Outcomes after 3D laparoscopic and robotic liver resection for hepatocellular carcinoma: a multicenter comparative study
Background The recent development of 3D vision in laparoscopic and robotic surgical systems raises the question of whether these two procedures are equivalent. The aim of this study was to evaluate the surgical and long-term oncological outcomes of 3D laparoscopic (3D-LLR) and robotic liver resectio...
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| Veröffentlicht in: | Surgical endoscopy 2021-07, Vol.35 (7), p.3258-3266 |
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| creator | Lim, Chetana Goumard, Claire Salloum, Chady Tudisco, Antonella Napoli, Niccolo Boggi, Ugo Azoulay, Daniel Scatton, Olivier |
| description | Background
The recent development of 3D vision in laparoscopic and robotic surgical systems raises the question of whether these two procedures are equivalent. The aim of this study was to evaluate the surgical and long-term oncological outcomes of 3D laparoscopic (3D-LLR) and robotic liver resection (RLR) for hepatocellular carcinoma (HCC).
Methods
The data for operative time, morbidity, margins, and survival were reviewed for 3D-LLR and compared with RLR.
Results
From 2011 to 2017, 93 patients with HCC, including 58 (62%) with cirrhosis, underwent 3D-LLR [49 (53%)] or RLR [44 (47%)]. No difference was observed in operative time (269 vs. 252 min;
p
= 0.52), overall (27% vs. RLR: 16%;
p
= 0.49) and severe morbidity (4% vs. 2%;
p
= 0.77) or in the surgical margin width (9 vs. 11 mm;
p
= 0.30) between the 3D-LLR and RLR groups. The 3-year overall and recurrence-free survival rates after 3D-LLR and RLR were 82% and 24% and 91% (
p
= 0.16) and 48% (
p
= 0.18), respectively.
Conclusions
The 3D-LLR and RLR systems provide comparable surgical margins with similar short- and long-term oncological outcomes. |
| doi_str_mv | 10.1007/s00464-020-07762-7 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2420136522</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2540003725</sourcerecordid><originalsourceid>FETCH-LOGICAL-c352t-755a24927f4e69573cf350a0c20cd083fc8771604db5d51232827805534136db3</originalsourceid><addsrcrecordid>eNp9kU1LxDAQhoMouH78AU8BL16qk0nStN7Eb1jwoueQTVOttE1NUtF_b9YVBA-eMofnfTLMS8gRg1MGoM4igChFAQgFKFViobbIggmOBSKrtskCag4Fqlrskr0YXyHzNZML8vEwJ-sHF6lpkwuUX9HeTCb4aP3UWWrGhga_8inPffeeieCis6nzI219oC9uMslb1_dzbwK1Jthu9IM5p4YOc59jblx78x_ZalJW0Jjm5vOA7LSmj-7w590nTzfXj5d3xfLh9v7yYllYLjEVSkqDokbVClfWUnHbcgkGLIJtoOKtrZRiJYhmJRvJkGOFqgIpuWC8bFZ8n5xsvFPwb7OLSQ9dXO9rRufnqFEgZFIiZvT4D_rq5zDm7TRKkU_GFcpM4Yay-UgxuFZPoRtM-NQM9LoMvSlD5zL0dxla5RDfhGKGx2cXftX_pL4AME-Mtw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2540003725</pqid></control><display><type>article</type><title>Outcomes after 3D laparoscopic and robotic liver resection for hepatocellular carcinoma: a multicenter comparative study</title><source>SpringerNature Journals</source><creator>Lim, Chetana ; Goumard, Claire ; Salloum, Chady ; Tudisco, Antonella ; Napoli, Niccolo ; Boggi, Ugo ; Azoulay, Daniel ; Scatton, Olivier</creator><creatorcontrib>Lim, Chetana ; Goumard, Claire ; Salloum, Chady ; Tudisco, Antonella ; Napoli, Niccolo ; Boggi, Ugo ; Azoulay, Daniel ; Scatton, Olivier</creatorcontrib><description>Background
The recent development of 3D vision in laparoscopic and robotic surgical systems raises the question of whether these two procedures are equivalent. The aim of this study was to evaluate the surgical and long-term oncological outcomes of 3D laparoscopic (3D-LLR) and robotic liver resection (RLR) for hepatocellular carcinoma (HCC).
Methods
The data for operative time, morbidity, margins, and survival were reviewed for 3D-LLR and compared with RLR.
Results
From 2011 to 2017, 93 patients with HCC, including 58 (62%) with cirrhosis, underwent 3D-LLR [49 (53%)] or RLR [44 (47%)]. No difference was observed in operative time (269 vs. 252 min;
p
= 0.52), overall (27% vs. RLR: 16%;
p
= 0.49) and severe morbidity (4% vs. 2%;
p
= 0.77) or in the surgical margin width (9 vs. 11 mm;
p
= 0.30) between the 3D-LLR and RLR groups. The 3-year overall and recurrence-free survival rates after 3D-LLR and RLR were 82% and 24% and 91% (
p
= 0.16) and 48% (
p
= 0.18), respectively.
