score-matching study.Surgical endoscopy · 2026Article
- Robotic versus laparoscopic surgery in hepatobiliary procedures: a scoping review.BMC surgery · 2026Article
- Robotic Versus Laparoscopic Anatomic Liver Resection: Comparison of Perioperative Outcomes-A Systematic Review and Meta-Analysis.Annals of gastroenterological surgery · 2026Review
- Technical complexity and perioperative outcomes of robotic central hepatectomy compared with right and left hepatectomy.Journal of robotic surgery · 2026Article
- Robotic liver surgery: a global snapshot. Results from an international survey.Surgical endoscopy · 2026Article
- Internal validation of the Tampa Robotic Difficulty Scoring System: real-time assessment of the novel robotic scoring system in predicting financial costs of hepatectomy.Surgical endoscopy · 2026Article
- Surgical strategy for laparoscopic right posterior sectionectomy and segmentectomies of segments VII and VIII, considering the courses of P6a and the right hepatic vein.Surgical endoscopy · 2026Article
- Novel Surgical Technique of Liver Parenchyma Transection During Robotic-Assisted Liver Resection: "Trac & Pac".Journal of hepato-biliary-pancreatic sciences · 2025Article
- Transition From Open to Full Robotic Living Donor Left Liver Graft Procurement for Pediatric Recipients- Experience From a Western Center.Transplant international : official journal of the European Society for Organ Transplantation · 2025Article
- Robotic Versus Laparoscopic Liver Resection: A Nationwide Propensity Score Matched Analysis.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2024Article
- Efficacy and safety of robotic versus laparoscopic liver resection for hepatocellular carcinoma: a propensity score-matched retrospective cohort study.Hepatology international · 2024Article
- Implementing a robotic hepatopancreatobiliary program for new faculty: safety, feasibility and lessons learned.Journal of robotic surgery · 2024Article
- Resection of intrahepatic cholangiocarcinoma in octogenarians: a single-center analysis.Discover oncology · 2024Article
- Validation of the IWATE Criteria in Robotic-Assisted Liver Resections.Journal of clinical medicine · 2024Article
- Implementing a Robotic Hepatopancreatobiliary Program for New Faculty: Safety, Feasibility and Lessons Learned.Research square · 2024Article
- Impact of Minimally Invasive Surgery on Anatomic Liver Segmentectomy Using the Extrahepatic Glissonean Approach.Journal of personalized medicine · 2024Article
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28 authors.
Funding
Abstract
backgroundControversies exist among liver surgeons regarding clinical outcomes of the laparoscopic versus the robotic approach for major complex hepatectomies. The authors therefore designed a study to examine and compare the perioperative outcomes of laparoscopic left hepatectomy or extended left hepatectomy (L-LH/L-ELH) versus robotic left hepatectomy or extended left hepatectomy (R-LH/R-ELH) using a large international multicenter collaborative database.
methodsAn international multicenter retrospective analysis of 580 patients undergoing L-LH/L-ELH or R-LH/R-ELH at 25 specialized hepatobiliary centers worldwide was undertaken. Propensity score-matching (PSM) was used at a 1:1 nearest-neighbor ratio according to 15 perioperative variables, including demographics, tumor characteristics, Child-Pugh score, presence of portal hypertension, multiple resections, histologic diagnosis, and Iwate difficulty grade.
resultsBefore the PSM, 190 (32 %) patients underwent R-LH/R-ELH, and 390 (68 %) patients underwent L-LH/L-ELH. After the matching, 164 patients were identified in each arm without significant differences in demographics, preoperative variables, medical history, tumor pathology, tumor characteristics, or Iwate score. Regarding intra- and postoperative outcomes, the rebotic approach had significantly less estimated blood loss (EBL) (100 ml [IQR 200 ml] vs 200 ml [IQR 235 ml]; p = 0.029), fewer conversions to open operations (n = 4 [2.4 %] vs n = 13, [7.9 %]; p = 0.043), and a shorter hospital stay (6 days [IQR 3 days] vs 7 days [IQR 3.3 days]; p = 0.009).
conclusionBoth techniques are safe and feasible in major hepatic resections. Compared with L-LH/L-ELH, R-LH/R-ELH is associated with less EBL, fewer conversions to open operations, and a shorter hospital stay.
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