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

被引：11

作者：

Cheung, Tan-To ^{[1
]}

Liu, Rong ^{[2
]}

Cipriani, Federica ^{[3
]}

Wang, Xiaoying ^{[4
]}

Efanov, Mikhail ^{[5
]}

Fuks, David ^{[6
]}

Choi, Gi-Hong ^{[7
]}

Syn, Nicholas L. ^{[8
,9
]}

Chong, Charing C. N. ^{[10
]}

Di Benedetto, Fabrizio ^{[11
]}

Robles-Campos, Ricardo ^{[12
]}

Mazzaferro, Vincenzo ^{[13
]}

Rotellar, Fernando ^{[14
,15
]}

Lopez-Ben, Santiago ^{[16
]}

Park, James O. ^{[17
]}

Mejia, Alejandro ^{[18
]}

Sucandy, Iswanto ^{[19
]}

Chiow, Adrian K. H. ^{[20
]}

Marino, Marco V. ^{[21
,22
]}

Gastaca, Mikel ^{[23
]}

Lee, Jae Hoon ^{[24
]}

Kingham, T. Peter ^{[25
]}

D'Hondt, Mathieu ^{[26
]}

Choi, Sung Hoon ^{[27
]}

Sutcliffe, Robert P. ^{[28
]}

Han, Ho-Seong ^{[29
]}

Tang, Chung-Ngai ^{[30
]}

Pratschke, Johann ^{[31
,32
,33
,34
]}

Troisi, Roberto I. ^{[35
]}

Wakabayashi, Go ^{[36
]}

Cherqui, Daniel ^{[37
]}

Giuliante, Felice ^{[38
]}

Aghayan, Davit L. ^{[39
,40
]}

Edwin, Bjorn ^{[39
,40
]}

Scatton, Olivier ^{[41
]}

Sugioka, Atsushi ^{[42
]}

Tran Cong Duy Long ^{[43
]}

Fondevila, Constantino ^{[44
]}

Abu Hilal, Mohammad ^{[45
,46
]}

Ruzzenente, Andrea ^{[47
]}

Ferrero, Alessandro ^{[48
]}

Herman, Paulo ^{[49
]}

Chen, Kuo-Hsin ^{[50
]}

Aldrighetti, Luca

Goh, Brian K. P. ^{[51
,52
,53
]}

机构：

[1] Univ Hong Kong, Queen Mary Hosp, Dept Surg, Hong Kong, Peoples R China

[2] Chinese Peoples Liberat Army PLA, Fac Hepatopancreatobiliary Surg, Med Ctr 1, Beijing, Peoples R China

[3] IRCCS San Raffaele Hosp, Hepatobiliary Surg Div, Milan, Italy

[4] Fudan Univ, Liver Canc Inst, Zhongshan Hosp, Dept Liver Surg & Transplantat, Shanghai, Peoples R China

[5] Moscow Clin Sci Ctr, Dept Hepatopancreato Biliary Surg, Moscow, Russia

[6] Univ Paris 05, Inst Mutualiste Montsouris, Dept Digest Oncol & Metab Surg, Paris, France

[7] Yonsei Univ, Severance Hosp, Coll Med, Dept Surg,Div Hepatopancreatobiliary Surg, Seoul, South Korea

[8] Singapore Gen Hosp, Dept Hepatopancreatobiliary & Transplant Surg, Singapore, Singapore

[9] Natl Univ Singapore, Yong Loo Lin Sch Med, Singapore, Singapore

[10] Chinese Univ Hong Kong, Prince Wales Hosp, Div Hepatobiliary & Pancreat Surg, Dept Surg, Hong Kong, Peoples R China

[11] Univ Modena & Reggio Emilia, HPB Surg & Liver Transplant Unit, Modena, Italy

[12] Clin & Univ Hosp Virgen Arrixaca, Dept Gen Visceral & Transplantat Surg, IMIB ARRIXACA, Murcia, Spain

[13] Fdn IRCCS Ist Nazl Tumori Milano, HPB Surg Hepatol & Liver Transplantat, Milan, Italy

[14] Univ Navarra, Clin Univ Navarra, HPB & Liver Transplant Unit, Dept Gen Surg, Pamplona, Spain

[15] Inst Hlth Res Navarra IdisNA, Pamplona, Spain

[16] Dr Josep Trueta Hosp, Dept Surg, Hepatobiliary & Pancreat Surg Unit, IdIBGi, Girona, Spain

[17] Univ Washington, Dept Surg, Med Ctr, Hepatobiliary Surg Oncol, Seattle, WA USA

