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Propensity Score-Matching Analysis Comparing Robotic Versus Laparoscopic Limited Liver Resections of the Posterosuperior Segments: An International Multi-Center Study

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收录情况： ◇ SCIE

作者：
Krenzien Felix[1] * ; Schmelzle Moritz[1] * ; Pratschke Johann[1] ; gge Linda[1] ; Liu Rong[2] ; Liu Qu[2] ; Zhang Wanguang[3] ; Zhao Joseph J[4] ; Tan Hwee-Leong[4] ; Cipriani Federica[5] ; Hoogteijling Tijs J[6] ; Aghayan Davit L[7] ; smund Avdem[7] ; Siow Tiing Foong[8] ; Lim Chetana[9] ; Scatton Olivier[9] ; Herman Paulo[10] ; Coelho Fabricio Ferreira[10] ; Marino Marco V[11] ; Mazzaferro Vincenzo[12] ; Chiow Adrian K H[13] ; Sucandy Iswanto[14] ; Ivanecz Arpad[15] ; Choi Sung Hoon[16] ; Lee Jae Hoon[17] ; Gastaca Mikel[18] ; Vivarelli Marco[19] ; Giuliante Felice[20] ; Valle Bernardo Dalla[21] ; Ruzzenente Andrea[21] ; Yong Chee-Chien[22] ; Chen Zewei[23] ; Yin Mengqiu[23] ; Fondevila Constantino[24] ; Efanov Mikhail[25] ; Morise Zenichi[26] ; Di Benedetto Fabrizio[27] ; Brustia Raffaele[28] ; Valle Raffaele Dalla[29] ; Boggi Ugo[30] ; Geller David[31] ; Belli Andrea[32] ; Memeo Riccardo[33] ; Gruttadauria Salvatore[34] ; Mejia Alejandro[35] ; Park James O[36] ; Rotellar Fernando[37] ; Choi Gi-Hong[38] ; Robles-Campos Ricardo[39] ; Wang Xiaoying[40] ; Sutcliffe Robert P[41] ; Hasegawa Kiyoshi[42] ; Tang Chung-Ngai[43] ; Chong Charing C N[44] ; Lee Kit-Fai[44] ; Meurs Juul[45] ; D'Hondt Mathieu[45] ; Monden Kazuteru[46] ; Lopez-Ben Santiago[47] ; Kingham T Peter[48] ; Ferrero Alessandro[49] ; Ettorre Giuseppe Maria[50] ; Pascual Franco[51] ; Cherqui Daniel[51] ; Zheng Junhao[52] ; Liang Xiao[52] ; Soubrane Olivier[53] ; Wakabayashi Go[54] ; Troisi Roberto I[55] ; Cheung Tan-To[56] ; Kato Yutaro[57] ; Sugioka Atsushi[57] ; Dokmak Safi[58] ; D'Silva Mizelle[59] ; Han Ho-Seong[59] ; Nghia Phan Phuoc[60] ; Long Tran Cong Duy[60] ; Hilal Mohammad Abu[6,61] ; Chen Kuo-Hsin[8] ; Fuks David[53] ; Aldrighetti Luca[5] ; rn[7] ; Goh Brian K P[4,62,*1] ;
单位： [1]Department of Surgery, Campus Charité Mitte and Campus Virchow-Klinikum, Charité- Universitätsmedizin, Corporate Member of Freie Universität Berlin, and Berlin Institute of Health, Berlin, Germany [2]Faculty of Hepatopancreatobiliary Surgery, the First Medical Center of Chinese People’s Liberation Army (PLA) General Hospital, Beijing, China [3]Hepatic Surgery Center and Hubei Key Laboratory of Hepato-Biliary-Pancreatic Diseases, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China [4]Department of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital and National Cancer Centre Singapore, Singapore, Singapore [5]Hepatobiliary Surgery Division, IRCCS San Raffaele Hospital, Milan, Italy [6]Department of Surgery, Fondazione Poliambulanza, Brescia, Italy [7]The Intervention Centre and Department of HPB Surgery, Oslo University Hospital, Institute of Clinical Medicine, University of Oslo, Oslo, Norway [8]Division of General Surgery, Department of Surgery, Far Eastern Memorial Hospital, New Taipei City, Taiwan [9]Department of Digestive, HBP and Liver Transplantation, Hopital Pitie-Salpetriere, Sorbonne Universite, Paris, France [10]Liver Surgery Unit, Department of Gastroenterology, University