Conclusions
The 3D-LLR and RLR systems provide comparable surgical margins with similar short- and long-term oncological outcomes.</description><identifier>ISSN: 0930-2794</identifier><identifier>EISSN: 1432-2218</identifier><identifier>DOI: 10.1007/s00464-020-07762-7</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Abdominal Surgery ; Body mass index ; Endoscopy ; Gastroenterology ; Gynecology ; Hepatectomy ; Hepatology ; Hospitals ; Laparoscopy ; Liver cancer ; Liver cirrhosis ; Liver diseases ; Medicine ; Medicine & Public Health ; Patients ; Proctology ; Robotics ; Robots ; Surgeons ; Surgery ; Three dimensional imaging ; Transplants & implants ; Tumors ; Vision systems</subject><ispartof>Surgical endoscopy, 2021-07, Vol.35 (7), p.3258-3266</ispartof><rights>Springer Science+Business Media, LLC, part of Springer Nature 2020</rights><rights>Springer Science+Business Media, LLC, part of Springer Nature 2020.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c352t-755a24927f4e69573cf350a0c20cd083fc8771604db5d51232827805534136db3</citedby><cites>FETCH-LOGICAL-c352t-755a24927f4e69573cf350a0c20cd083fc8771604db5d51232827805534136db3</cites><orcidid>0000-0001-9644-2572</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00464-020-07762-7$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00464-020-07762-7$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids></links><search><creatorcontrib>Lim, Chetana</creatorcontrib><creatorcontrib>Goumard, Claire</creatorcontrib><creatorcontrib>Salloum, Chady</creatorcontrib><creatorcontrib>Tudisco, Antonella</creatorcontrib><creatorcontrib>Napoli, Niccolo</creatorcontrib><creatorcontrib>Boggi, Ugo</creatorcontrib><creatorcontrib>Azoulay, Daniel</creatorcontrib><creatorcontrib>Scatton, Olivier</creatorcontrib><title>Outcomes after 3D laparoscopic and robotic liver resection for hepatocellular carcinoma: a multicenter comparative study</title><title>Surgical endoscopy</title><addtitle>Surg Endosc</addtitle><description>Background
The recent development of 3D vision in laparoscopic and robotic surgical systems raises the question of whether these two procedures are equivalent. The aim of this study was to evaluate the surgical and long-term oncological outcomes of 3D laparoscopic (3D-LLR) and robotic liver resection (RLR) for hepatocellular carcinoma (HCC).
Methods
The data for operative time, morbidity, margins, and survival were reviewed for 3D-LLR and compared with RLR.
Results
From 2011 to 2017, 93 patients with HCC, including 58 (62%) with cirrhosis, underwent 3D-LLR [49 (53%)] or RLR [44 (47%)]. No difference was observed in operative time (269 vs. 252 min;
p
= 0.52), overall (27% vs. RLR: 16%;
p
= 0.49) and severe morbidity (4% vs. 2%;
p
= 0.77) or in the surgical margin width (9 vs. 11 mm;
p
= 0.30) between the 3D-LLR and RLR groups. The 3-year overall and recurrence-free survival rates after 3D-LLR and RLR were 82% and 24% and 91% (
p
= 0.16) and 48% (
p
= 0.18), respectively.
Conclusions
The 3D-LLR and RLR systems provide comparable surgical margins with similar short- and long-term oncological outcomes.</description><subject>Abdominal Surgery</subject><subject>Body mass index</subject><subject>Endoscopy</subject><subject>Gastroenterology</subject><subject>Gynecology</subject><subject>Hepatectomy</subject><subject>Hepatology</subject><subject>Hospitals</subject><subject>Laparoscopy</subject><subject>Liver cancer</subject><subject>Liver cirrhosis</subject><subject>Liver diseases</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Patients</subject><subject>Proctology</subject><subject>Robotics</subject><subject>Robots</subject><subject>Surgeons</subject><subject>Surgery</subject><subject>Three dimensional imaging</subject><subject>Transplants & implants</subject><subject>Tumors</subject><subject>Vision systems</subject><issn>0930-2794</issn><issn>1432-2218</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kU1LxDAQhoMouH78AU8BL16qk0nStN7Eb1jwoueQTVOttE1NUtF_b9YVBA-eMofnfTLMS8gRg1MGoM4igChFAQgFKFViobbIggmOBSKrtskCag4Fqlrskr0YXyHzNZML8vEwJ-sHF6lpkwuUX9HeTCb4aP3UWWrGhga_8inPffeeieCis6nzI219oC9uMslb1_dzbwK1Jthu9IM5p4YOc59jblx78x_ZalJW0Jjm5vOA7LSmj-7w590nTzfXj5d3xfLh9v7yYllYLjEVSkqDokbVClfWUnHbcgkGLIJtoOKtrZRiJYhmJRvJkGOFqgIpuWC8bFZ8n5xsvFPwb7OLSQ9dXO9rRufnqFEgZFIiZvT4D_rq5zDm7TRKkU_GFcpM4Yay-UgxuFZPoRtM-NQM9LoMvSlD5zL0dxla5RDfhGKGx2cXftX_pL4AME-Mtw</recordid><startdate>20210701</startdate><enddate>20210701</enddate><creator>Lim, Chetana</creator><creator>Goumard, Claire</creator><creator>Salloum, Chady</creator><creator>Tudisco, Antonella</creator><creator>Napoli, Niccolo</creator><creator>Boggi, Ugo</creator><creator>Azoulay, Daniel</creator><creator>Scatton, Olivier</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-9644-2572</orcidid></search><sort><creationdate>20210701</creationdate><title>Outcomes