Evidence map›Paper›PMID 39666206›Full record

ArticleJournal of robotic surgery2024

Complete hepatic caudate lobe resection: is robotic approach safe? Report from experienced centers.

Greta Donisi, Emanuele Doria, Gemma Bosch, Fernando Burdio, Celine De Meyere, Mathieu D'Hondt, Fabrizio Di Benedetto, Rosalinda Filippo, Annarita Libia, Victor Lopez-Lopez and 7 more

Erratum issuedAbstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Journal of robotic surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors.

Greta Donisi *Department of Biomedical Sciences, Humanitas University, Via Rita Levi Montalcini 4, Pieve Emanuele, 20090, Milan, Italy. greta.donisi@humanitas.it.ORCID http://orcid.org/0000-0002-5873-6577
Emanuele Doria *General Surgery Unit, Ospedale Cardinal Massaia, Asti, Italy.
Gemma BoschHepato-Biliary and Pancreatic Surgery Unit, Department of Surgery, Hospital del Mar, Pompeu Fabra University, Barcelona, Spain.
Fernando BurdioHepato-Biliary and Pancreatic Surgery Unit, Department of Surgery, Hospital del Mar, Pompeu Fabra University, Barcelona, Spain.
Celine De MeyereDepartment of Digestive and Hepatobiliary/Pancreatic Surgery, AZ Groeninge Hospital Kortrijk, Kortrijk, Belgium.
Mathieu D'HondtDepartment of Digestive and Hepatobiliary/Pancreatic Surgery, AZ Groeninge Hospital Kortrijk, Kortrijk, Belgium.
Fabrizio Di BenedettoAzienda Ospedaliera Policlinico, Modena, Italy.
Rosalinda FilippoDepartment of Hepato-Pancreatic-Biliary Surgery, "F. Miulli" General Regional Hospital, Acquaviva delle Fonti, Bari, Italy.
Annarita LibiaGeneral Surgery Unit, Vito Fazzi Hospital, Lecce, Italy.
Victor Lopez-LopezHPB Unit, Hospital Virgen de la Arrixaca, Murcia, Spain.
Paolo MagistriAzienda Ospedaliera Policlinico, Modena, Italy.
Riccardo MemeoDepartment of Hepato-Pancreatic-Biliary Surgery, "F. Miulli" General Regional Hospital, Acquaviva delle Fonti, Bari, Italy.
Patricia Sanchez-VelazquezHepato-Biliary and Pancreatic Surgery Unit, Department of Surgery, Hospital del Mar, Pompeu Fabra University, Barcelona, Spain.
Marcello Giuseppe SpampinatoGeneral Surgery Unit, Vito Fazzi Hospital, Lecce, Italy.
Ricardo Robles-CamposHPB Unit, Hospital Virgen de la Arrixaca, Murcia, Spain.
Iswanto Sucandy *Foregut and HPB Division, Digestive Health Institute, AdventHealth Tampa, Tampa, FL, USA.
Benedetto Ielpo *Hepato-Biliary and Pancreatic Surgery Unit, Department of Surgery, Hospital del Mar, Pompeu Fabra University, Barcelona, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Minimally invasive liver surgery has become widely accepted as a safe and effective approach, especially with experienced surgeons. Robotic hepatectomy may offer significant benefits in challenging procedures like caudate lobe resection. The caudate lobe's intricate anatomy and deep-seated location make its resection particularly challenging, with limited reports on minimally invasive techniques. The aim of this study was to assess the feasibility and safety of robotic isolated complete caudectomy and to provide a detailed description of the different technical approaches available. This retrospective multicenter study was conducted across eight experienced hepatobiliary robotic surgery centers between June 2020 and March 2024. All patients who underwent elective RICC during this period were included. Data were prospectively collected and retrospectively analyzed, focusing on demographics, intraoperative variables, postoperative outcomes, and histopathological results. The primary outcome was the feasibility and safety of the robotic approach. The study included 42 patients. The median (IQR) operative time was 180 (125-245) min, with a median estimated blood loss of 30 (0-100) ml. There were no conversions to open surgery and only one severe complication (Clavien-Dindo ≥ 3) occurred. No postoperative mortality was observed, and all resections for malignant lesions achieved R0 margins. The median time to flatus was 1 (1-1) day, time to solid diet was 1 (1-2) days, and the median length of stay was 3 (2-4) days. RICC is a feasible and safe procedure, demonstrating significant benefits in operative efficiency and patient recovery. However, further research with larger, prospective multicenter studies is necessary to confirm these findings and assess long-term outcomes.

Indexed as

HepatectomyLiver NeoplasmsRobotic Surgical ProceduresAgedBlood Loss, SurgicalFeasibility StudiesFemaleHumansLength of StayLiverMaleMiddle AgedOperative TimePostoperative ComplicationsRetrospective StudiesTreatment OutcomeCaudate lobeComplete caudate lobe resectionHepatobiliary surgeryMinimally invasive surgeryRobotic caudate lobe resectionRobotic Surgery

Identifiers

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

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.