دورية أكاديمية

Propensity-score Matched and Coarsened-exact Matched Analysis Comparing Robotic and Laparoscopic Major Hepatectomies: An International Multicenter Study of 4822 Cases.

التفاصيل البيبلوغرافية
العنوان: Propensity-score Matched and Coarsened-exact Matched Analysis Comparing Robotic and Laparoscopic Major Hepatectomies: An International Multicenter Study of 4822 Cases.
المؤلفون: Liu Q; The First Medical Center of Chinese People's Liberation Army (PLA) General Hospital, Beijing, China.; Organ Transplantation Department, The Third Medical Center, Chinese People's Liberation Army (PLA) General Hospital, Beijing, China., Zhang W; Hepatic Surgery Center and Hubei Key Laboratory of Hepato-Biliary-Pancreatic Diseases, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China., Zhao JJ; Yong Loo Lin School of Medicine, National University of Singapore, Singapore., Syn NL; Yong Loo Lin School of Medicine, National University of Singapore, Singapore., Cipriani F; Hepatobiliary Surgery Division, IRCCS San Raffaele Hospital, Milan, Italy., Alzoubi M; Department of Surgery, Fondazione Poliambulanza, Brescia, Italy., Aghayan DL; The Intervention Centre and Department of HPB Surgery, Oslo University Hospital, Institute of Clinical Medicine, University of Oslo, Oslo, Norway., Siow TF; Division of General Surgery, Department of Surgery, Far Eastern Memorial Hospital, New Taipei City, Taiwan., Lim C; Department of Digestive, HBP and Liver Transplantation, Hopital Pitie-Salpetriere, Sorbonne Universite, Paris, France., Scatton O; Department of Digestive, HBP and Liver Transplantation, Hopital Pitie-Salpetriere, Sorbonne Universite, Paris, France., Herman P; Liver Surgery Unit, Department of Gastroenterology, University of Sao Paulo School of Medicine, Sao Paulo, Brazil., Coelho FF; Liver Surgery Unit, Department of Gastroenterology, University of Sao Paulo School of Medicine, Sao Paulo, Brazil., Marino MV; General Surgery Department, Azienda Ospedaliera Ospedali Riuniti Villa Sofia-Cervello, Palermo, Italy and General Surgery Department, F. Tappeiner Hospital, Merano, Italy., Mazzaferro V; HPB Surgery and Liver Transplantation, Fondazione IRCCS Istituto Nazionale Tumori di Milano and University of Milan, Milan, Italy., Chiow AKH; Department of Surgery, Hepatopancreatobiliary Unit, Changi General Hospital, Singapore., Sucandy I; Digestive Health Institute, AdventHealth Tampa, Tampa, FL., Ivanecz A; Department of Abdominal and General Surgery, University Medical Center Maribor, Maribor, Slovenia., Choi SH; Department of General Surgery, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam, Korea., Lee JH; Division of Hepato-Biliary and Pancreatic Surgery, Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea., Prieto M; Hepatobiliary Surgery and Liver Transplantation Unit, Biocruces Bizkaia Health Research Institute, Cruces University Hospital, University of the Basque Country, Bilbao, Spain., Vivarelli M; Department of Experimental and Clinical Medicine, HPB Surgery and Transplantation Unit, United Hospital of Ancona, Polytechnic University of Marche, Ancona, Italy., Giuliante F; Hepatobiliary Surgery Unit, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Catholic University of the Sacred Heart, Rome, Italy., Dalla Valle B; Department of Surgery, Dentistry, Gynecology and Pediatrics, General and Hepatobiliary Surgery, University of Verona, GB Rossi Hospital, Verona, Italy., Ruzzenente A; Department of Surgery, Dentistry, Gynecology and Pediatrics, General and Hepatobiliary Surgery, University of Verona, GB Rossi Hospital, Verona, Italy., Yong CC; Department of Surgery, Chang Gung Memorial Hospital, Kaohsiung, Taiwan., Chen Z; Department of Hepatobiliary Surgery, Affiliated Jinhua Hospital, Zhejiang University School of Medicine, Jinhua, China., Yin M; Department of Hepatobiliary Surgery, Affiliated Jinhua Hospital, Zhejiang University School of Medicine, Jinhua, China., Fondevila C; General and Digestive Surgery, Hospital Clinic, IDIBAPS, CIBERehd, University of Barcelona, Barcelona, Spain