after 3D laparoscopic and robotic liver resection for hepatocellular carcinoma: a multicenter comparative study</title><author>Lim, Chetana ; Goumard, Claire ; Salloum, Chady ; Tudisco, Antonella ; Napoli, Niccolo ; Boggi, Ugo ; Azoulay, Daniel ; Scatton, Olivier</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c352t-755a24927f4e69573cf350a0c20cd083fc8771604db5d51232827805534136db3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Abdominal Surgery</topic><topic>Body mass index</topic><topic>Endoscopy</topic><topic>Gastroenterology</topic><topic>Gynecology</topic><topic>Hepatectomy</topic><topic>Hepatology</topic><topic>Hospitals</topic><topic>Laparoscopy</topic><topic>Liver cancer</topic><topic>Liver cirrhosis</topic><topic>Liver diseases</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Patients</topic><topic>Proctology</topic><topic>Robotics</topic><topic>Robots</topic><topic>Surgeons</topic><topic>Surgery</topic><topic>Three dimensional imaging</topic><topic>Transplants & implants</topic><topic>Tumors</topic><topic>Vision systems</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lim, Chetana</creatorcontrib><creatorcontrib>Goumard, Claire</creatorcontrib><creatorcontrib>Salloum, Chady</creatorcontrib><creatorcontrib>Tudisco, Antonella</creatorcontrib><creatorcontrib>Napoli, Niccolo</creatorcontrib><creatorcontrib>Boggi, Ugo</creatorcontrib><creatorcontrib>Azoulay, Daniel</creatorcontrib><creatorcontrib>Scatton, Olivier</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Surgical endoscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lim, Chetana</au><au>Goumard, Claire</au><au>Salloum, Chady</au><au>Tudisco, Antonella</au><au>Napoli, Niccolo</au><au>Boggi, Ugo</au><au>Azoulay, Daniel</au><au>Scatton, Olivier</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Outcomes after 3D laparoscopic and robotic liver resection for hepatocellular carcinoma: a multicenter comparative study</atitle><jtitle>Surgical endoscopy</jtitle><stitle>Surg Endosc</stitle><date>2021-07-01</date><risdate>2021</risdate><volume>35</volume><issue>7</issue><spage>3258</spage><epage>3266</epage><pages>3258-3266</pages><issn>0930-2794</issn><eissn>1432-2218</eissn><abstract>Background
The recent development of 3D vision in laparoscopic and robotic surgical systems raises the question of whether these two procedures are equivalent. The aim of this study was to evaluate the surgical and long-term oncological outcomes of 3D laparoscopic (3D-LLR) and robotic liver resection (RLR) for hepatocellular carcinoma (HCC).
Methods
The data for operative time, morbidity, margins, and survival were reviewed for 3D-LLR and compared with RLR.
Results
From 2011 to 2017, 93 patients with HCC, including 58 (62%) with cirrhosis, underwent 3D-LLR [49 (53%)] or RLR [44 (47%)]. No difference was observed in operative time (269 vs. 252 min;
p
= 0.52), overall (27% vs. RLR: 16%;
p
= 0.49) and severe morbidity (4% vs. 2%;
p
= 0.77) or in the surgical margin width (9 vs. 11 mm;
p
= 0.30) between the 3D-LLR and RLR groups. The 3-year overall and recurrence-free survival rates after 3D-LLR and RLR were 82% and 24% and 91% (
p
= 0.16) and 48% (
p
= 0.18), respectively.
Conclusions
The 3D-LLR and RLR systems provide comparable surgical margins with similar short- and long-term oncological outcomes.</abstract><cop>New York</cop><pub>Springer US</pub><doi>10.1007/s00464-020-07762-7</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0001-9644-2572</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0930-2794 |
| ispartof | Surgical endoscopy, 2021-07, Vol.35 (7), p.3258-3266 |
| issn | 0930-2794 1432-2218 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2420136522 |
| source | SpringerNature Journals |
| subjects | Abdominal Surgery Body mass index Endoscopy Gastroenterology Gynecology Hepatectomy Hepatology Hospitals Laparoscopy Liver cancer Liver cirrhosis Liver diseases Medicine Medicine & Public Health Patients Proctology Robotics Robots Surgeons Surgery Three dimensional imaging Transplants & implants Tumors Vision systems |
| title | Outcomes after 3D laparoscopic and robotic liver resection for hepatocellular carcinoma: a multicenter comparative study |
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