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Article: Limited liver resections in the posterosuperior segments: international multicentre propensity score-matched and coarsened exact-matched analysis comparing the laparoscopic and robotic approaches
Title | Limited liver resections in the posterosuperior segments: international multicentre propensity score-matched and coarsened exact-matched analysis comparing the laparoscopic and robotic approaches |
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Authors | D'Silva, MizelleHan, Ho-SeongLiu, RongKingham, Thomas PeterChoi, Gi-HongSyn, Nicholas Li-XunMikel, PrietoChoi, Sung-HoonSucandy, IswantoChiow, Adrian Kah HengMarino, Marco VitoEfanov, MikhailLee, Jae-HoonSutcliffe, Robert PeterChong, Charing Ching NingTang, Chung NgaiCheung, Tan-ToPratschke, JohannWang, XiaoyingPark, James OhChan, Chung-YipScatton, OlivierRotellar, FernandoTroisi, Roberto IvanD'Hondt, MathieuFuks, DavidGoh, Brian Kim PohGastaca MSchotte HDe Meyere CLai E.CKrenzien FSchmelzle MKadam PGiglio MMontalti RLiu QLee K.FSalimgereeva DAlikhanov RLee L.SJang J.YLim CLabadie K.P |
Issue Date | 2-Sep-2022 |
Publisher | Oxford University Press |
Citation | British Journal of Surgery, 2022, v. 109, n. 11, p. 1140-1149 How to Cite? |
Abstract | Background: Limited liver resections (LLRs) for tumours located in the posterosuperior segments of the liver are technically demanding procedures. This study compared outcomes of robotic (R) and laparoscopic (L) LLR for tumours located in the posterosuperior liver segments (IV, VII, and VIII). Methods: This was an international multicentre retrospective analysis of patients who underwent R-LLR or L-LLR at 24 centres between 2010 and 2019. Patient demographics, perioperative parameters, and postoperative outcomes were analysed; 1 : 3 propensity score matching (PSM) and 1 : 1 coarsened exact matching (CEM) were performed. Results: Of 1566 patients undergoing R-LLR and L-LLR, 983 met the study inclusion criteria. Before matching, 159 R-LLRs and 824 L-LLRs were included. After 1 : 3 PSM of 127 R-LLRs and 381 L-LLRs, comparison of perioperative outcomes showed that median blood loss (100 (i.q.r. 40-200) versus 200 (100-500) ml; P = 0.003), blood loss of at least 500 ml (9 (7.4 per cent) versus 94 (27.6 per cent); P<0.001), intraoperative blood transfusion rate (4 (3.1 per cent) versus 38 (10.0 per cent); P=0.025), rate of conversion to open surgery (1 (0.8 per cent) versus 30 (7.9 per cent); P=0.022), median duration of Pringle manoeuvre when applied (30 (20-46) versus 40 (25-58) min; P = 0.012), and median duration of operation (175 (130-255) versus 224 (155-300); P < 0.001) were lower in the R-LLR group compared with the L-LLR group. After 1 : 1 CEM of 104 R-LLRs with 104 L-LLRs, R-LLR was similarly associated with significantly reduced blood loss and a lower rate of conversion to open surgery. Conclusion: Based on a matched analysis of well selected patients, both robotic and laparoscopic access could be undertaken safely with good outcomes for tumours in the posterosuperior liver segments. |
Persistent Identifier | http://hdl.handle.net/10722/338786 |
ISSN | 2023 Impact Factor: 8.6 2023 SCImago Journal Rankings: 2.148 |
ISI Accession Number ID |
DC Field | Value | Language |
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dc.contributor.author | D'Silva, Mizelle | - |
dc.contributor.author | Han, Ho-Seong | - |
dc.contributor.author | Liu, Rong | - |
dc.contributor.author | Kingham, Thomas Peter | - |
dc.contributor.author | Choi, Gi-Hong | - |
dc.contributor.author | Syn, Nicholas Li-Xun | - |
dc.contributor.author | Mikel, Prieto | - |
dc.contributor.author | Choi, Sung-Hoon | - |
dc.contributor.author | Sucandy, Iswanto | - |
dc.contributor.author | Chiow, Adrian Kah Heng | - |
dc.contributor.author | Marino, Marco Vito | - |
dc.contributor.author | Efanov, Mikhail | - |
dc.contributor.author | Lee, Jae-Hoon | - |
dc.contributor.author | Sutcliffe, Robert Peter | - |
dc.contributor.author | Chong, Charing Ching Ning | - |
dc.contributor.author | Tang, Chung Ngai | - |
dc.contributor.author | Cheung, Tan-To | - |