and General and Digestive Surgery, Hospital Universitario La Paz, IdiPAZ, CIBERehd, Madrid, Spain., Efanov M; Department of Hepato-Pancreato-Biliary Surgery, Moscow Clinical Scientific Center, Moscow, Russia., Morise Z; Department of Surgery, Okazaki Medical Center, Fujita Health University School of Medicine, Okazaki, Japan., Di Benedetto F; HPB Surgery and Liver Transplant Unit, University of Modena and Reggio Emilia, Modena, Italy., Brustia R; Department of Digestive and Hepatobiliary and Pancreatic Surgery, AP-HP, Henri-Mondor Hospital, Creteil, France., Dalla Valle R; Department of Medicine and Surgery, Hepatobiliary Surgery Unit, University of Parma, Parma, Italy., Boggi U; Division of General and Transplant Surgery, University of Pisa, Pisa, Italy., Geller D; Division of Hepatobiliary and Pancreatic Surgery, Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA., Belli A; Department of Abdominal Oncology, Division of Hepatopancreatobiliary Surgical Oncology, National Cancer Center-IRCCS-G. Pascale, Naples, Italy., Memeo R; Unit of Hepato-Pancreatc-Biliary Surgery, 'F. Miulli' General Regional Hospital, Acquaviva delle Fonti, Bari, Italy., Gruttadauria S; Department for the Treatment and Study of Abdominal Diseases and Abdominal Transplantation, Istituto di Ricovero e Cura a Carattere Scientifico-Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione (IRCCS-ISMETT), University of Pittsburgh Medical Center Italy, Palermo, Italy and Department of General Surgery and Medical Surgical Specialties, University of Catania, Catania, Italy., Mejia A; The Liver Institute, Methodist Dallas Medical Center, Dallas, TX., Park JO; Department of Surgery, University of Washington Medical Center. Seattle, WA., Rotellar F; Department of General Surgery, HPB and Liver Transplant Unit, Clinica Universidad de Navarra, Universidad de Navarra, Pamplona, Spain and Institute of Health Research of Navarra (IdisNA), Pamplona, Spain., Choi GH; Division of Hepatopancreatobiliary Surgery, Department of Surgery, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea., Robles-Campos R; Department of General, Visceral and Transplantation Surgery, Clinic and University Hospital Virgen de la Arrixaca, IMIB-ARRIXACA, El Palmar, Murcia, Spain., Wang X; Department of Liver Surgery and Transplantation, Liver Cancer Institute, Zhongshan Hospital, Fudan University, Shanghai, China., Sutcliffe RP; Department of Hepatopancreatobiliary and Liver Transplant Surgery, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK., Schmelzle M; Department of Surgery, Campus Charité Mitte and Campus Virchow-Klinikum, Charité-Universitätsmedizin, Corporate Member of Freie Universität Berlin, and Berlin Institute of Health, Berlin, Germany., Pratschke J; Department of Surgery, Campus Charité Mitte and Campus Virchow-Klinikum, Charité-Universitätsmedizin, Corporate Member of Freie Universität Berlin, and Berlin Institute of Health, Berlin, Germany., Tang CN; Department of Surgery, Pamela Youde Nethersole Eastern Hospital, Hong Kong SAR, China., Chong CCN; Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, New Territories, Hong Kong SAR, China., Lee KF; Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, New Territories, Hong Kong SAR, China., Meurs J; Department of Digestive and Hepatobiliary/Pancreatic Surgery, Groeninge Hospital, Kortrijk, Belgium., D'Hondt M; Department of Digestive and Hepatobiliary/Pancreatic Surgery, Groeninge Hospital, Kortrijk, Belgium., Monden K; Department of Surgery, Fukuyama City Hospital, Hiroshima, Japan., Lopez-Ben S; Department of Surgery, Hepatobiliary and Pancreatic Surgery Unit, Dr. Josep Trueta Hospital, IdIBGi, Girona, Spain., Kingham TP; Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY., Ferrero A; Department of General and Oncological Surgery. Mauriziano Hospital, Turin, Italy., Ettorre GM; Division of General Surgery and Liver Transplantation, San Camillo Forlanini Hospital, Rome, Italy., Levi Sandri GB; Division of General Surgery and Liver Transplantation, San Camillo Forlanini