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Robotic versus laparoscopic left lateral sectionectomy of liver

 Jae Keun Kim  ;  Joon Seong Park  ;  Dai Hoon Han  ;  Gi Hong Choi  ;  Kyung Sik Kim  ;  Jin Sub Choi  ;  Dong Sup Yoon 
 Surgical Endoscopy , Vol.30(11) : 4756-4764, 2016 
Journal Title
 Surgical Endoscopy  
Issue Date
Adult ; Aged ; Bile Ducts, Intrahepatic ; Carcinoma, Hepatocellular/surgery* ; Cholelithiasis/surgery* ; Disease-Free Survival ; Female ; Health Care Costs ; Hepatectomy/economics ; Hepatectomy/methods* ; Humans ; Laparoscopy/economics ; Laparoscopy/methods* ; Learning Curve ; Liver Diseases/surgery ; Liver Neoplasms/surgery* ; Male ; Middle Aged ; Operative Time ; Retrospective Studies ; Robotic Surgical Procedures/economics ; Robotic Surgical Procedures/methods* ; Survival Rate ; Treatment Outcome
Hepatectomy ; Laparoscopic surgical procedure ; Laparoscopy
BACKGROUND: A few studies have reported only short-term outcomes of various robotic and laparoscopic liver resection types; however, published data in left lateral sectionectomy (LLS) have been limited. The aim of this study was to compare the long- and short-term outcomes of robotic and laparoscopic LLS. METHODS: We retrospectively compared demographic and perioperative data as well as postoperative outcomes of robotic (n = 12) and laparoscopic (n = 31) LLS performed between May 2007 and July 2013. Resection indications included malignant tumors (n = 31) and benign lesions (n = 12) including intrahepatic duct (IHD) stones (n = 9). RESULTS: There were no significant differences in perioperative outcomes of estimated blood loss, major complications, or lengths of stay, but operating time was longer in robotic than in laparoscopic LLS (391 vs. 196 min, respectively) and the operation time for IHD stones did not differ between groups (435 vs. 405 min, respectively; p = 0.190). Disease-free (p = 0.463) and overall (p = 0.484) survival of patients with malignancy did not differ between groups. The 2- and 5-year disease-free survival rates were 63.2 and 36.5 %, respectively. However, robotic LLS costs were significantly higher than laparoscopic LLS costs ($8183 vs. $5190, respectively; p = 0.009). CONCLUSIONS: Robotic LLS was comparable to laparoscopic LLS in surgical outcomes and oncologic integrity during the learning curve. Although robotic LLS was more expensive and time intensive, it might be a good option for difficult indications such as IHD stones.
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1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
김경식(Kim, Kyung Sik) ORCID logo https://orcid.org/0000-0001-9498-284X
김재근(Kim, Jae Keun)
박준성(Park, Joon Seong) ORCID logo https://orcid.org/0000-0001-8048-9990
윤동섭(Yoon, Dong Sup) ORCID logo https://orcid.org/0000-0001-6444-9606
최기홍(Choi, Gi Hong) ORCID logo https://orcid.org/0000-0002-1593-3773
최진섭(Choi, Jin Sub)
한대훈(Han, Dai Hoon) ORCID logo https://orcid.org/0000-0003-2787-7876
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