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- W4280546927 abstract "Abstract Background: Nowadays, more and more major hepatectomy surgeries for hepatocellular carcinoma (HCC) are being accomplished by robots. Despite the fact that robotic surgery has the potential of overcoming some disadvantages of laparoscopic procedures, studies comparing robotic major hepatectomy with laparoscopic major hepatectomy in terms of short-term results are still scarce. This study was performed to compare robotic major hepatectomy and laparoscopic major hepatectomy regarding intraoperative and postoperative results. Methods: Data of demographics, intraoperative and postoperative results of 131 patients undergoing robotic or laparoscopic major hepatectomy between January 2017 and March 2022 were retrieved from the medical records. Then patients undergoing robotic major hepatectomy were compared with those undergoing laparoscopic major hepatectomy in terms of demographic variables, intraoperative and postoperative results. Results: Between January 2017 and March 2022, 44 robotic major hepatectomy and 87 laparoscopic major hepatectomy were accomplished at Department of Hepatobiliary and Pancreatic Surgery, Shenzhen People , s Hospital. Firstly, patients undergoing robotic major hepatectomy were not significantly from those undergoing laparoscopic surgery in terms of age (P=0.397), gender (P=0.624), body mass index (BMI) (P=0.118), alpha-fetoprotein (AFP) (P=0.09), tumor size (P=0.176), cirrhosis (P=0.384), fatty liver (P=0.162), preoperative antiviral treatment (P=0.934), and HBV DNA (P=0.646). Secondly, it was revealed that patients undergoing robotic major hepatectomy were not significantly from those undergoing laparoscopic surgery in terms of length of hospital stay after operation (P=0.849), ICU stay (P=0.866), postoperative massive abdominal bleeding (P=1.00), portal vein thrombosis (P=1.00), abdominal infection (P=1.00), pulmonary infection (P=1.00), pulmonary embolism (P=1.00), cardiac complications (P=1.00), liver failure (P=1.00), kidney failure (P=1.00), biliary leak (P=1.00), 30-day mortality (P=1.00) and 90-day mortality (P=1.00). Thirdly, it was also demonstrated that it took significantly longer time to accomplish robotic major hepatectomy than that for laparoscopic major hepatectomy (P<0.001). Fourthly, the estimated blood loss during laparoscopic major hepatectomy was significantly more than that during robotic major hepatectomy (P=0.002). Conclusions: Robotic major hepatectomy was as effective as laparoscopic surgery in terms of intraoperative and postoperative variables and robotic surgery took longer time than laparoscopic surgery, while robotic approach could more efficiently control intraoperative blood loss." @default.
- W4280546927 created "2022-05-22" @default.
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- W4280546927 date "2022-05-11" @default.
- W4280546927 modified "2023-10-17" @default.
- W4280546927 title "A single-institution study comparing robotic major hepatectomy and laparoscopic major hepatectomy for hepatocellular carcinoma in terms of short-term outcomes" @default.
- W4280546927 doi "https://doi.org/10.21203/rs.3.rs-1502109/v1" @default.
- W4280546927 hasPublicationYear "2022" @default.
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