Robotic versus laparoscopic liver resection for huge (≥10 cm) liver tumors: an international multicenter propensity-score matched cohort study of 799 cases

Background: The use of laparoscopic (LLR) and robotic liver resections (RLR) has been safely performed in many institutions for liver tumours. A large scale international multicenter study would provide stronger evidence and insight into application of these techniques for huge liver tumours >_10...

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Autores: Cheung, T.T. (Tan To)|||/items/ea97df35-289d-41a9-909e-af83663db1e3, Liu, R. (Rong)|||/items/baf513ea-efc3-48af-b374-782ef95c3336, Cipriani, F. (Federica)|||/items/fbd31884-b7f6-4d82-b0dd-a201e11b269e, Wang, X. (Xiaoying)|||/items/6ce9c427-2a97-490e-985a-8f3cf76a95ad, Efanov, M. (Mikhail)|||/items/46e94566-51ca-4327-9e64-a7b7967c8ff2, Fuks, D. (David)|||/items/8a3a1435-d513-4696-8ea8-59dd8f24402a, Choi, G. (Gi-Hong)|||/items/5160507d-3027-4609-ab14-e44b7db8e5d9, Syn, N.L. (Nicholas L.)|||/items/d4c388a5-bf80-4878-a127-a8075c7fa46a, Chong, C.C.N (Charing C. N.)|||/items/fec821db-fd36-43c9-9c4d-a175a37549ec, Di-Benedetto, F. (Fabrizio)|||/items/c8077fdb-a7ed-470b-a226-e36838266fa2, Robles-Campos, R. (Ricardo)|||/items/114c7054-854b-43b3-8aed-bd6837368cd1, Mazzaferro, V. (Vicenzo)|||/items/9b79d3db-fe64-4155-bd73-8ce951dfb753, Rotellar-Sastre, F. (Fernando)|||/items/833cb788-f4b9-404d-a18b-ae1c84369b51, López-Ben, S. (Santiago)|||/items/7ec008b8-4a41-4baa-957e-a8f4b4bfa3c3, Park, J.O. (James O.)|||/items/6aefa79e-e8e0-4c61-90c2-a6b4cd375070, Mejía, A. (Alejandro)|||/items/933eefa5-9781-41f2-a799-37dbfd8bfbe7, Sucandy, I. (Iswanto)|||/items/58b8439c-bfee-452f-9097-3cfbf639ddae, Chiow, A.K.H. (Adrian K. H.)|||/items/dae0233b-5650-4577-b3f9-e8c01eaf5e38, Marino, M.V. (Marco V.)|||/items/6b7fe71d-63e9-4e84-8e03-02ef1febe504, Gastaca, M. (Mikel)|||/items/483d0947-979a-429c-ac25-ba1e1ec020a0, Lee, J.H. (Jae Hoon)|||/items/badd9185-58ea-4519-b98e-ce96ac25b8c4, Kingham, T.P. (T. Peter)|||/items/65b43355-2002-4475-afd5-0c82d55f0917, D'Hondt, M. (Mathieu)|||/items/536aeb05-0fcb-4c0a-bf10-b0fdad0b4399, Choi, S.H. (Sung Hoon)|||/items/e72a8a4b-edd0-4fef-b929-19bf639ef016, Sutcliffe, R.P. (Robert P.)|||/items/26b0a0c7-5458-4684-84f6-e47044d31829, Han, H.S. (Ho-Seong)|||/items/2aa49537-5f28-4b62-911f-906e81189d6d, Tang, C. N. (Chung-Ngai)|||/items/1440a07f-79c5-4a5b-bd18-5a8c3c937e7c, Pratschke, J. (J.)|||/items/118b53de-6b7e-4a27-8cfb-a3536579b273, Troisi, R.I. (Roberto I.)|||/items/0576e852-7b3d-4ca3-b0d0-88588c4d646d, Wakabayashi, G. (Go)|||/items/3a352339-4d3b-4139-a2bd-3dad141aa6cb, Cherqui, D. (Daniel)|||/items/0d56fb85-5a68-4bea-a329-d89ab2c8f50e, Giuliante, F. (Felice)|||/items/a234eccc-fb6e-401e-a23a-d9009e2211c8, Aghayan, D.L. (Davit L.)