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Laparoscopic Anterior Right Hepatectomy: A Single-Center Experience
Published on: December 4, 2023
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Laparoscopic and robotic hepatectomy: experience from a single centre.
Kit-Fai Lee1, Yue-Sun Cheung1, Charing C N Chong1
1Division of Hepatobiliary and Pancreatic Surgery, Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong SAR, China.
ANZ Journal of Surgery
|October 2, 2015
Summary
Laparoscopic and robotic hepatectomy show comparable perioperative outcomes for liver disease patients. Both minimally invasive approaches are safe, with no significant differences in morbidity, blood loss, or hospital stay.
Area of Science:
- Minimally invasive surgery
- Hepatobiliary surgery
- Surgical oncology
Background:
- Laparoscopic hepatectomy (LH) and robotic hepatectomy (RH) are utilized for liver diseases.
- This study compares perioperative outcomes between LH and RH.
Purpose of the Study:
- To compare the perioperative outcomes of laparoscopic versus robotic hepatectomy.
- To identify any significant differences in safety and efficacy between the two surgical approaches.
Main Methods:
- Retrospective review of prospectively collected data for LH and RH patients.
- Subgroup analysis of laparoscopic left lateral sectionectomy (LS) and robotic left lateral sectionectomy (RS).
Main Results:
- 66 LH and 70 RH performed; groups comparable except for more recurrent pyogenic cholangitis in RH.
- No mortality; similar morbidity, conversion rates, blood loss, and hospital stay.
- RH had longer operative time; major hepatectomies more frequent in RH.
Conclusions:
- Both laparoscopic and robotic hepatectomy are safe and effective surgical options.
- Perioperative outcomes for LH and RH are comparable and favorable for selected liver disease patients.
