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- W2890972277 abstract "Background: Robotic liver surgery (RLS) has emerged as a safe and feasible alternative to laparoscopic or open liver surgery in regards to perioperative outcomes in patients with primary liver malignancies. The main aim of this study was to investigate the long-term oncologic outcomes for patients undergoing RLS for primary liver malignancies Methods: We performed an international, multi-center, retrospective review of patients who underwent RLS for Hepatocellular Carcinoma (HCC), Cholangiocarcinoma (CC), or Gallbladder Cancer (GBC) between 2007 and 2016. Age, gender, histology, resection margins, extent of surgical resections, disease-free and overall survival were collected. Means and medians were used for continuous variables, percentages for discrete variables and Kaplan–Meier functions for survival Results: A total of 61 patients with median age of 66 represented the study population: 25 were females, 34 had HCC, 16 CC, and 11 GBC. Wedge/segmental resections were performed in 24 (39.3%), left lateral segmentectomy in 9 (14.8%), left lobectomy in 8 (13.1%), right lobectomy in 8(13.1%), right posterior segmentectomy in 1 (1.6%) and central liver resection in 11 (18%). Negative resection margins were obtained in 94% of HCC, 68% of CC and 81.8% of GBC. Conversion to open occurred in 7 patients (11.5%) and median hospital stay was 5 days. There were no perioperative mortalities and 8 patients developed grade III-IV Dindo-Clavien complications. Median follow-up was 75 months (95% CI 36–113) with 5-year overall and disease- free survival equal to 56% and 38% respectively (p = 0.04). 3-year survival was 90% for HCC, 65% for GBC and 49% for CC (p = 0.01) Conclusion: This study demonstrates that long-term oncologic outcomes for patients undergoing RLS for primary liver malignancies are non-inferior to those reported in the literature for laparoscopic or open liver resections" @default.
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- W2890972277 date "2018-03-01" @default.
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- W2890972277 title "Long term oncologic outcomes of robotic liver resection for primary liver cancers" @default.
- W2890972277 doi "https://doi.org/10.1016/j.hpb.2018.02.274" @default.
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