Short-Term Surgical Outcomes After Robotic Liver Surgery: A Propensity-Score Matched Analysis With Conventional Open Liver Surgery at a High-Volume Centre in Denmark

Abstract

BACKGROUND: The aim of this study was to investigate the perioperative outcomes of robotic liver surgery (RLS) and Open liver surgery (OLS) in a centre with a high number of operations.

METHODS: A 1:1 propensity score matched (PSM) analysis of a retrospective database of RLS and OLS was performed. Cumulative sum (CUSUM) analysis was performed to identify learning curves.

RESULT: After PSM analysis, operative time was significantly longer in the RLS group (p < 0.001). Estimated blood loss was significantly lower in the RLS group (p < 0.001). Transfusion rates were significantly lower in the RLS group. The length of hospital stay was shorter in the RLS group (3.5vs6.3 days, p < 0.001). Readmission rates were significantly lower in the RLS group (p < 0.049). CUSUM analysis showed a learning curve for at least 8 low-intermediate RLS procedures and 27 advanced-Expert RLS procedures.

CONCLUSIONS: RLS has many advantages, including being safe to perform, less blood loss and faster postoperative recovery compared with OLS.

OriginalsprogEngelsk
Artikelnummere70003
TidsskriftThe international journal of medical robotics + computer assisted surgery : MRCAS
Vol/bind20
Udgave nummer5
Sider (fra-til)e70003
ISSN1478-5951
DOI
StatusUdgivet - okt. 2024

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