Robotic liver resection improves self-perception of recovery compared to open approach in a quality-of-life survey

Advances in surgical techniques and perioperative care have improved outcomes in hepatic surgery, yet open liver resection (OLR) remains highly invasive, with substantial effects on recovery and quality of life (QoL). Robotic liver resection (RLR) offers a minimally invasive alternative with potential short-term benefits. While perioperative outcomes and early QoL have been studied, evidence on long-term health-related quality of life (HRQoL) is limited. This study evaluated long-term HRQoL after RLR versus OLR using the SF-36 questionnaire. A retrospective analysis was performed on patients undergoing robotic or open liver resection. HRQoL was assessed via SF-36 surveys. Clinical data included length of hospital stay (LOS), 90-day Comprehensive Complication Index (CCI), recurrence rates, and overall survival. Group comparisons used appropriate statistical tests. Of the eight SF-36 domains, three( vitality, general health, and mental health) were significantly improved in the RLR group. RLR patients had shorter LOS (5.5 ± 7.4 vs. 13.0 ± 11.2 days) and lower 90-day CCI (14.3 ± 17.2 vs. 26.7 ± 25.2). Bodily pain and physical functioning were similar between groups. RLR appears to provide long-term advantages in selected HRQoL domains, likely related to faster recovery, reduced morbidity, and enhanced body image. Oncologic outcomes were comparable, but RLR patients reported greater vitality, emotional stability, and social reintegration. In high-expertise centers, RLR may be a preferred option for benign and malignant liver disease.