Comparison between robotic liver resection and laparoscopic liver resection

doi:10.16139/j.1007-9610.2018.04.015

Abstract

Abstract: Objective To perform a matched comparison of surgical and postsurgical outcomes between robotic and laparoscopic liver resections (LLR) and evaluate the advantages of robotic liver resections(RLR). Methods Clinical outcomes among patients undergoing RLR (n=44) and LLR (n=44) in our hospital between March 2010 and August 2017 were reviewed. A 1:1 matched analysis was performed using propensity score matching between patients in RLR group and patients in LLR group based on gender, age, hepatitis, cirrhosis, body mass index, American Society of Anesthesiologists grade and the extent of liver resections. Results Matched patients undergoing robotic and laparoscopic liver resections displayed no significant differences in blood loss, transfusion rate, hospital stay, postsurgical complications and R0 resection rate. RLR was associated with longer operative time, (183.36±64.40) min vs (156.25±71.53) min, P=0.013. The conversion rate in RLR group was lower than in LLR group(4.5% vs 22.7%), P=0.013. Conclusions Lower conversion rate of RLR was observed when compared with LLR in spite of longer operative time. RLR and LLR had similar safety and feasibility.

Key words: Da Vinci robotics system, Laparoscopy, Liver resection

CLC Number:

GUAN Ruoyu, YANG Kui, MA Di, YANG Yuchen, CHEN Yongjun. Comparison between robotic liver resection and laparoscopic liver resection[J]. Journal of Surgery Concepts & Practice, 2018, 23(04): 346-351.

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