Early outcomes of single-port robotic left lateral sectionectomy in patients with hepatic tumor.

IF 1.2 4区医学 Q3 SURGERY

Annals of Surgical Treatment and Research Pub Date : 2024-02-01 Epub Date: 2024-01-29 DOI:10.4174/astr.2024.106.2.78

Young-Hyun Na, Wan-Bae Kim, Jae-Seung Kang, Sae Byeol Choi, Wan-Joon Kim

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引用次数: 0

Abstract

Purpose: Laparoscopic left lateral sectionectomy (L-LLS) stands as a cornerstone procedure in hepatobiliary minimal surgery, frequently employed for various benign and malignant liver lesions. This study aimed to analyze the peri- and postoperative surgical outcomes of single-port robotic left lateral sectionectomy (SPR-LLS) vs. those of L-LLS in patients with hepatic tumors.

Methods: From January 2020 through June 2023, 12 patients underwent SPR-LLS. During the same period, 30 L-LLS procedures were performed. In total, 12 patients in the robotic group and 24 patients in the laparoscopic group were matched.

Results: When the SPR-LLS and L-LLS groups were compared, the operation time was longer in the SPR-LLS group with less blood loss and shorter hospital stay. Postoperative complications were observed in 3 patients in the L-LLS group (12.5%) and 1 patient in the SPR-LLS group (8.3%).

Conclusion: SPR-LLS using the da Vinci SP system was comparable to laparoscopic LLS in terms of surgical outcomes. SPR-LLS was associated with lower blood loss and less postoperative length of stay compared to L-LLS. These findings suggest that left lateral sectionectomy is technically feasible and safe with the da Vinci SP system in select patients.

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单孔机器人左外侧切片切除术对肝肿瘤患者的早期疗效。

目的：腹腔镜左外侧切片切除术（L-LLS）是肝胆微创手术的基础手术，常用于治疗各种良性和恶性肝脏病变。本研究旨在分析单孔机器人左外侧切片切除术（SPR-LLS）与腹腔镜左外侧切片切除术在肝肿瘤患者中的围手术期和术后手术效果：从2020年1月到2023年6月，12名患者接受了SPR-LLS手术。同期，进行了30例L-LLS手术。结果：SPR-LLS和L-LLS术后，机器人手术组和腹腔镜手术组分别有12名和24名患者接受了SPR-LLS和L-LLS术：SPR-LLS组和L-LLS组相比，SPR-LLS组的手术时间更长，失血量更少，住院时间更短。L-LLS组有3名患者（12.5%）出现术后并发症，SPR-LLS组有1名患者（8.3%）：结论：就手术效果而言，使用达芬奇SP系统的SPR-LLS与腹腔镜LLS相当。与L-LLS相比，SPR-LLS的失血量更低，术后住院时间更短。这些研究结果表明，在特定患者中使用达芬奇SP系统进行左侧切口切除术在技术上是可行且安全的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Annals of Surgical Treatment and Research SURGERY-

CiteScore

2.30

自引率

7.10%

发文量

期刊介绍： Manuscripts to the Annals of Surgical Treatment and Research (Ann Surg Treat Res) should be written in English according to the instructions for authors. If the details are not described below, the style should follow the Uniform Requirements for Manuscripts Submitted to Biomedical Journals: Writing and Editing for Biomedical Publications available at International Committee of Medical Journal Editors (ICMJE) website (http://www.icmje.org).