Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2024 Apr 8;18(1):166.
doi: 10.1007/s11701-024-01882-1.

A meta-analysis between robotic hepatectomy and conventional open hepatectomy

Zhi-Qiang He #  1 , Ya-Ling Mao #  2 , Tian-Run Lv  1 , Fei Liu  1 , Fu-Yu Li  3
Affiliations
Review

A meta-analysis between robotic hepatectomy and conventional open hepatectomy

Zhi-Qiang He et al. J Robot Surg. .

Abstract

Current meta-analysis was performed to compare robotic hepatectomy (RH) with conventional open hepatectomy (OH) in terms of peri-operative and postoperative outcomes. PubMed, EMBASE, and the Cochrane Library were all searched up for comparative studies between RH and OH. RevMan5.3 software and Stata 13.0 software were used for statistical analysis. Nineteen studies with 1747 patients who received RH and 23,633 patients who received OH were included. Pooled results indicated that patients who received RH were generally younger than those received OH (P < 0.00001). Moreover, RH was associated with longer operative time (P = 0.0002), less intraoperative hemorrhage (P < 0.0001), lower incidence of intraoperative transfusion (P = 0.003), lower incidence of postoperative any morbidity (P < 0.00001), postoperative major morbidity (P = 0.0001), mortalities with 90 days after surgery (P < 0.0001), and shorter length of postoperative hospital stay (P < 0.00001). Comparable total hospital costs were acquired between RH and OH groups (P = 0.46). However, even at the premise of comparable R0 rate (P = 0.86), RH was associated with smaller resected tumor size (P < 0.00001). Major hepatectomy (P = 0.02) and right posterior hepatectomy (P = 0.0003) were less frequently performed in RH group. Finally, we concluded that RH was superior to OH in terms of peri-operative and postoperative outcomes. RH could lead to less intraoperative hemorrhage, less postoperative complications and an enhanced postoperative recovery. However, major hepatectomy and right posterior hepatectomy were still less frequently performed via robotic approach. Future more powerful well-designed studies are required for further exploration.

Keywords: Hepatectomy; Liver resection; Robotic.

PubMed Disclaimer

References

    1. Clavien PA, Barkun J (2015) Consensus conference on laparoscopic liver resection: a jury-based evaluation. Ann Surg 261(4):630–631 - PubMed
    1. Tranchart H, Diop PS, Lainas P, Pourcher G, Catherine L, Franco D et al (2011) Laparoscopic major hepatectomy can be safely performed with colorectal surgery for synchronous colorectal liver metastasis. HPB (Oxford) 13(1):46–50 - PubMed
    1. Nomi T, Fuks D, Kawaguchi Y, Mal F, Nakajima Y, Gayet B (2015) Learning curve for laparoscopic major hepatectomy. Br J Surg 102(7):796–804 - PubMed
    1. Hamad A, Ansari A, Li Y, Shen C, Cloyd J, Pawlik TM et al (2022) Short- and long-term outcomes following robotic and open resection for intrahepatic cholangiocarcinoma: a national cohort study. Surg Oncol 43:101790 - PubMed
    1. Shapera E, Sucandy I, Syblis C, Crespo K, Ja’Karri T, Ross S et al (2022) Cost analysis of robotic versus open hepatectomy: is the robotic platform more expensive? J Robot Surg 16(6):1409–1417 - PubMed

LinkOut - more resources