International multicentre propensity score-matched analysis comparing robotic <i>versus</i> laparoscopic right posterior sectionectomy

DOI PDF 被引用文献1件
  • Adrian K H Chiow
    Hepatopancreatobiliary Unit, Department of Surgery, Changi General Hospital , Singapore
  • David Fuks
    Department of Digestive, Oncologic and Metabolic Surgery, Institute Mutualiste Montsouris, Universite Paris Descartes , Paris, France
  • Gi-Hong Choi
    Division of Hepatopancreatobiliary Surgery, Department of Surgery, Severance Hospital, Yonsei University College of Medicine , Seoul, Korea
  • Nicholas Syn
    Department of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital and Yong Loo Lin School of Medicine, National University of Singapore , Singapore
  • Iswanto Sucandy
    AdventHealth Tampa, Digestive Health Institute , Tampa, Florida, USA
  • Marco V Marino
    General Surgery Department, Azienda Ospedaliera Ospedali Riuniti Villa Sofia-Cervello, Palermo, Italy and Oncologic Surgery Department, P. Giaccone University Hospital , Palermo, Italy
  • Mikel Prieto
    Hepatobiliary Surgery and Liver Transplantation Unit, Biocruces Bizkaia Health Research Institute, Cruces University Hospital, University of the Basque Country , Bilbao, Spain
  • Charing C Chong
    Division of Hepatobiliary and Pancreatic Surgery, Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, New Territories, Hong Kong SAR, China
  • Jae Hoon Lee
    Department of Surgery, Division of Hepato-Biliary and Pancreatic Surgery, Asan Medical Center, University of Ulsan College of Medicine , Seoul, Korea
  • Mikhail Efanov
    Department of Hepato-Pancreato-Biliary Surgery, Moscow Clinical Scientific Center , Moscow, Russia
  • T Peter Kingham
    Department of Surgery, Memorial Sloan Kettering Cancer Center , New York, New York, USA
  • Sung Hoon Choi
    Department of General Surgery, CHA Bundang Medical Center, CHA University School of Medicine , Seongnam, Korea
  • Robert P Sutcliffe
    Department of Hepatopancreatobiliary and Liver Transplant Surgery, University Hospitals Birmingham NHS Foundation Trust , Birmingham, UK
  • Roberto I Troisi
    Department of Clinical Medicine and Surgery, Division of HPB, Minimally Invasive and Robotic Surgery, Federico II University Hospital Naples , Naples, Italy
  • Johann Pratschke
    Department of Surgery, Campus Charité Mitte and Campus Virchow-Klinikum, Charité-Universitätsmedizin, Corporate Member of Freie Universität Berlin, and Berlin Institute of Health , Berlin, Germany
  • Tan-To Cheung
    Department of Surgery, Queen Mary Hospital, The University of Hong Kong , Hong Kong SAR, China
  • Xiaoying Wang
    Department of Liver Surgery and Transplantation, Liver Cancer Institute, Zhongshan Hospital, Fudan University , Shanghai, China
  • Rong Liu
    Faculty of Hepatopancreatobiliary Surgery, The First Medical Center of Chinese People’s Liberation Army (PLA) General Hospital , Beijing, China
  • Mathieu D’Hondt
    Department of Digestive and Hepatobiliary/Pancreatic Surgery, Groeninge Hospital , Kortrijk, Belgium
  • Chung-Yip Chan
    Department of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital and Duke-National University Singapore Medical School , Singapore
  • Chung Ngai Tang
    Department of Surgery, Pamela Youde Nethersole Eastern Hospital , Hong Kong SAR, China
  • Ho-Seong Han
    Department of Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine , Seoul, Korea
  • Brian K P Goh
    Department of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital and Duke-National University Singapore Medical School , Singapore
  • M D’Silva
  • H Schotte
  • C De Meyere
  • E Lai
  • F Krenzien
  • M Schmelzle
  • P Kadam
  • R Montalti
  • M Giglio
  • Q Liu
  • K F Lee
  • D Salimgereeva
  • R Alikhanov
  • L-S Lee
  • M Gastaca
  • J Y Jang

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<jats:title>Abstract</jats:title> <jats:sec> <jats:title>Background</jats:title> <jats:p>Minimally invasive right posterior sectionectomy (RPS) is a technically challenging procedure. This study was designed to determine outcomes following robotic RPS (R-RPS) and laparoscopic RPS (L-RPS).</jats:p> </jats:sec> <jats:sec> <jats:title>Methods</jats:title> <jats:p>An international multicentre retrospective analysis of patients undergoing R-RPS versus those who had purely L-RPS at 21 centres from 2010 to 2019 was performed. Patient demographics, perioperative parameters, and postoperative outcomes were analysed retrospectively from a central database. Propensity score matching (PSM) was performed, with analysis of 1 : 2 and 1 : 1 matched cohorts.</jats:p> </jats:sec> <jats:sec> <jats:title>Results</jats:title> <jats:p>Three-hundred and forty patients, including 96 who underwent R-RPS and 244 who had L-RPS, met the study criteria and were included. The median operating time was 295 minutes and there were 25 (7.4 per cent) open conversions. Ninety-seven (28.5 per cent) patients had cirrhosis and 56 (16.5 per cent) patients required blood transfusion. Overall postoperative morbidity rate was 22.1 per cent and major morbidity rate was 6.8 per cent. The median postoperative stay was 6 days. After 1 : 1 matching of 88 R-RPS and L-RPS patients, median (i.q.r.) blood loss (200 (100–400) versus 450 (200–900) ml, respectively; P &lt; 0.001), major blood loss (&gt; 500 ml; P = 0.001), need for intraoperative blood transfusion (10.2 versus 23.9 per cent, respectively; P = 0.014), and open conversion rate (2.3 versus 11.4 per cent, respectively; P = 0.016) were lower in the R-RPS group. Similar results were found in the 1 : 2 matched groups (66 R-RPS versus 132 L-RPS patients).</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusion</jats:title> <jats:p>R-RPS and L-RPS can be performed in expert centres with good outcomes in well selected patients. R-RPS was associated with reduced blood loss and lower open conversion rates than L-RPS.</jats:p> </jats:sec>

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