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Comparison between robotic-assisted and laparoscopic left hemi-hepatectomy
Jian-Peng Cai1, Wei Chen1, Liu-Hua Chen1
1Department of Pancreatobiliary Surgery, The First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China.
Asian Journal of Surgery
|June 14, 2021
Summary
Robotic-assisted and laparoscopic left hemi-hepatectomy show similar safety and short-term outcomes. Robotic surgery reduces blood loss and transfusion needs but incurs higher costs.
Area of Science:
- Minimally Invasive Surgery
- Hepatobiliary Surgery
- Surgical Technology
Background:
- Left hemi-hepatectomy is a major liver resection procedure.
- Both robotic-assisted and laparoscopic approaches are utilized for liver resections.
- Comparative data on their safety and outcomes are crucial for surgical decision-making.
Purpose of the Study:
- To compare the safety and short-term outcomes of robotic-assisted versus laparoscopic left hemi-hepatectomy.
- To evaluate differences in operative metrics, complications, and resource utilization.
Main Methods:
- Retrospective analysis of 52 patients undergoing robotic-assisted or laparoscopic left hemi-hepatectomy.
- Data collected included clinicopathological features, operative details, and short-term outcomes.
- Statistical analysis was performed to compare the two groups.
Main Results:
- No significant differences in operative time, hospital stay, or complication rates were observed.
- Robotic-assisted surgery demonstrated significantly less blood loss and lower blood transfusion rates.
- R0 resection was achieved in all oncologic cases, with no perioperative mortality.
Conclusions:
- Robotic-assisted and laparoscopic left hemi-hepatectomy offer comparable safety and short-term outcomes.
- Robotic approach superior in reducing intraoperative blood loss and transfusion requirements.
- Higher costs associated with the robotic approach necessitate careful consideration of resource allocation.
