Robotic versus laparoscopic liver resection for huge (≥10 cm) liver tumors: an international multicenter propensity-score matched cohort study of 799 cases

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Citações na Scopus
Tipo de produção
article
Data de publicação
2023
DOI
Web of Science
PubMed
Dimensions
Título da Revista
ISSN da Revista
Título do Volume
Editora
AME PUBLISHING COMPANY
Autores
CHEUNG, Tan-To
LIU, Rong
CIPRIANI, Federica
WANG, Xiaoying
EFANOV, Mikhail
FUKS, David
CHOI, Gi-Hong
SYN, Nicholas L.
CHONG, Charing C. N.
BENEDETTO, Fabrizio Di
Citação
HEPATOBILIARY SURGERY AND NUTRITION, v.12, n.2, p.205-+, 2023
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Background: The use of laparoscopic (LLR) and robotic liver resections (RLR) has been safely performed in many institutions for liver tumours. A large scale international multicenter study would provide stronger evidence and insight into application of these techniques for huge liver tumours >= 10 cm. Methods: This was a retrospective review of 971 patients who underwent LLR and RLR for huge (>= 10 cm) tumors at 42 international centers between 2002-2020. Results: One hundred RLR and 699 LLR which met study criteria were included. The comparison between the 2 approaches for patients with huge tumors were performed using 1: 3 propensity- score matching (PSM) (73 vs. 219). Before PSM, LLR was associated with significantly increased frequency of previous abdominal surgery, malignant pathology, liver cirrhosis and increased median blood. After PSM, RLR and LLR was associated with no significant difference in key perioperative outcomes including media operation time (242 vs. 290 min, P=0.286), transfusion rate rate (19.2% vs. 16.9%, P=0.652), median blood loss (200 vs. 300 mL, P=0.694), open conversion rate (8.2% vs. 11.0%, P=0.519), morbidity (28.8% vs. 21.9%, P=0.221), major morbidity (4.1% vs. 9.6%, P=0.152), mortality and postoperative length of stay (6 vs. 6 days, P=0.435). Conclusions: RLR and LLR can be performed safely for selected patients with huge liver tumours with excellent outcomes. There was no significant difference in perioperative outcomes after RLR or LLR.
Palavras-chave
Laparoscopic liver resection (LLR), robotic liver resection (RLR), hepatocellular carcinoma, colorectal liver metastases, huge
URI
https://observatorio.fm.usp.br/handle/OPI/58877
Referências
  1. BALASEGARAM M, 1972, AUST NZ J SURG, V42, P1, DOI 10.1111/j.1445-2197.1972.tb06728.x
  2. Ban D, 2021, ANN SURG, V274, P1043, DOI 10.1097/SLA.0000000000003799
  3. Bryant R, 2009, ANN SURG, V250, P103, DOI 10.1097/SLA.0b013e3181ad6660
  4. Buell JF, 2008, ANN SURG, V248, P475, DOI 10.1097/SLA.0b013e318185e647
  5. Cherqui D, 2021, ANN SURG, V273, P96, DOI 10.1097/SLA.0000000000004475
  6. Cheung TT, 2020, SURG ONCOL, V35, P315, DOI 10.1016/j.suronc.2020.09.012
  7. Cheung TT, 2013, ANN SURG, V257, P506, DOI 10.1097/SLA.0b013e31827b947a
  8. Cheung TT, 2021, HEPATOBIL SURG NUTR, V10, P587, DOI 10.21037/hbsn-21-327
  9. Chiow AKH, 2021, BRIT J SURG, V108, P1513, DOI 10.1093/bjs/znab321
  10. Chong CC, 2022, JAMA SURG, V157, P436, DOI 10.1001/jamasurg.2022.0161
  11. Chua D, 2021, BRIT J SURG, V108, P351, DOI 10.1093/bjs/znaa118
  12. D'Hondt M, 2023, J ROBOT SURG, V17, P79, DOI 10.1007/s11701-022-01405-w
  13. Dagher I, 2008, SURG ENDOSC, V22, P372, DOI 10.1007/s00464-007-9487-2
  14. Dagher I, 2014, J HEPATO-BIL-PAN SCI, V21, P732, DOI 10.1002/jhbp.140
  15. Dindo D, 2004, ANN SURG, V240, P205, DOI 10.1097/01.sla.0000133083.54934.ae
  16. Durán M, 2022, WORLD J HEPATOL, V14, DOI 10.4254/wjh.v14.i1.224
  17. Goh BK, 2021, ANN ACAD MED SINGAP, V50, P742, DOI 10.47102/annals-acadmedsg.2021213
  18. Goh BK, 2020, ANN ACAD MED SINGAP, V49, P742, DOI 10.47102/annals-acadmedsg.202036
  19. Goh BKP, 2020, ANZ J SURG, V90, P1092, DOI 10.1111/ans.15683
  20. Goh BKP, 2020, ANZ J SURG, V90, P553, DOI 10.1111/ans.15563
  21. Goh BKP, 2019, ANZ J SURG, V89, P201, DOI 10.1111/ans.14417
  22. Goh BKP, 2018, SURG ENDOSC, V32, P4658, DOI 10.1007/s00464-018-6310-1
  23. Gumbs AA, 2021, SURG ENDOSC, V35, P5268, DOI 10.1007/s00464-020-08122-1
  24. Halls MC, 2019, ANN SURG, V269, P221, DOI 10.1097/SLA.0000000000002996
  25. Kabir T, 2022, EJSO-EUR J SURG ONC, V48, P169, DOI 10.1016/j.ejso.2021.08.019
  26. Kabir T, 2021, SURG ONCOL, V37, DOI 10.1016/j.suronc.2021.101569
  27. Kawaguchi Y, 2018, ANN SURG, V267, P13, DOI 10.1097/SLA.0000000000002176
  28. Lee KF, 2021, SURG ENDOSC, V35, P2316, DOI 10.1007/s00464-020-07645-x
  29. Shelat VG, 2015, ANN SURG ONCOL, V22, P1288, DOI 10.1245/s10434-014-4107-6
  30. Terminology Committee of the International Hepato-Pancreato-Biliary Association, 2000, HPB, V2, P333, DOI 10.1016/S1365-182X(17)30755-4
  31. Wakabayashi G, 2016, HEPATOL SURG NUTR, V5, P281, DOI 10.21037/hbsn.2016.03.03
  32. Wakayama K, 2017, J SURG ONCOL, V115, P324, DOI 10.1002/jso.24501
  33. Yang HY, 2022, BRIT J SURG, V109, P311, DOI 10.1093/bjs/znab463
  34. Yang HY, 2021, ANN HEPATO-BIL-PANCR, V25, P8, DOI 10.14701/ahbps.2021.25.1.8
  35. Ziogas IA, 2021, SURG ENDOSC, V35, P524, DOI 10.1007/s00464-020-08008-2

Coleções
Artigos e Materiais de Revistas Científicas - FM/MGT