dc.contributor.author | Pratschke, Johann | - |
dc.contributor.author | Wang, Xiaoying | - |
dc.contributor.author | Park, James Oh | - |
dc.contributor.author | Chan, Chung-Yip | - |
dc.contributor.author | Scatton, Olivier | - |
dc.contributor.author | Rotellar, Fernando | - |
dc.contributor.author | Troisi, Roberto Ivan | - |
dc.contributor.author | D'Hondt, Mathieu | - |
dc.contributor.author | Fuks, David | - |
dc.contributor.author | Goh, Brian Kim Poh | - |
dc.contributor.author | Gastaca M | - |
dc.contributor.author | Schotte H | - |
dc.contributor.author | De Meyere C | - |
dc.contributor.author | Lai E.C | - |
dc.contributor.author | Krenzien F | - |
dc.contributor.author | Schmelzle M | - |
dc.contributor.author | Kadam P | - |
dc.contributor.author | Giglio M | - |
dc.contributor.author | Montalti R | - |
dc.contributor.author | Liu Q | - |
dc.contributor.author | Lee K.F | - |
dc.contributor.author | Salimgereeva D | - |
dc.contributor.author | Alikhanov R | - |
dc.contributor.author | Lee L.S | - |
dc.contributor.author | Jang J.Y | - |
dc.contributor.author | Lim C | - |
dc.contributor.author | Labadie K.P | - |
dc.date.accessioned | 2024-03-11T10:31:31Z | - |
dc.date.available | 2024-03-11T10:31:31Z | - |
dc.date.issued | 2022-09-02 | - |
dc.identifier.citation | British Journal of Surgery, 2022, v. 109, n. 11, p. 1140-1149 | - |
dc.identifier.issn | 0007-1323 | - |
dc.identifier.uri | http://hdl.handle.net/10722/338786 | - |
dc.description.abstract | <p> <span>Background: Limited liver resections (LLRs) for tumours located in the posterosuperior segments of the liver are technically demanding procedures. This study compared outcomes of robotic (R) and laparoscopic (L) LLR for tumours located in the posterosuperior liver segments (IV, VII, and VIII). Methods: This was an international multicentre retrospective analysis of patients who underwent R-LLR or L-LLR at 24 centres between 2010 and 2019. Patient demographics, perioperative parameters, and postoperative outcomes were analysed; 1 : 3 propensity score matching (PSM) and 1 : 1 coarsened exact matching (CEM) were performed. Results: Of 1566 patients undergoing R-LLR and L-LLR, 983 met the study inclusion criteria. Before matching, 159 R-LLRs and 824 L-LLRs were included. After 1 : 3 PSM of 127 R-LLRs and 381 L-LLRs, comparison of perioperative outcomes showed that median blood loss (100 (i.q.r. 40-200) versus 200 (100-500) ml; P = 0.003), blood loss of at least 500 ml (9 (7.4 per cent) versus 94 (27.6 per cent); P<0.001), intraoperative blood transfusion rate (4 (3.1 per cent) versus 38 (10.0 per cent); P=0.025), rate of conversion to open surgery (1 (0.8 per cent) versus 30 (7.9 per cent); P=0.022), median duration of Pringle manoeuvre when applied (30 (20-46) versus 40 (25-58) min; P = 0.012), and median duration of operation (175 (130-255) versus 224 (155-300); P < 0.001) were lower in the R-LLR group compared with the L-LLR group. After 1 : 1 CEM of 104 R-LLRs with 104 L-LLRs, R-LLR was similarly associated with significantly reduced blood loss and a lower rate of conversion to open surgery. Conclusion: Based on a matched analysis of well selected patients, both robotic and laparoscopic access could be undertaken safely with good outcomes for tumours in the posterosuperior liver segments.</span> <br></p> | - |
dc.language | eng | - |
dc.publisher | Oxford University Press | - |
dc.relation.ispartof | British Journal of Surgery | - |
dc.rights | This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. | - |
dc.title | Limited liver resections in the posterosuperior segments: international multicentre propensity score-matched and coarsened exact-matched analysis comparing the laparoscopic and robotic approaches | - |
dc.type | Article | - |
dc.identifier.doi | 10.1093/bjs/znac270 | - |
dc.identifier.scopus | eid_2-s2.0-85140144617 | - |
dc.identifier.volume | 109 | - |
dc.identifier.issue | 11 | - |
dc.identifier.spage | 1140 | - |
dc.identifier.epage | 1149 | - |
dc.identifier.eissn | 1365-2168 | - |
dc.identifier.isi | WOS:000848665600001 | - |
dc.identifier.issnl | 0007-1323 | - |