与开放肝手术相比，机器人辅助肝脏手术降低了并发症发生率，同时保持了相同的结果质量

IF 3.5 2区医学 Q2 ONCOLOGY

Ejso Pub Date : 2025-05-16 DOI:10.1016/j.ejso.2025.110167

Alexander Wilk , Methin Mazgaldzhi , Thorsten Brechmann , Benno Mann

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引用次数: 0

摘要

肝切除手术以开放手术入路（OLR）为主。微创手术，如机器人肝脏手术（RLR）在技术上具有挑战性，但可以减少手术创伤和并发症的发生率。目标,方法本研究旨在比较RLR和OLR的疗效。对185例因良性或恶性疾病行肝切除术的患者进行回顾性、单中心分析（OLR: 86, RLR: 99）。主要目标是基于Clavien-Dindo分类的并发症发生率，次要目标包括手术时间、术中出血量、住院时间和切除结果。结果rlr显著减少了主要并发症（23.1%对41.9%,p = 0.011），减少了出血量（200 ml对400 ml， p = 0.013），缩短了住院时间(9.0天对13.0天，p <；0.001)。原发性肿瘤结果相似。结论rlr与OLR的切除质量相当，并发症少，出血量少，住院时间短。

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Robot-assisted liver surgery reduces complication rates while maintaining equivalent outcome quality compared to open liver surgery

Introduction

Resecting liver surgery has been dominated by open surgical approaches (OLR). Minimal invasive procedures such as robotic liver surgery (RLR) are technically challenging but may reduce the surgical trauma and complication rates.

Objectives & methods

This study aims to compare the outcomes of RLR and OLR. A retrospective, single-centre analysis was conducted on 185 patients who underwent liver resection for benign or malign diseases (OLR: 86, RLR: 99). The primary objective was complication rates based on Clavien-Dindo classification, Secondary objectives included operative time, intraoperative blood loss, length of hospital stay, and resection outcomes.

Results

RLR was associated with significantly less major complications (23.1 % vs. 41.9 %, p = 0.011), lower blood loss (200 ml vs. 400 ml, p = 0.013) and shorter hospital stays (9.0 vs. 13.0 days, p < 0.001). Primary oncological results were similar.

Conclusion

RLR provides equivalent resection quality to OLR, with fewer complications, less blood loss, and shorter hospital stays.

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来源期刊

Ejso 医学-外科

CiteScore

6.40

自引率

2.60%

发文量

1148

审稿时长

41 days

期刊介绍： JSO - European Journal of Surgical Oncology ("the Journal of Cancer Surgery") is the Official Journal of the European Society of Surgical Oncology and BASO ~ the Association for Cancer Surgery. The EJSO aims to advance surgical oncology research and practice through the publication of original research articles, review articles, editorials, debates and correspondence.