Robotic Resection of Gallbladder Cancer: A Single-Center Retrospective Comparative Study to Open Resection

Christoph Tschuor; Ryan C Pickens; Erin E Isenberg; Benjamin M Motz; Patrick N Salibi; Jordan N Robinson; Keith J Murphy; David A Iannitti; Erin H Baker; Dionisios Vrochides; John B Martinie

doi:10.1177/00031348211047491

Robotic Resection of Gallbladder Cancer: A Single-Center Retrospective Comparative Study to Open Resection

Christoph Tschuor, Ryan C Pickens, Erin E Isenberg, Benjamin M Motz, Patrick N Salibi, Jordan N Robinson, Keith J Murphy, David A Iannitti, Erin H Baker, Dionisios Vrochides, John B Martinie^*

^*Corresponding author af dette arbejde

22 Citationer (Scopus)

Abstract

BACKGROUND: Minimally invasive surgery is gaining support for resection of gallbladder cancer (GBC). This study aims to compare operative and early outcomes of robotic resection (RR) to open resection (OR) from a single institution performing a high volume of robotic HPB surgery.

METHODS: Twenty patients with GBC underwent RR from January 2013 to August 2019. Outcomes were compared to a historical control of 23 patients with OR. Radical cholecystectomy for suspected GBC and completion operations for incidental GBC after routine cholecystectomy were both included.

RESULTS: Robotic resection had lower blood loss compared to OR (150 vs 350 mL, P = .002) and shorter postoperative length of stay (2.5 vs 6 days, P < .001), while median operative time was similar (193 vs 208 min, P = .604). There were no statistical differences in 30-day major complications or readmissions. No 30-day mortalities occurred. There was no statistical difference in survival trend (P = .438) or median lymph node harvest (5 vs 3, P = .189) for RR compared to OR.

CONCLUSION: Robotic resection of GBC is safe and efficient, with lower length of hospital stay and blood loss compared to OR. Technical benefits of robotic-assisted surgery may prove advantageous though larger studies are still needed.

Originalsprog	Engelsk
Tidsskrift	The American surgeon
Vol/bind	89
Udgave nummer	4
Sider (fra-til)	888-896
Antal sider	9
ISSN	0003-1348
DOI	https://doi.org/10.1177/00031348211047491
Status	Udgivet - apr. 2023

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title = "Robotic Resection of Gallbladder Cancer: A Single-Center Retrospective Comparative Study to Open Resection",

abstract = "BACKGROUND: Minimally invasive surgery is gaining support for resection of gallbladder cancer (GBC). This study aims to compare operative and early outcomes of robotic resection (RR) to open resection (OR) from a single institution performing a high volume of robotic HPB surgery.METHODS: Twenty patients with GBC underwent RR from January 2013 to August 2019. Outcomes were compared to a historical control of 23 patients with OR. Radical cholecystectomy for suspected GBC and completion operations for incidental GBC after routine cholecystectomy were both included.RESULTS: Robotic resection had lower blood loss compared to OR (150 vs 350 mL, P = .002) and shorter postoperative length of stay (2.5 vs 6 days, P < .001), while median operative time was similar (193 vs 208 min, P = .604). There were no statistical differences in 30-day major complications or readmissions. No 30-day mortalities occurred. There was no statistical difference in survival trend (P = .438) or median lymph node harvest (5 vs 3, P = .189) for RR compared to OR.CONCLUSION: Robotic resection of GBC is safe and efficient, with lower length of hospital stay and blood loss compared to OR. Technical benefits of robotic-assisted surgery may prove advantageous though larger studies are still needed.",

keywords = "gallbladder cancer, minimally invasive surgery, outcomes, robot-assisted surgery, Carcinoma in Situ/surgery, Cholecystectomy, Robotic Surgical Procedures, Humans, Treatment Outcome, Laparoscopy, Retrospective Studies, Gallbladder Neoplasms/pathology",

author = "Christoph Tschuor and Pickens, {Ryan C} and Isenberg, {Erin E} and Motz, {Benjamin M} and Salibi, {Patrick N} and Robinson, {Jordan N} and Murphy, {Keith J} and Iannitti, {David A} and Baker, {Erin H} and Dionisios Vrochides and Martinie, {John B}",

year = "2023",

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doi = "10.1177/00031348211047491",

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volume = "89",

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T1 - Robotic Resection of Gallbladder Cancer

T2 - A Single-Center Retrospective Comparative Study to Open Resection

AU - Tschuor, Christoph

AU - Pickens, Ryan C

AU - Isenberg, Erin E

AU - Motz, Benjamin M

AU - Salibi, Patrick N

AU - Robinson, Jordan N

AU - Murphy, Keith J

AU - Iannitti, David A

AU - Baker, Erin H

AU - Vrochides, Dionisios

AU - Martinie, John B

PY - 2023/4

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N2 - BACKGROUND: Minimally invasive surgery is gaining support for resection of gallbladder cancer (GBC). This study aims to compare operative and early outcomes of robotic resection (RR) to open resection (OR) from a single institution performing a high volume of robotic HPB surgery.METHODS: Twenty patients with GBC underwent RR from January 2013 to August 2019. Outcomes were compared to a historical control of 23 patients with OR. Radical cholecystectomy for suspected GBC and completion operations for incidental GBC after routine cholecystectomy were both included.RESULTS: Robotic resection had lower blood loss compared to OR (150 vs 350 mL, P = .002) and shorter postoperative length of stay (2.5 vs 6 days, P < .001), while median operative time was similar (193 vs 208 min, P = .604). There were no statistical differences in 30-day major complications or readmissions. No 30-day mortalities occurred. There was no statistical difference in survival trend (P = .438) or median lymph node harvest (5 vs 3, P = .189) for RR compared to OR.CONCLUSION: Robotic resection of GBC is safe and efficient, with lower length of hospital stay and blood loss compared to OR. Technical benefits of robotic-assisted surgery may prove advantageous though larger studies are still needed.

AB - BACKGROUND: Minimally invasive surgery is gaining support for resection of gallbladder cancer (GBC). This study aims to compare operative and early outcomes of robotic resection (RR) to open resection (OR) from a single institution performing a high volume of robotic HPB surgery.METHODS: Twenty patients with GBC underwent RR from January 2013 to August 2019. Outcomes were compared to a historical control of 23 patients with OR. Radical cholecystectomy for suspected GBC and completion operations for incidental GBC after routine cholecystectomy were both included.RESULTS: Robotic resection had lower blood loss compared to OR (150 vs 350 mL, P = .002) and shorter postoperative length of stay (2.5 vs 6 days, P < .001), while median operative time was similar (193 vs 208 min, P = .604). There were no statistical differences in 30-day major complications or readmissions. No 30-day mortalities occurred. There was no statistical difference in survival trend (P = .438) or median lymph node harvest (5 vs 3, P = .189) for RR compared to OR.CONCLUSION: Robotic resection of GBC is safe and efficient, with lower length of hospital stay and blood loss compared to OR. Technical benefits of robotic-assisted surgery may prove advantageous though larger studies are still needed.

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KW - outcomes

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KW - Carcinoma in Situ/surgery

KW - Cholecystectomy

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KW - Treatment Outcome

KW - Laparoscopy

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JO - The American surgeon

JF - The American surgeon

IS - 4

ER -

Robotic Resection of Gallbladder Cancer: A Single-Center Retrospective Comparative Study to Open Resection

Abstract

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