of Sao Paulo School of Medicine, Sao Paulo, Brazil [11]General Surgery Department, Azienda Ospedaliera Ospedali Riuniti Villa Sofia-Cervello, Palermo, Italy and Oncologic Surgery Department, P. Giaccone University Hospital, Palermo, Italy [12]HPB Surgery and Liver Transplantation, Fondazione IRCCS Istituto Nazionale Tumori di Milano and University of Milan, Milan, Italy [13]Hepatopancreatobiliary Unit, Department of Surgery, Changi General Hospital, Singapore [14]Digestive Health Institute, AdventHealth Tampa, Tampa, Florida, USA [15]Department of Abdominal and General Surgery, University Medical Center Maribor, Maribor, Slovenia [16]Department of General Surgery, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam, Korea [17]Department of Surgery, Division of Hepato-Biliary and Pancreatic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea [18]Hepatobiliary Surgery and Liver Transplantation Unit, Biocruces Bizkaia Health Research Institute, Cruces University Hospital, University of the Basque Country, Bilbao, Spain [19]HPB Surgery and Transplantation Unit, United Hospital of Ancona, Department of Experimental and Clinical Medicine Polytechnic University of Marche, Ancona, Italy [20]Hepatobiliary Surgery Unit, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Catholic University of the Sacred Heart, Rome, Italy [21]General and Hepatobiliary Surgery, Department of Surgery, Dentistry, Gynecology and Pediatrics University of Verona, GB Rossi Hospital, Verona, Italy [22]Department of Surgery, Chang Gung Memorial Hospital, Kaohsiung, Taiwan [23]Department of Hepatobiliary Surgery, Affiliated Jinhua Hospital, Zhejiang University School of Medicine, Jinhua, China [24]General and Digestive Surgery, Hospital Clinic, IDIBAPS, CIBERehd, University of Barcelona, Barcelona, Spain and General and Digestive Surgery, Hospital Universitario La Paz, IdiPAZ, CIBERehd, Madrid, Spain [25]Department of Hepato-Pancreato-Biliary Surgery, Moscow Clinical Scientific Center, Moscow, Russia [26]Department of Surgery, Okazaki Medical Center, Fujita Health University School of Medicine, Okazaki, Japan [27]HPB Surgery and Liver Transplant Unit, University of Modena and Reggio Emilia, Modena, Italy [28]Department of Digestive and Hepatobiliary and Pancreatic Surgery, AP-HP, Henri- Mondor Hospital, Creteil, France [29]Hepatobiliary Surgery Unit, Department of Medicine and Surgery, University of Parma, Parma, Italy [30]Division of General and Transplant Surgery, University of Pisa, Pisa, Italy [31]Department of Surgery, Division of Hepatobiliary and Pancreatic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA [32]Department of Abdominal Oncology, Division of Hepatopancreatobiliary Surgical Oncology, National Cancer Center – IRCCS-G. Pascale, Naples, Italy [33]Unit of Hepato-Pancreatc-Biliary Surgery, “F. Miulli” General Regional Hospital, Acquaviva delle Fonti, Bari, Italy [34]Department for the Treatment and Study of Abdominal Diseases and Abdominal Transplantation, Istituto di Ricovero e Cura a Carattere Scientifico-Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione (IRCCS-ISMETT), University of Pittsburgh Medical Center Italy, Palermo, Italy and Department of General Surgery and Medical Surgical Specialties, University of