ArticleThe Lancet regional health. Europe2024
Robotic versus laparoscopic hepatectomy for liver malignancies (ROC'N'ROLL): a single-centre, randomised, controlled, single-blinded clinical trial.
Article in The Lancet regional health. Europe, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
29 citing papers in PubMed.
- Robotic versus laparoscopic anatomical hepatectomy: a post hoc analysis of the ROC'N'ROLL randomized controlled trial.Surgical endoscopy · 2026Article
- Challenges and catalysators in building a robotic HPB program: the experience of a tertiary cancer center.Updates in surgery · 2026Article
- Robotic versus laparoscopic surgery in hepatobiliary procedures: a scoping review.BMC surgery · 2026Article
- Risk factors for posthepatectomy liver failure: a secondary analysis of prospective clinical trials.Langenbeck's archives of surgery · 2026Article
- Benchmarking performance in robotic liver resection: are we measuring what matters?Hepatobiliary surgery and nutrition · 2026Article
- Sealer and Moisture-Based Approach (SAMBA) Hepatectomy Technique for Robotic Parenchymal Transection.Annals of surgical oncology · 2026Article
- [Influencing factors and results of conversions in minimally invasive liver surgery : A single-center analysis of over 1200 consecutive cases].Chirurgie (Heidelberg, Germany) · 2026Article
- Robotic Hepatectomy for Primary Liver Cancer.Annals of surgical oncology · 2026Review
- Robotic-assisted donor and recipient hepatectomy in liver transplantation: An umbrella review of clinical outcomes, surgical performance, and cost-effectiveness.World journal of transplantation · 2026Article
- Does complexity compromise outcomes in robotic hepatectomy?Surgical endoscopy · 2026Article
- Safety of robotic hepatic parenchymal transection using scissor hepatectomy and alternative techniques: a cohort study.Surgical endoscopy · 2026Article
- Comparative analysis of robotic vs. laparoscopic right hepatectomy: propensity score matching and machine learning analysis for outcome prediction.Frontiers in surgery · 2026Article
- Robotic right living donor hepatectomy with intermittent inflow occlusion: true clinical benefit or just another chapter in the ischemic preconditioning story?Translational gastroenterology and hepatology · 2026Article
- Application of artificial intelligence in hepatology.Frontiers in digital health · 2026Review
- Nationwide implementation of minimally invasive liver surgery: population-based analysis.BJS open · 2025Article
- International Benchmark Values for Robotic Right Hepatectomy: Multicenter Study From 22 Expert Centers.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2025Article
- Review
- Key steps of complex robotic liver surgery: an international expert survey.Surgical endoscopy · 2025Article
- Robotic Central Hepatectomy.Annals of surgical oncology · 2025Article
- The future of hepatobiliary surgical oncology.Hepatobiliary surgery and nutrition · 2025Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Robotic hepatectomy (RH) has been increasingly adopted for the treatment of liver malignancies despite lacking evidence from randomised trials. We aimed to determine the effect of RH compared to laparoscopic hepatectomy (LH) on quality of life in patients undergoing minimally invasive hepatectomy for liver malignancies. Methods: This single-blinded, randomised trial was conducted at a tertiary care academic centre (DRKS00027531). Patients with resectable liver malignancies were assessed for eligibility and randomly assigned to either RH or LH with stratification by type of malignancy and difficulty of resection. Patients were blinded to the treatment allocation. The primary outcome was the mean quality of life within 90 days after surgery, measured with the role functioning scale of the European Organisation for Research and Treatment of Cancer QLQ-C30 questionnaire. Secondary outcomes included operating time, morbidity, blood loss, conversion rate, postoperative recovery, and resection margin status. Findings: Between February 21, 2022, and Sep 18, 2023, 80 patients (RH: n = 41, LH: n = 39) were included and analysed on an intention-to-treat basis. Role functioning scores did not differ between RH and LH (mean [SD], 74.3 [23.3] versus 79.6 [22.3]; mean difference -5.3, 95% CI -15.6 to 5.1, p = 0.547). The comprehensive complication index was not significantly different between the study groups (8.9 [23.1] versus 15.5 [23.9], p = 0.137). There were no differences in other perioperative outcomes. Interpretation: RH yielded similar outcomes in quality of life and can be considered a safe alternative to LH. Funding: None.
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