Open to robotic right donor hepatectomy: A tectonic shift in surgical technique

Robotic right live donor hepatectomy (r‐LDRH) has been reported with reduced morbidity compared to open donor right hepatectomy (o‐LDRH) in few recent series. Nevertheless, its routine use is debated. We present a large series comparing pure r‐LDRH with o‐LDRH. Consecutive r‐LDRH performed from June 2018 to June 2020 (n = 102) were compared with consecutive donors undergoing o‐LDRH (n = 152) from February 2016 to February 2018, a period when r‐LDRH was not available at this center. Propensity score matched (PSM) analysis of 89 case‐control pairs was additionally performed. Primary endpoints were length of high dependency unit (HDU) and hospital stay and Clavien‐Dindo graded complications among donors. Although r‐LDRH took longer to perform (540 vs. 462 min, P