Catania, Catania, Italy. [35]The Liver Institute, Methodist Dallas Medical Center, Dallas, Texas, USA [36]Department of Surgery, University of Washington Medical Center. Seattle, USA [37]HPB and Liver Transplant Unit, Department of General Surgery, Clinica Universidad de Navarra, Universidad de Navarra, Pamplona, Spain & Institute of Health Research of Navarra (IdisNA), Pamplona, Spain [38]Division of Hepatopancreatobiliary Surgery, Department of Surgery, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea [39]Department of General, Visceral and Transplantation Surgery, Clinic and University Hospital Virgen de la Arrixaca, IMIB-ARRIXACA, El Palmar, Murcia, Spain [40]Department of Liver Surgery and Transplantation, Liver Cancer Institute, Zhongshan Hospital, Fudan University, Shanghai, China [41]Department of Hepatopancreatobiliary and Liver Transplant Surgery, University Hospitals Birmingham NHS Foundation Trust, Birmingham, United Kingdom [42]Hepato-Biliary-Pancreatic Surgery Division, Department of Surgery, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan [43]Department of Surgery, Pamela Youde Nethersole Eastern Hospital, Hong Kong SAR, China [44]Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, New Territories, Hong Kong SAR, China [45]Department of Digestive and Hepatobiliary/Pancreatic Surgery, Groeninge Hospital, Kortrijk, Belgium [46]Department of Surgery, Fukuyama City Hospital, Hiroshima, Japan [47]Hepatobiliary and Pancreatic Surgery Unit, Department of Surgery, Dr. Josep Trueta Hospital, IdIBGi, Girona, Spain [48]Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York, USA [49]Department of General and Oncological Surgery. Mauriziano Hospital, Turin, Italy [50]Division of General Surgery and Liver Transplantation, San Camillo Forlanini Hospital, Rome, Italy [51]Department of Hepatobiliary Surgery, Assistance Publique Hopitaux de Paris, Centre Hepato-Biliaire, Paul-Brousse Hospital, Villejuif, France [52]Department of General Surgery, Sir Run-Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China [53]Department of Digestive, Oncologic and Metabolic Surgery, Institute Mutualiste Montsouris, Universite Paris Descartes, Paris, France [54]Center for Advanced Treatment of Hepatobiliary and Pancreatic Diseases, Ageo Central General Hospital, Saitama, Japan [55]Department of Clinical Medicine and Surgery, Division of HPB, Minimally Invasive and Robotic Surgery, Federico II University Hospital Naples, Naples, Italy [56]Department of Surgery, Queen Mary Hospital, The University of Hong Kong, Hong Kong SAR, China [57]Department of Surgery, Fujita Health University School of Medicine, Aichi, Japan [58]Department of HPB Surgery and Liver Transplantation, Beaujon Hospital, University Paris Cite, Clichy, France [59]Department of Surgery, Seoul National University Hospital Bundang, Seoul National University College of Medicine, Seoul, Korea [60]Department of Hepatopancreatobiliary Surgery, University Medical Center, University of Medicine and Pharmacy, Ho Chi Minh City, Vietnam [61]Department of Surgery, University Hospital Southampton, Southampton, United Kingdom [62]Surgery Academic Clinical Programme, Duke-National University of Singapore Medical School, Singapore, Singapore
出处：
DOI： 10.1097/SLA.0000000000006027
ISSN：

