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Robot-Assisted Versus Open Liver Resection in the Right Posterior Section
BACKGROUND: Open liver resection is the current standard of care for lesions in the right posterior liver section. The objective of this study was to determine the safety of robot-assisted liver resection for lesions located in segments 6 and 7 in comparison with open surgery. METHODS: Demographics,...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Society of Laparoendoscopic Surgeons
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4266223/ https://www.ncbi.nlm.nih.gov/pubmed/25516700 http://dx.doi.org/10.4293/JSLS.2014.00040 |
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author | Patriti, Alberto Cipriani, Federica Ratti, Francesca Bartoli, Alberto Ceccarelli, Graziano Casciola, Luciano Aldrighetti, Luca |
author_facet | Patriti, Alberto Cipriani, Federica Ratti, Francesca Bartoli, Alberto Ceccarelli, Graziano Casciola, Luciano Aldrighetti, Luca |
author_sort | Patriti, Alberto |
collection | PubMed |
description | BACKGROUND: Open liver resection is the current standard of care for lesions in the right posterior liver section. The objective of this study was to determine the safety of robot-assisted liver resection for lesions located in segments 6 and 7 in comparison with open surgery. METHODS: Demographics, comorbidities, clinicopathologic characteristics, surgical treatments, and outcomes from patients who underwent open and robot-assisted liver resection at 2 centers for lesions in the right posterior section between January 2007 and June 2012 were reviewed. A 1:3 matched analysis was performed by individually matching patients in the robotic cohort to patients in the open cohort on the basis of demographics, comorbidities, performance status, tumor stage, and location. RESULTS: Matched patients undergoing robotic and open liver resections displayed no significant differences in postoperative outcomes as measured by blood loss, transfusion rate, hospital stay, overall complication rate (15.8% vs 13%), R0 negative margin rate, and mortality. Patients undergoing robotic liver surgery had significantly longer operative time (mean, 303 vs 233 minutes) and inflow occlusion time (mean, 75 vs 29 minutes) compared with their open counterparts. CONCLUSIONS: Robotic and open liver resections in the right posterior section display similar safety and feasibility. |
format | Online Article Text |
id | pubmed-4266223 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Society of Laparoendoscopic Surgeons |
record_format | MEDLINE/PubMed |
spelling | pubmed-42662232014-12-16 Robot-Assisted Versus Open Liver Resection in the Right Posterior Section Patriti, Alberto Cipriani, Federica Ratti, Francesca Bartoli, Alberto Ceccarelli, Graziano Casciola, Luciano Aldrighetti, Luca JSLS Scientific Papers BACKGROUND: Open liver resection is the current standard of care for lesions in the right posterior liver section. The objective of this study was to determine the safety of robot-assisted liver resection for lesions located in segments 6 and 7 in comparison with open surgery. METHODS: Demographics, comorbidities, clinicopathologic characteristics, surgical treatments, and outcomes from patients who underwent open and robot-assisted liver resection at 2 centers for lesions in the right posterior section between January 2007 and June 2012 were reviewed. A 1:3 matched analysis was performed by individually matching patients in the robotic cohort to patients in the open cohort on the basis of demographics, comorbidities, performance status, tumor stage, and location. RESULTS: Matched patients undergoing robotic and open liver resections displayed no significant differences in postoperative outcomes as measured by blood loss, transfusion rate, hospital stay, overall complication rate (15.8% vs 13%), R0 negative margin rate, and mortality. Patients undergoing robotic liver surgery had significantly longer operative time (mean, 303 vs 233 minutes) and inflow occlusion time (mean, 75 vs 29 minutes) compared with their open counterparts. CONCLUSIONS: Robotic and open liver resections in the right posterior section display similar safety and feasibility. Society of Laparoendoscopic Surgeons 2014 /pmc/articles/PMC4266223/ /pubmed/25516700 http://dx.doi.org/10.4293/JSLS.2014.00040 Text en © 2014 by JSLS, Journal of the Society of Laparoendoscopic Surgeons. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License (http://creativecommons.org/licenses/by-nc-nd/3.0/us/), which permits for noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited and is not altered in any way. |
spellingShingle | Scientific Papers Patriti, Alberto Cipriani, Federica Ratti, Francesca Bartoli, Alberto Ceccarelli, Graziano Casciola, Luciano Aldrighetti, Luca Robot-Assisted Versus Open Liver Resection in the Right Posterior Section |
title | Robot-Assisted Versus Open Liver Resection in the Right Posterior Section |
title_full | Robot-Assisted Versus Open Liver Resection in the Right Posterior Section |
title_fullStr | Robot-Assisted Versus Open Liver Resection in the Right Posterior Section |
title_full_unstemmed | Robot-Assisted Versus Open Liver Resection in the Right Posterior Section |
title_short | Robot-Assisted Versus Open Liver Resection in the Right Posterior Section |
title_sort | robot-assisted versus open liver resection in the right posterior section |
topic | Scientific Papers |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4266223/ https://www.ncbi.nlm.nih.gov/pubmed/25516700 http://dx.doi.org/10.4293/JSLS.2014.00040 |
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