Hospital, Rome, Italy., Saleh M; Department of Hepatobiliary Surgery, Assistance Publique Hopitaux de Paris, Centre Hepato-Biliaire, Paul-Brousse Hospital, Villejuif, France., Cherqui D; Department of Hepatobiliary Surgery, Assistance Publique Hopitaux de Paris, Centre Hepato-Biliaire, Paul-Brousse Hospital, Villejuif, France., Zheng J; Department of General Surgery, Sir Run-Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China., Liang X; Department of General Surgery, Sir Run-Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China., Mazzotta A; Department of Digestive, Oncologic and Metabolic Surgery, Institute Mutualiste Montsouris, Universite Paris Descartes, Paris, France., Soubrane O; Department of Digestive, Oncologic and Metabolic Surgery, Institute Mutualiste Montsouris, Universite Paris Descartes, Paris, France., Wakabayashi G; Center for Advanced Treatment of Hepatobiliary and Pancreatic Diseases, Ageo Central General Hospital, Saitama, Japan., Troisi RI; Division of HPB, Minimally Invasive and Robotic Surgery, Department of Clinical Medicine and Surgery, Federico II University Hospital Naples, Naples, Italy., Cheung TT; Department of Surgery, Queen Mary Hospital, The University of Hong Kong, Hong Kong SAR, China., Kato Y; Department of Surgery, Fujita Health University School of Medicine, Aichi, Japan., Sugioka A; Department of Surgery, Fujita Health University School of Medicine, Aichi, Japan., D'Silva M; Department of Surgery, Seoul National University Hospital Bundang, Seoul National University College of Medicine, Seoul, Korea., Han HS; Department of Surgery, Seoul National University Hospital Bundang, Seoul National University College of Medicine, Seoul, Korea., Nghia PP; Department of Hepatopancreatobiliary Surgery, University Medical Center, University of Medicine and Pharmacy, Ho Chi Minh City, Vietnam., Long TCD; Department of Hepatopancreatobiliary Surgery, University Medical Center, University of Medicine and Pharmacy, Ho Chi Minh City, Vietnam., Edwin B; The Intervention Centre and Department of HPB Surgery, Oslo University Hospital, Institute of Clinical Medicine, University of Oslo, Oslo, Norway., Fuks D; Department of Digestive, Oncologic and Metabolic Surgery, Institute Mutualiste Montsouris, Universite Paris Descartes, Paris, France., Chen KH; Division of General Surgery, Department of Surgery, Far Eastern Memorial Hospital, New Taipei City, Taiwan., Abu Hilal M; Department of Surgery, University Hospital Southampton, United Kingdom and Department of Surgery, Fondazione Poliambulanza, Brescia, Italy., Aldrighetti L; Hepatobiliary Surgery Division, IRCCS San Raffaele Hospital, Milan, Italy., Liu R; The First Medical Center of Chinese People's Liberation Army (PLA) General Hospital, Beijing, China., Goh BKP; Department of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital and National Cancer Centre Singapore, Singapore.; Duke National University of Singapore Medical School, Singapore.
مؤلفون مشاركون: International robotic and laparoscopic liver resection study group investigators
المصدر: Annals of surgery [Ann Surg] 2023 Dec 01; Vol. 278 (6), pp. 969-975. Date of Electronic Publication: 2023 Apr 14.
نوع المنشور: Multicenter Study; Journal Article; Research Support, Non-U.S. Gov't; Research Support, N.I.H., Extramural
اللغة: English
بيانات الدورية: Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 0372354 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1528-1140 (Electronic) Linking ISSN: 00034932 NLM ISO Abbreviation: Ann Surg Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Philadelphia, PA : Lippincott Williams & Wilkins
مواضيع طبية MeSH: Liver Neoplasms*/surgery , Robotic Surgical Procedures* , Laparoscopy*/methods , Carcinoma, Hepatocellular*/surgery, Humans ; Hepatectomy/methods ; Propensity Score ; Length of Stay ; Retrospective Studies ; Postoperative Complications/epidemiology ; Postoperative Complications/surgery
مستخلص: Objective: To compare the outcomes between robotic major hepatectomy (R-MH) and laparoscopic major hepatectomy (L-MH).
