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Surgical Endoscopy
Published in: Surgical Endoscopy 11/2016

01-11-2016

Robotic versus laparoscopic left lateral sectionectomy of liver

Authors: Jae Keun Kim, Joon Seong Park, Dai Hoon Han, Gi Hong Choi, Kyung Sik Kim, Jin Sub Choi, Dong Sup Yoon

Published in: Surgical Endoscopy | Issue 11/2016

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Abstract

Background

A few studies have reported only short-term outcomes of various robotic and laparoscopic liver resection types; however, published data in left lateral sectionectomy (LLS) have been limited. The aim of this study was to compare the long- and short-term outcomes of robotic and laparoscopic LLS.

Methods

We retrospectively compared demographic and perioperative data as well as postoperative outcomes of robotic (n = 12) and laparoscopic (n = 31) LLS performed between May 2007 and July 2013. Resection indications included malignant tumors (n = 31) and benign lesions (n = 12) including intrahepatic duct (IHD) stones (n = 9).

Results

There were no significant differences in perioperative outcomes of estimated blood loss, major complications, or lengths of stay, but operating time was longer in robotic than in laparoscopic LLS (391 vs. 196 min, respectively) and the operation time for IHD stones did not differ between groups (435 vs. 405 min, respectively; p = 0.190). Disease-free (p = 0.463) and overall (p = 0.484) survival of patients with malignancy did not differ between groups. The 2- and 5-year disease-free survival rates were 63.2 and 36.5 %, respectively. However, robotic LLS costs were significantly higher than laparoscopic LLS costs ($8183 vs. $5190, respectively; p = 0.009).

Conclusions

Robotic LLS was comparable to laparoscopic LLS in surgical outcomes and oncologic integrity during the learning curve. Although robotic LLS was more expensive and time intensive, it might be a good option for difficult indications such as IHD stones.
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Metadata
Title
Robotic versus laparoscopic left lateral sectionectomy of liver
Authors
Jae Keun Kim
Joon Seong Park
Dai Hoon Han
Gi Hong Choi
Kyung Sik Kim
Jin Sub Choi
Dong Sup Yoon
Publication date
01-11-2016
Publisher
Springer US
Published in
Surgical Endoscopy / Issue 11/2016
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-016-4803-3

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