ArticleLangenbeck's archives of surgery2024
Results of robotic liver surgery in association with IWATE criteria - the first 100 cases.
Article in Langenbeck's archives of surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- From difficulty score to clinical outcome: Evaluating IWATE-criteria correlation with postoperative complications and revision surgery in anatomical liver resection.Annals of hepato-biliary-pancreatic surgery · 2026Article
- 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 hepatectomy across IWATE difficulty levels: a single-center experience of the first 100 cases.Journal of robotic surgery · 2026Article
- Robotic liver resection for primary and metastatic hepatobiliary cancer. A decade single-center experience on perioperative and overall survival outcomes.Journal of robotic surgery · 2026Article
- Key steps of complex robotic liver surgery: an international expert survey.Surgical endoscopy · 2025Article
- Predicting the complexity of robotic liver surgery: a comparative analysis of the IWATE, Kawaguchi-Gayet, Hasegawa, Southampton, and Tampa scores.Surgical endoscopy · 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
- Validation of the IWATE Criteria in Robotic-Assisted Liver Resections.Journal of clinical medicine · 2024Article
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAim of the current study was to present the results of the implementation phase of a robotic liver surgery program and to assess the validity of the IWATE difficulty score in predicting difficulty and postoperative complications in robotic liver surgery.
methodsBased on the prospective database of the Interdisciplinary Robotic Center of Ulm University Hospital, the first 100 robotic liver surgeries were identified and analyzed. Perioperative parameters (duration of surgery and blood loss) and postoperative parameters including morbidity, mortality, and length of hospital stay were assessed and the results were compared between different IWATE difficulty categories.
resultsFrom November 2020 until January 2023, 100 robotic liver surgeries were performed (41 female, 59 male; median age 60.6 years, median BMI 25.9 kg/m DISCUSSION: Robotic surgery offers a minimally invasive approach for liver surgery with favorable clinical outcomes, even in the implementation phase. In the current study the IWATE difficulty score had the ability to predict both difficulty of surgery as well as postoperative outcomes when assessing the complexity of robotic liver surgery. Therefore, the role of the IWATE score in predicting these outcomes highlights its importance as a tool in surgical planning and decision-making.
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