Propensity Score-Matching Analysis Comparing Robotic Versus Laparoscopic Limited Liver Resections of the Posterosuperior Segments: An International Multicenter Study.

التفاصيل البيبلوغرافية
العنوان:	Propensity Score-Matching Analysis Comparing Robotic Versus Laparoscopic Limited Liver Resections of the Posterosuperior Segments: An International Multicenter Study.
المؤلفون:	Krenzien F; 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., 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., Feldbrügge L; 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., Liu R; Faculty of Hepatopancreatobiliary Surgery, the First Medical Center of Chinese People's Liberation Army (PLA) General Hospital, Beijing, China., Liu Q; Faculty of Hepatopancreatobiliary Surgery, the First Medical Center of 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; Department of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital and National Cancer Centre Singapore, Singapore, Singapore., Tan HL; Department of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital and National Cancer Centre Singapore, Singapore, Singapore., Cipriani F; Hepatobiliary Surgery Division, IRCCS San Raffaele Hospital, Milan, Italy., Hoogteijling TJ; Department of Surgery, Fondazione Poliambulanza, Brescia, Italy., Aghayan DL; Department of HPB Surgery, The Intervention Centre, Oslo University Hospital, Institute of Clinical Medicine, University of Oslo, Oslo, Norway., Fretland ÅA; Department of HPB Surgery, The Intervention Centre, Oslo University Hospital, Institute of Clinical Medicine, University of Oslo, Oslo, Norway., Siow TF; Department of Surgery, Division of General 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.; Oncologic Surgery Department, P. Giaccone University Hospital, Palermo, Italy., Mazzaferro V; HPB Surgery and Liver Transplantation, Fondazione IRCCS Istituto Nazionale Tumori di Milano and University of Milan, Milan, Italy., Chiow AKH; Hepatopancreatobiliary Unit, Department of Surgery, 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; Department of Surgery, Division of Hepato-Biliary and Pancreatic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea., Gastaca M; Hepatobiliary Surgery and Liver Transplantation Unit, Biocruces Bizkaia Health Research Institute, Cruces University Hospital, University of the Basque Country, Bilbao, Spain., Vivarelli M; HPB Surgery and Transplantation Unit, Department of Experimental and Clinical Medicine, 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; General and Hepatobiliary Surgery, Department of Surgery, Dentistry, Gynecology and Pediatrics, University of Verona, GB Rossi Hospital, Verona, Italy., Ruzzenente A; General and Hepatobiliary Surgery, Department of Surgery, Dentistry, Gynecology and Pediatrics, 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.; 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; Hepatobiliary Surgery Unit, Department of Medicine and Surgery, University of Parma, Parma, Italy., Boggi U; Division of General and Transplant Surgery, University of Pisa, Pisa, Italy., Geller D; Department of Surgery, Division of Hepatobiliary and Pancreatic 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.; 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; HPB and Liver Transplant Unit, Department of General Surgery, Clinica Universidad de Navarra, Universidad de Navarra, Pamplona, Spain & Institute of Health Research of Navarra (IdisNA), Pamplona, Spain., Choi GH; Department of Surgery, Division of Hepatopancreatobiliary 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., Hasegawa K; Department of Surgery, Hepato-Biliary-Pancreatic Surgery Division, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan., 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; Hepatobiliary and Pancreatic Surgery Unit, Department of Surgery, 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., Pascual F; 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., 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; Department of Clinical Medicine and Surgery, Division of HPB, Minimally Invasive and Robotic 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., Dokmak S; Department of HPB Surgery and Liver Transplantation, Beaujon Hospital, University Paris Cite, Clichy, France., 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 Hepato-Pancreato-Biliary Surgery, University Medical Center Ho Chi Minh City, University of Medicine and Pharmacy, Ho Chi Minh City, Vietnam., Long TCD; Department of Hepato-Pancreato-Biliary Surgery, University Medical Center Ho Chi Minh City, University of Medicine and Pharmacy, Ho Chi Minh City, Vietnam., Hilal MA; Department of Surgery, Fondazione Poliambulanza, Brescia, Italy.; Department of Surgery, University Hospital Southampton, Southampton, UK., Chen KH; Department of Surgery, Division of General Surgery, Far Eastern Memorial Hospital, New Taipei City, Taiwan., Fuks D; Department of Digestive, Oncologic and Metabolic Surgery, Institute Mutualiste Montsouris, Universite Paris Descartes, Paris, France., Aldrighetti L; Hepatobiliary Surgery Division, IRCCS San Raffaele Hospital, Milan, Italy., Edwin B; Department of HPB Surgery, The Intervention Centre, Oslo University Hospital, Institute of Clinical Medicine, University of Oslo, Oslo, Norway., Goh BKP; Department of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital and National Cancer Centre Singapore, Singapore, Singapore.; Surgery Academic Clinical Programme, Duke-National University of Singapore Medical School, Singapore, Singapore.