关键词： Laparoscopic liver resection Robotic liver resection Posterosuperior liver segments Liver cirrhosis minimally-invasive hepatectomy

摘要：
To compare the outcomes of robotic limited liver resections (RLLR) versus laparoscopic limited liver resections (LLLR) of the posterosuperior segments.Both laparoscopic and robotic liver resections have been used for tumors in the posterosuperior liver segments. However, the comparative performance and safety of both approaches have not been well examined in existing literature.This is a post hoc analysis of a multicenter database of 5,446 patients who underwent RLLR or LLLR of the posterosuperior segments (I, IVa, VII and VIII) at 60 international centers between 2008 and 2021. Data on baseline demographics, center experience and volume, tumour features and perioperative characteristics were collected and analysed. Propensity score matching (PSM) analysis (in both 1:1 and 1:2 ratios) was performed to minimize selection bias.A total of 3510 cases met the study criteria, of whom 3049 underwent LLLR (87%) and 461 underwent RLLR (13%). After PSM (1:1: and 1:2), RLLR was associated with a lower open conversion rate (10 of 449 [2.2%] vs. 54 of 898 [6.0%]; P=0.002), less blood loss (100 mL [IQR; 50-200] days vs. 150 mL [IQR; 50-350]; P<0.001) and a shorter operative time (188 min [IQR; 140-270] vs. 222 min [IQR; 158-300]; P<0.001). These improved perioperative outcomes associated with RLLR were similarly seen in a subset analysis of patients with cirrhosis - lower open conversion rate (1 of 136 [0.7%] vs. 17 of 272 [6.2%]; P=0.009), less blood loss (100 mL [IQR; 48-200] vs. 160 mL [IQR; 50-400]; P<0.001) and shorter operative time (190 min [IQR; 141-258] vs. 230 min [IQR; 160-312]; P=0.003). Post-operative outcomes in terms of readmission, morbidity and mortality were similar between RLLR and LLLR in both the overall PSM cohort and cirrhosis patient subset.RLLR for the posterosuperior segments was associated with superior perioperative outcomes in terms of decreased operative time, blood loss and open conversion rate when compared to LLLR.Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.

基金：
Dr T. P. Kingham was partially supported by the US National Cancer Institute MSKCC Core Grant number P30 CA008747 for this study. Dr M. Yin was partially funded by the Research Project of Zhejiang Provincial Public Welfare Fund project in the Field of Social development (LGF20H160028) Dr B. K. Goh was partially funded by a grant from the Intuitive Foundation for this work. Any research findings, conclusions, or recommendations expressed in this work are those of the authors and not of the Intuitive Foundation.
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外文
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PubmedID：
中科院(CAS)分区：
出版当年[2023]版：
大类 | 1 区 医学
小类 | 1 区 外科
最新[2025]版：
大类 | 1 区 医学
小类 | 1 区 外科
JCR分区：
出版当年[2022]版：
Q1 SURGERY
最新[2023]版：
Q1 SURGERY

影响因子： 最新[2023版] 最新五年平均 出版当年[2022版] 出版当年五年平均 出版前一年[2021版] 出版后一年[2023版]

第一作者：
第一作者单位： [1]Department of Surgery, Campus Charité Mitte and Campus Virchow-Klinikum, Charité- Universitätsmedizin, Corporate Member of Freie Universität Berlin, and Berlin Institute of Health, Berlin, Germany
共同第一作者：
通讯作者：
通讯机构： [4]Department of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital and National Cancer Centre Singapore, Singapore, Singapore [62]Surgery Academic Clinical Programme, Duke-National University of Singapore Medical School, Singapore, Singapore [*1]Department of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital and National Cancer Centre Singapore, Level 5, 20 College Road, Academia, Singapore 169856
推荐引用方式(GB/T 7714)：
Krenzien Felix,Schmelzle Moritz,Pratschke Johann,et al.Propensity Score-Matching Analysis Comparing Robotic Versus Laparoscopic Limited Liver Resections of the Posterosuperior Segments: An International Multi-Center Study[J].ANNALS OF SURGERY.2024,279(2):297-305.doi:10.1097/SLA.0000000000006027.
APA：
Krenzien Felix,Schmelzle Moritz,Pratschke Johann,gge Linda,Liu Rong...&Goh Brian K P.(2024).Propensity Score-Matching Analysis Comparing Robotic Versus Laparoscopic Limited Liver Resections of the Posterosuperior Segments: An International Multi-Center Study.ANNALS OF SURGERY,279,(2)
MLA：
Krenzien Felix,et al."Propensity Score-Matching Analysis Comparing Robotic Versus Laparoscopic Limited Liver Resections of the Posterosuperior Segments: An International Multi-Center Study".ANNALS OF SURGERY 279..2(2024):297-305

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