Robot-assisted laparoscopic liver resection for hepatocellular carcinoma: short-term outcome - 16/05/13
, George P.C. Yang, M.B.B.S., M.R.C.S.(Ed), Chung Ngai Tang, M.B.B.S.Abstract |
Background |
This study aimed at analyzing the perioperative and early survival outcomes of robotic liver resection of hepatocellular carcinoma (HCC).
Methods |
The study population included a consecutive series of patients with HCC who underwent robotic liver resection at a single center.
Results |
During the study period, 41 consecutive patients with HCC underwent 42 robotic liver resections. Five resections (11.9%) were carried out for recurrent HCC, and 23.8% (n = 10) were hemihepatectomy procedures. The mean operating time and blood loss was 229.4 minutes and 412.6 mL, respectively. The R0 resection rate was 93%. The hospital mortality and morbidity rates were 0% and 7.1%, respectively. The mean hospital stay was 6.2 days. The 2-year overall and disease-free survival rates were 94% and 74%, respectively.
In the subgroup analysis of minor liver resection, when compared with the conventional laparoscopic approach, the robotic group had similar blood loss (mean, 373.4 mL vs 347.7 mL), morbidity rate (3% vs 9%), mortality rate (0% vs 0%), and R0 resection rate (90.9% vs 90.9%). However, the robotic group had a significantly longer operative time (202.7 mins vs 133.4 mins).
Conclusions |
This study demonstrated the feasibility and safety of robotic surgery for HCC, with favorable short-term outcome. However, the long-term oncologic results remain uncertain.
Le texte complet de cet article est disponible en PDF.Keywords : Hepatocellular carcinoma, Liver neoplasm, Laparoscopic liver resection, Partial hepatectomy, Robotic surgery
Plan
| There were no relevant financial relationships or any sources of support in the form of grants, equipment, or drugs. |
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| The authors declare no conflicts of interest. |
Vol 205 - N° 6
P. 697-702 - juin 2013 Retour au numéro
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