مؤلفون مشاركون:	International robotic and laparoscopic liver resection study group investigators
المصدر:	Annals of surgery [Ann Surg] 2024 Feb 01; Vol. 279 (2), pp. 297-305. Date of Electronic Publication: 2023 Jul 24.
نوع المنشور:	Multicenter Study; Journal Article
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 , Liver Neoplasms/pathology , Robotic Surgical Procedures* , Laparoscopy*, Humans ; Propensity Score ; Retrospective Studies ; Liver Cirrhosis/surgery ; Hepatectomy ; Length of Stay ; Postoperative Complications/epidemiology ; Postoperative Complications/surgery
مستخلص:	Objective: The purpose of this study was to compare the outcomes of robotic limited liver resections (RLLR) versus laparoscopic limited liver resections (LLLR) of the posterosuperior segments. Background: Both laparoscopic and robotic liver resections have been used for tumors in the posterosuperior liver segments. However, the comparative performance and safety of both approaches have not been well examined in the existing literature. Methods: This is a post hoc analysis of a multicenter database of 5446 patients who underwent RLLR or LLLR of the posterosuperior segments (I, IVa, VII, and VIII) at 60 international centers between 2008 and 2021. Data on baseline demographics, center experience and volume, tumor features, and perioperative characteristics were collected and analyzed. Propensity score-matching (PSM) analysis (in both 1:1 and 1:2 ratios) was performed to minimize selection bias. Results: A total of 3510 cases met the study criteria, of whom 3049 underwent LLLR (87%), and 461 underwent RLLR (13%). After PSM (1:1: and 1:2), RLLR was associated with a lower open conversion rate [10 of 449 (2.2%) vs 54 of 898 (6.0%); P =0.002], less blood loss [100 mL [IQR: 50-200) days vs 150 mL (IQR: 50-350); P <0.001] and a shorter operative time (188 min (IQR: 140-270) vs 222 min (IQR: 158-300); P <0.001]. These improved perioperative outcomes associated with RLLR were similarly seen in a subset analysis of patients with cirrhosis-lower open conversion rate [1 of 136 (0.7%) vs 17 of 272 (6.2%); P =0.009], less blood loss [100 mL (IQR: 48-200) vs 160 mL (IQR: 50-400); P <0.001], and shorter operative time [190 min (IQR: 141-258) vs 230 min (IQR: 160-312); P =0.003]. Postoperative outcomes in terms of readmission, morbidity and mortality were similar between RLLR and LLLR in both the overall PSM cohort and cirrhosis patient subset. Conclusions: RLLR for the posterosuperior segments was associated with superior perioperative outcomes in terms of decreased operative time, blood loss, and open conversion rate when compared with LLLR. Competing Interests: The authors report no conflicts of interest. (Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.)
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فهرسة مساهمة:	Investigator: NL Syn; M Prieto; C De Meyere; KK Ng; D Salimgereeva; R Alikhanov; N Thiruchelvam; JY Jang; M Kojima; JAP Kruger; V Lopez-Lopez; MCI Robert; R Montalti; M Giglio; B Lee; HP Wang; M Salleh; S Yu; S Vani; F Ardito; U Giustizieri; D Citterio; F Mocchegiani; M Colasanti; G Berardi; Y Guzmán; KP Labadie; M Conticchio; E Dogeas; EF Kauffmann; M Giuffrida; D Sommacale; B Amory; P Magistri; K Mishima; P Kadam; ECH Lai; J Ghotbi; F Forchino; A Mazzotta; Y Kawaguchi; F Cauchy; E Karam; M Barbara; D Pagano
تواريخ الأحداث:	Date Created: 20230724 Date Completed: 20240111 Latest Revision: 20240201
رمز التحديث:	20240201
DOI:	10.1097/SLA.0000000000006027
PMID:	37485989
قاعدة البيانات:	MEDLINE

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تدمد:	1528-1140
DOI:	10.1097/SLA.0000000000006027