[18] Methodist Dallas Med Ctr, Liver Inst, Dallas, TX USA

[19] AdventHlth Tampa, Digest Hlth Inst, Tampa, FL USA

[20] Changi Gen Hosp, Dept Surg, Hepatopancreatobiliary Unit, Singapore, Singapore

[21] Azienda Osped Ospedali Riuniti Villa Sofia Cervel, Dept Gen Surg, Palermo, Italy

[22] P Giaccone Univ Hosp, Surg Oncol Dept, Palermo, Italy

[23] Univ Basque Country, Cruces Univ Hosp, Biocruces Bizkaia Hlth Res Inst, Hepatobiliary Surg & Liver Transplantat Unit, Bilbao, Spain

[24] Univ Ulsan, Dept Surg, Coll Med, Div Hepato Biliary & Pancreat Surg,Asan Med Ctr, Seoul, South Korea

[25] Mem Sloan Kettering Canc Ctr, Dept Surg, New York, NY USA

[26] Groeninge Hosp, Dept Digest & Hepatobiliary Pancreat Surg, Kortrijk, Belgium

[27] CHA Univ, Sch Med, Dept Gen Surg, CHA Bundang Med Ctr, Seongnam, South Korea

[28] Univ Hosp Birmingham NHS Fdn Trust, Dept Hepatopancreatobiliary & Liver Trans, Birmingham, W Midlands, England

[29] Seoul Natl Univ, Coll Med, Bundang Hosp, Dept Surg, Seoul, South Korea

[30] Pamela Youde Nethersole Eastern Hosp, Dept Surg, Hong Kong, Peoples R China

[31] Charite, Dept Surg, Campus Charite Mitte, Berlin, Germany

[32] Charite, Dept Surg, Campus Virchow Klinikum, Berlin, Germany

[33] Free Univ Berlin, Berlin, Germany

[34] Berlin Inst Hlth, Berlin, Germany

[35] Federico II Univ Hosp Naples, Dept Clin Med & Surg, Div HPB Minimally Invas & Robot Surg, Naples, Italy

[36] Ageo Cent Gen Hosp, Ctr Adv Treatment Hepatobiliary & Pancreat D, Saitama, Japan

[37] Hop Paul Brousse, Assistance Publ Hop Paris, Dept Hepatobiliary Surg, Ctr Hepato Biliair, Villejuif, France

[38] Univ Cattolica Sacro Cuore, Fdn Policlin Univ Gemelli, Surg Unit, IRCCS, Rome, Italy

[39] Oslo Univ Hosp, Intervent Ctr, Inst Clin Med, Oslo, Norway

[40] Oslo Univ Hosp, Dept Hepatopancreatobiliary Surg, Oslo, Norway

[41] Sorbonne Univ, Dept Digest HBP & Liver Transplantat, Hop Pitie Salpetriere, AP HP, Paris, France

[42] Fujita Hlth Univ, Dept Surg, Sch Med, Toyoake, Aichi, Japan

[43] Univ Med & Pharm, Univ Med Ctr, Dept Hepatopancreatobiliary Surg, Ho Chi Minh City, Vietnam

[44] Univ Barcelona, Hosp Clin, Gen & Digest Surg, IDIBAPS, Barcelona, Spain

[45] Southampton Univ Hosp, Dept Surg, Southampton, Hants, England

[46] Fdn Poliambulanza, Dept Surg, Brescia, Italy

[47] Univ Verona, GB Rossi Hosp, Dept Surg Dent Gynecol & Pediat, Gen & Hepatobiliary Surg, Verona, Italy

[48] Mauriziano Hosp, Dept Gen & Oncol Surg, Turin, Italy

[49] Univ Sao Paulo, Sch Med, Dept Gastroenterol, Surg Unit, Sao Paulo, Brazil

[50] Far Eastern Mem Hosp, Dept Surg, Div Gen Surg, New Taipei, Taiwan

来源：

HEPATOBILIARY SURGERY AND NUTRITION | 2023年 / 12卷 / 02期

关键词：

Laparoscopic liver resection (LLR); robotic liver resection (RLR); hepatocellular carcinoma; colorectal liver metastases; huge; HEPATOCELLULAR-CARCINOMA; HEPATECTOMY; EXPERIENCE; DIFFICULTY; SINGAPORE; CIRRHOSIS; ADOPTION; PROPOSAL; SURGERY; SIZE;

D O I：

10.21037/hbsn-22-283

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

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.

引用

页码：205 / +

页数：12

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