ArticleAnnals of surgery open : perspectives of surgical history, education, and clinical approaches2024
Robotic Versus Laparoscopic Liver Resection: A Nationwide Propensity Score Matched Analysis.
Article in Annals of surgery open : perspectives of surgical history, education, and clinical approaches, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Robotic versus laparoscopic anatomical hepatectomy: a post hoc analysis of the ROC'N'ROLL randomized controlled trial.Surgical endoscopy · 2026Article
- Feasibility and perioperative safety of robotic liver resection using the da Vinci SP system: early single-center case series.Surgical endoscopy · 2026Article
- Tracking Technological Change in Liver Surgery: Robotic Adoption and Case-Mix Evolution in the I Go MILS Registry.Cancers · 2026Article
- Robotic versus laparoscopic liver resection for intrahepatic cholangiocarcinoma in elderly patients: a multicentre propensity-weighted analysis.Surgical endoscopy · 2026Article
- Robotic left lateral sectionectomy using the Hugo™ Robotic-Assisted Surgery system: a case report.International journal of surgery case reports · 2026Article
- Robotic liver surgery: a global snapshot. Results from an international survey.Surgical endoscopy · 2026Article
- Reaching proficiency in robotic liver surgery in two high-volume European HPB centers.Journal of robotic surgery · 2026Article
- Comparison of laparoscopic and robotic liver surgery: a German real-world analysis.Surgical endoscopy · 2026Article
- 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
- Novel Surgical Technique of Liver Parenchyma Transection During Robotic-Assisted Liver Resection: "Trac & Pac".Journal of hepato-biliary-pancreatic sciences · 2025Article
- Cost-effectiveness and clinical impact of robotic-assisted hepatectomy.Journal of robotic surgery · 2025Article
- National impact and advantages of the robotic approach to liver surgery in the era of minimally invasive surgery.Hepatobiliary surgery and nutrition · 2025Article
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31 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objective: To compare nationwide outcomes of robotic liver resection (RLR) with laparoscopic liver resection (LLR). Background: Minimally invasive liver resection is increasingly performed using the robotic approach as this could help overcome inherent technical limitations of laparoscopy. It is unknown if this translates to improved patient outcomes. Methods: Data from the mandatory Dutch Hepatobiliary Audit were used to compare perioperative outcomes of RLR and LLR in 20 centers in the Netherlands (2014-2022). Propensity score matching (PSM) was used to mitigate selection bias. Sensitivity analyses assessed the impact of the learning curve (≥50 procedures for LLR and ≥25 procedures for RLR), concurrent noncholecystectomy operations, high-volume centers, and conversion on outcomes. Results: Overall, 792 RLR and 2738 LLR were included. After PSM (781 RLR vs 781 LLR), RLR was associated with less blood loss (median: 100 mL [interquartile range (IQR): 50-300] vs 200 mL [IQR: 50-500], Conclusion: In this nationwide analysis, RLR was associated with a reduction in conversion, blood loss and length of hospital stay without compromising patient safety, also when excluding a learning curve effect. The benefits of RLR seem to be mostly related to a reduction in conversions.
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