Robotic versus laparoscopic repeat hepatectomy: A comparative single-center study of perioperative outcomes

A repeat liver resection is considered a technically challenging procedure and therefor an open approach is frequently preferred. With the introduction of minimally invasive liver surgery, laparoscopic repeat liver resection demonstrates favorable results, however, limited data on robotic repeat liv...

Full description

Saved in:
Bibliographic Details
Published in:European journal of surgical oncology 2025-01, Vol.51 (1), p.109376, Article 109376
Main Authors: Vancoillie, S., Willems, E., De Meyere, C., Parmentier, I., Verslype, C., D'Hondt, Mathieu
Format: Article
Language:English
Subjects:
Adult
Aged
Blood Loss, Surgical - statistics & numerical data
Colorectal liver metastasis
Conversion to Open Surgery - statistics & numerical data
Female
Hepatectomy - methods
Hepatocellular carcinoma
Humans
Laparoscopy
Laparoscopy - methods
Liver Neoplasms - surgery
Male
Middle Aged
Operative Time
Postoperative Complications - epidemiology
Reoperation - statistics & numerical data
Repeat liver resection
Retrospective Studies
Robot
Robotic Surgical Procedures - methods
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:A repeat liver resection is considered a technically challenging procedure and therefor an open approach is frequently preferred. With the introduction of minimally invasive liver surgery, laparoscopic repeat liver resection demonstrates favorable results, however, limited data on robotic repeat liver resections exists. Our aim is to compare the robotic approach with the laparoscopic one for a repeat liver resection. In a single-center retrospective analysis, we report the data of all minimally invasive repeat liver resections performed between September 2011 and August 2023. Short-term outcomes – including procedure time, blood loss, conversion rate, morbidity and mortality – were compared for a laparoscopic and a robotic approach. A total of 136 minimally invasive repeat liver resections were performed, of which 56 robotic procedures and 80 laparoscopic procedures. Both groups were similar in baseline demographics, diagnosis and surgical procedure. While the mean procedure time was slightly longer in the robotics group by 15 min (145min and 130min, p = 0.04), the median blood loss was significantly lower in the robotic group (30 ml and 80 ml, p 
ISSN:0748-7983
1532-2157
1532-2157
DOI:10.1016/j.ejso.2024.109376