|||/items/0ec51b1d-be84-4dab-970d-51844ffbf331, Edwin, B. (Bjorn)|||/items/334493a7-fbf8-4db4-9a4d-ca0bdbb79766, Scatton, O. (Oliver)|||/items/407a26c3-1f65-4aca-b2cc-96f52a4957af, Sugioka, A. (Atsushi)|||/items/92f7791e-7e14-4b9f-bb6a-bc8aa170b072, Long, T.C.D. (Tran Cong Duy)|||/items/ff26b291-19aa-446b-b22b-fc678da69be4, Fondevila, C. (Constantino)|||/items/8e4cd29e-2cd4-4a00-a230-23d825100c68, Abu-Hilal, M. (Mohammed)|||/items/2e16dc0f-e3a6-469d-abbd-978c7f71536b, Ruzzenente, A. (Andrea)|||/items/328fd317-2ff0-4d9c-8ad5-6327c66cd750, Ferrero, A. (Alessandro)|||/items/3805fd05-5f2c-441f-90dd-9cbfe9f704a7, Herman, P. (Paulo)|||/items/72c5d43a-4b6c-452c-ab97-a349a149a678, Chen, K. (KuoHsin)|||/items/b7f03355-3afb-4b16-9c99-b08ea1928c12, Aldrighetti, L. (Luca)|||/items/212d4d42-84b9-40ff-abce-3751a82179fa, Goh, B.K.P. (Brian K. P.)|||/items/a25c60ec-d9fd-4c21-afbf-c6479badfdcf
Tipo de recurso: artículo
Fecha de publicación:2023
País:España
Institución:Universidad de Navarra
Repositorio:Dadun. Depósito Académico Digital de la Universidad de Navarra
Idioma:inglés
OAI Identifier:oai:dadun.unav.edu:10171/66564
Acceso en línea:https://hdl.handle.net/10171/66564
Access Level:acceso abierto
Palabra clave:Laparoscopic liver resection (LLR)
Robotic liver resection (RLR)
Hepatocellular carcinoma
Colorectal liver metastases
Huge,HEPATOCELLULAR-CARCINOMA
HEPATECTOMY
EXPERIENCE
DIFFICULTY
SINGAPORE
CIRRHOSIS
ADOPTION
PROPOSAL
SURGERY
SIZE
Descripción
Sumario:Background: The use of laparoscopic (LLR) and robotic liver resections (RLR) has been safely performed in many institutions for liver tumours. A large scale international multicenter study would provide stronger evidence and insight into application of these techniques for huge liver tumours >_10 cm. Methods: This was a retrospective review of 971 patients who underwent LLR and RLR for huge (>_10 cm) tumors at 42 international centers between 2002-2020. Results: One hundred RLR and 699 LLR which met study criteria were included. The comparison between the 2 approaches for patients with huge tumors were performed using 1:3 propensity-score matching (PSM) (73 vs. 219). Before PSM, LLR was associated with significantly increased frequency of previous abdominal surgery, malignant pathology, liver cirrhosis and increased median blood. After PSM, RLR and LLR was associated with no significant difference in key perioperative outcomes including media operation time (242 vs. 290 min, P=0.286), transfusion rate rate (19.2% vs. 16.9%, P=0.652), median blood loss (200 vs. 300 mL, P=0.694), open conversion rate (8.2% vs. 11.0%, P=0.519), morbidity (28.8% vs. 21.9%, P=0.221), major morbidity (4.1% vs. 9.6%, P=0.152), mortality and postoperative length of stay (6 vs. 6 days, P=0.435). Conclusions: RLR and LLR can be performed safely for selected patients with huge liver tumours with excellent outcomes. There was no significant difference in perioperative outcomes after RLR or LLR.

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