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Article: An international multicentre propensity score matched analysis comparing between robotic versus laparoscopic left lateral sectionectomy
Title | An international multicentre propensity score matched analysis comparing between robotic versus laparoscopic left lateral sectionectomy |
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Authors | |
Keywords | Laparoscopic Left lateral sectionectomy Minimally invasive surgery Robotic |
Issue Date | 21-Dec-2022 |
Publisher | Springer |
Citation | Surgical Endoscopy, 2023, v. 37, n. 5, p. 3439-3448 How to Cite? |
Abstract | BackgroundLeft lateral sectionectomy (LLS) is one of the most commonly performed minimally invasive liver resections. While laparoscopic (L)-LLS is a well-established technique, over traditional open resection, it remains controversial if robotic (R)-LLS provides any advantages of L-LLS. MethodsA post hoc analysis of 997 patients from 21 international centres undergoing L-LLS or R-LLS from 2006 to 2020 was conducted. A total of 886 cases (214 R-LLS, 672 L-LLS) met study criteria. 1:1 and 1:2 propensity score matched (PSM) comparison was performed between R-LLS & L-LLS. Further subset analysis by Iwate difficulty was also performed. Outcomes measured include operating time, blood loss, open conversion, readmission rates, morbidity and mortality. ResultsComparison between R-LLS and L-LLS after PSM 1:2 demonstrated statistically significantly lower open conversion rate in R-LLS than L-LLS (0.6% versus 5%, p = 0.009) and median blood loss was also statistically significantly lower in R-LLS at 50 (80) versus 100 (170) in L-LLS (p = 0.011) after PSM 1:1 although there was no difference in the blood transfusion rate. Pringle manoeuvre was also found to be used more frequently in R-LLS, with 53(24.8%) cases versus to 84(12.5%) L-LLS cases (p < 0.001). There was no significant difference in the other key perioperative outcomes such as operating time, length of stay, postoperative morbidity, major morbidity and 90-day mortality between both groups. ConclusionR-LLS was associated with similar key perioperative outcomes compared to L-LLS. It was also associated with significantly lower blood loss and open conversion rates compared to L-LLS. |
Persistent Identifier | http://hdl.handle.net/10722/331238 |
ISSN | 2021 Impact Factor: 3.453 2020 SCImago Journal Rankings: 1.457 |
DC Field | Value | Language |
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dc.contributor.author | Chong, Y | - |
dc.contributor.author | Prieto, M | - |
dc.contributor.author | Gastaca, M | - |
dc.contributor.author | Choi, SH | - |
dc.contributor.author | Sucandy, I | - |
dc.contributor.author | Chiow, AKH | - |
dc.contributor.author | Marino, MV | - |
dc.contributor.author | Wang, XY | - |
dc.contributor.author | Efanov, M | - |
dc.contributor.author | Schotte, H | - |
dc.contributor.author | D'Hondt, M | - |
dc.contributor.author | Choi, GH | - |
dc.contributor.author | Krenzien, F | - |
dc.contributor.author | Schmelzle, M | - |
dc.contributor.author | Pratschke, J | - |
dc.contributor.author | Kingham, TP | - |
dc.contributor.author | Giglio, M | - |
dc.contributor.author | Troisi, RI | - |
dc.contributor.author | Lee, JH | - |
dc.contributor.author | Lai, EC | - |
dc.contributor.author | Tang, CN | - |
dc.contributor.author | Fuks, D | - |
dc.contributor.author | D'Silva, M | - |
dc.contributor.author | Han, HS | - |
dc.contributor.author | Kadam, P | - |
dc.contributor.author | Sutcliffe, RP | - |
dc.contributor.author | Lee, KF | - |
dc.contributor.author | Chong, CC | - |
dc.contributor.author | Cheung, TT | - |
dc.contributor.author | Liu, Q | - |
dc.contributor.author | Liu, R | - |
dc.contributor.author | Goh, BKP | - |
dc.date.accessioned | 2023-09-21T06:53:57Z | - |
dc.date.available | 2023-09-21T06:53:57Z | - |
dc.date.issued | 2022-12-21 | - |
dc.identifier.citation | Surgical Endoscopy, 2023, v. 37, n. 5, p. 3439-3448 | - |
dc.identifier.issn | 0930-2794 | - |
dc.identifier.uri | http://hdl.handle.net/10722/331238 | - |
dc.description.abstract | <h3>Background</h3><p>Left lateral sectionectomy (LLS) is one of the most commonly performed minimally invasive liver resections. While laparoscopic (L)-LLS is a well-established technique, over traditional open resection, it remains controversial if robotic (R)-LLS provides any advantages of L-LLS.</p><h3>Methods</h3><p>A post hoc analysis of 997 patients from 21 international centres undergoing L-LLS or R-LLS from 2006 to 2020 was conducted. A total of 886 cases (214 R-LLS, 672 L-LLS) met study criteria. 1:1 and 1:2 propensity score matched (PSM) comparison was performed between R-LLS & L-LLS. Further subset analysis by Iwate difficulty was also performed. Outcomes measured include operating time, blood loss, open conversion, readmission rates, morbidity and mortality.</p><h3>Results</h3><p>Comparison between R-LLS and L-LLS after PSM 1:2 demonstrated statistically significantly lower open conversion rate in R-LLS than L-LLS (0.6% versus 5%, <em>p</em> = 0.009) and median blood loss was also statistically significantly lower in R-LLS at 50 (80) versus 100 (170) in L-LLS (<em>p</em> = 0.011) after PSM 1:1 although there was no difference in the blood transfusion rate. Pringle manoeuvre was also found to be used more frequently in R-LLS, with 53(24.8%) cases versus to 84(12.5%) L-LLS cases (<em>p</em> < 0.001). There was no significant difference in the other key perioperative outcomes such as operating time, length of stay, postoperative morbidity, major morbidity and 90-day mortality between both groups.</p><h3>Conclusion</h3><p>R-LLS was associated with similar key perioperative outcomes compared to L-LLS. It was also associated with significantly lower blood loss and open conversion rates compared to L-LLS.</p> | - |
dc.language | eng | - |
dc.publisher | Springer | - |
dc.relation.ispartof | Surgical Endoscopy | - |
dc.rights | This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. | - |
dc.subject | Laparoscopic | - |
dc.subject | Left lateral sectionectomy | - |
dc.subject | Minimally invasive surgery | - |
dc.subject | Robotic | - |
dc.title | An international multicentre propensity score matched analysis comparing between robotic versus laparoscopic left lateral sectionectomy | - |
dc.type | Article | - |
dc.identifier.doi | 10.1007/s00464-022-09790-x | - |
dc.identifier.scopus | eid_2-s2.0-85144725590 | - |
dc.identifier.volume | 37 | - |
dc.identifier.issue | 5 | - |
dc.identifier.spage | 3439 | - |
dc.identifier.epage | 3448 | - |
dc.identifier.eissn | 1432-2218 | - |
dc.identifier.issnl | 0930-2794 | - |