Background: Robotic techniques may overcome the limitations of laparoscopic liver resection. However, it is unknown whether R-MH is superior to L-MH.
Methods: This is a post hoc analysis of a multicenter database of patients undergoing R-MH or L-MH at 59 international centers from 2008 to 2021. Data on patient demographics, center experience volume, perioperative outcomes, and tumor characteristics were collected and analyzed. Both 1:1 propensity-score matched (PSM) and coarsened-exact matched (CEM) analyses were performed to minimize selection bias between both groups.
Results: A total of 4822 cases met the study criteria, of which 892 underwent R-MH and 3930 underwent L-MH. Both 1:1 PSM (841 R-MH vs. 841 L-MH) and CEM (237 R-MH vs. 356 L-MH) were performed. R-MH was associated with significantly less blood loss {PSM:200.0 [interquartile range (IQR):100.0, 450.0] vs 300.0 (IQR:150.0, 500.0) mL; P = 0.012; CEM:170.0 (IQR: 90.0, 400.0) vs 200.0 (IQR:100.0, 400.0) mL; P = 0.006}, lower rates of Pringle maneuver application (PSM: 47.1% vs 63.0%; P < 0.001; CEM: 54.0% vs 65.0%; P = 0.007) and open conversion (PSM: 5.1% vs 11.9%; P < 0.001; CEM: 5.5% vs 10.4%, P = 0.04) compared with L-MH. On subset analysis of 1273 patients with cirrhosis, R-MH was associated with a lower postoperative morbidity rate (PSM: 19.5% vs 29.9%; P = 0.02; CEM 10.4% vs 25.5%; P = 0.02) and shorter postoperative stay [PSM: 6.9 (IQR: 5.0, 9.0) days vs 8.0 (IQR: 6.0 11.3) days; P < 0.001; CEM 7.0 (IQR: 5.0, 9.0) days vs 7.0 (IQR: 6.0, 10.0) days; P = 0.047].
Conclusions: This international multicenter study demonstrated that R-MH was comparable to L-MH in safety and was associated with reduced blood loss, lower rates of Pringle maneuver application, and conversion to open surgery.
Competing Interests: B.K.P.G. has received travel grants and honorariums from Johnson and Johnson, Olympus and Transmedic, the local distributor for the Da Vinci Robot. M.V.M. is a consultant for CAVA robotics LLC. J.P. reports a research grant from Intuitive Surgical Deutschland GmbH and personal fees or non-financial support from Johnson and Johnson, Medtronic, AFS Medical, Astellas, CHG Meridian, Chiesi, Falk Foundation, La Fource Group, Merck, Neovii, NOGGO, pharma-consult Peterson, and Promedicis. M. Schmelzle reports personal fees or other support outside of the submitted work from Merck, Bayer, ERBE, Amgen, Johnson and Johnson, Takeda, Olympus, Medtronic, and Intuitive. A.A.F. reports receiving speaker fees from Bayer. F.R. reports speaker fees and support outside the submitted work from Integra, Medtronic, Olympus, Corza, Sirtex, and Johnson and Johnson. The remaining authors report no conflicts of interest.
(Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.)
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فهرسة مساهمة: Investigator: M Gastaca; C De Meyere; KK Ng; D Salimgereeva; R Alikhanov; LS Lee; JY Jang; M Kojima; JAP Kruger; V Lopez-Lopez; M Casellas I Robert; M Roberto; M Giglio; B Lee; HP Wang; F Pascual; S Yu; S Vani; F Ardito; U Giustizieri; D Citterio; F Mocchegiani; M Colasanti; Y Guzmán; KP Labadie; M Conticchio; E Dogeas; EF Kauffmann; M Giuffrida; D Sommacale; A Laurent; P Magistri; K Mishima; F Krenzien; P Kadam; ECH Lai; J Ghotbi; ÅA Fretland; F Forchino
تواريخ الأحداث: Date Created: 20230414 Date Completed: 20231109 Latest Revision: 20231122
رمز التحديث: 20231215
DOI: 10.1097/SLA.0000000000005855
PMID: 37058429
قاعدة البيانات: MEDLINE
الوصف
تدمد:1528-1140
DOI:10.1097/SLA.0000000000005855