Surgical outcomes after laparoscopic or robotic liver resection in hepatocellular carcinoma: a propensity‐score matched analysis with conventional open liver resection. Issue 4 (4th November 2015)

• Record Type: Journal Article
• Authors: Han, Dai Hoon; Choi, Sung Hoon; Park, Eun Jung; Kang, Dae Ryong; Choi, Gi Hong; Choi, Jin Sub
• Is Part Of: International journal of medical robotics and computer assisted surgery. Volume 12:Issue 4(2016)
• Page Start: 735
• Page End: 742
• Publication Date: 2015-11-04
• Subjects: hepatocellular carcinoma -- laparoscopy -- robotics -- hepatectomy -- propensity score; Robotics in medicine -- Periodicals; Surgery -- Technological innovations -- Periodicals; Imaging systems in medicine -- Periodicals; 617.90285
• DOI: 10.1002/rcs.1714
• Languages: English
• ISSNs: 1478-5951

Abstract

Abstract: Background: This study was designed to compare perioperative and oncologic outcomes between minimally invasive liver resection (MILR) and conventional open liver resection (COLR) for hepatocellular carcinoma (HCC) using a propensity‐score matched analysis. Methods: Ninety‐nine patients who received MILR were matched with 198 patients treated with COLR out of 928 patients with HCC who received curative liver resection from 2002 to 2012. A multivariable logistic model based on factors related to the patient, tumor, and surgical procedure was used to estimate a propensity score. Results: The MILR group experienced significantly less intraoperative blood loss (mean: 389.55 vs 580.66 mL; P = 0.008), lower complication rates (13.1% vs 24.7%; P = 0.020), and a shorter length of hospital stay (mean: 8.40 vs 13.39 days; P < 0.001). The two groups did not differ significantly in disease‐free ( P = 0.701) or overall survival ( P = 0.086). Conclusions: MILR produced better perioperative and comparable oncologic outcomes than COLR for HCC. Copyright © 2015 John Wiley & Sons, Ltd.