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

Daisuke Fukumori; Christoph Tschuor; Takashi Hamada; Nicolai Aagaard Schultz; Paul Suno Krohn; Stefan Burgdorf; Luit Penninga; Jan Henrik Storkholm; Christian Ross Pedersen; Jens Hillingsø; Lars Bo Svendsen; Peter Nørgaard Larsen

doi:10.1002/rcs.70003

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

Daisuke Fukumori^*, Christoph Tschuor, Takashi Hamada, Nicolai Aagaard Schultz, Paul Suno Krohn, Stefan Burgdorf, Luit Penninga, Jan Henrik Storkholm, Christian Ross Pedersen, Jens Hillingsø, Lars Bo Svendsen, Peter Nørgaard Larsen

^*Corresponding author for this work

Department of Transplantation and Digestive Diseases

4 Citations (Scopus)

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.

Original language	English
Article number	e70003
Journal	The international journal of medical robotics + computer assisted surgery : MRCAS
Volume	20
Issue number	5
ISSN	1478-5951
DOIs	https://doi.org/10.1002/rcs.70003
Publication status	Published - Oct 2024

Keywords

IWATE criteria
cumulative sum analysis
learning curve
open liver surgery
propensity-score matched analysis
robotic liver surgery

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Fukumori, D., Tschuor, C., Hamada, T., Schultz, N. A., Krohn, P. S., Burgdorf, S., Penninga, L., Henrik Storkholm, J., Pedersen, C. R., Hillingsø, J., Svendsen, L. B., & Larsen, P. N. (2024). 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. The international journal of medical robotics + computer assisted surgery : MRCAS, 20(5), Article e70003. https://doi.org/10.1002/rcs.70003

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. / Fukumori, Daisuke ; Tschuor, Christoph; Hamada, Takashi et al.
In: The international journal of medical robotics + computer assisted surgery : MRCAS, Vol. 20, No. 5, e70003, 10.2024.

Research output: Contribution to journal › Journal article › Research › peer-review

Fukumori, D , Tschuor, C, Hamada, T, Schultz, NA , Krohn, PS , Burgdorf, S, Penninga, L, Henrik Storkholm, J , Pedersen, CR , Hillingsø, J , Svendsen, LB & Larsen, PN 2024, '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', The international journal of medical robotics + computer assisted surgery : MRCAS, vol. 20, no. 5, e70003. https://doi.org/10.1002/rcs.70003

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title = "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.",

keywords = "IWATE criteria, cumulative sum analysis, learning curve, open liver surgery, propensity-score matched analysis, robotic liver surgery",

author = "Daisuke Fukumori and Christoph Tschuor and Takashi Hamada and Schultz, \{Nicolai Aagaard\} and Krohn, \{Paul Suno\} and Stefan Burgdorf and Luit Penninga and \{Henrik Storkholm\}, Jan and Pedersen, \{Christian Ross\} and Jens Hillings{\o} and Svendsen, \{Lars Bo\} and Larsen, \{Peter N{\o}rgaard\}",

note = "{\textcopyright} 2024 The Author(s). The International Journal of Medical Robotics and Computer Assisted Surgery published by John Wiley \& Sons Ltd.",

year = "2024",

month = oct,

doi = "10.1002/rcs.70003",

language = "English",

volume = "20",

journal = "The international journal of medical robotics + computer assisted surgery : MRCAS",

issn = "1478-5951",

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T1 - Short-Term Surgical Outcomes After Robotic Liver Surgery

T2 - A Propensity-Score Matched Analysis With Conventional Open Liver Surgery at a High-Volume Centre in Denmark

AU - Fukumori, Daisuke

AU - Tschuor, Christoph

AU - Hamada, Takashi

AU - Schultz, Nicolai Aagaard

AU - Krohn, Paul Suno

AU - Burgdorf, Stefan

AU - Penninga, Luit

AU - Henrik Storkholm, Jan

AU - Pedersen, Christian Ross

AU - Hillingsø, Jens

AU - Svendsen, Lars Bo

AU - Larsen, Peter Nørgaard

PY - 2024/10

Y1 - 2024/10

N2 - 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.

AB - 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.

KW - IWATE criteria

KW - cumulative sum analysis

KW - learning curve

KW - open liver surgery

KW - propensity-score matched analysis

KW - robotic liver surgery

UR - https://www.scopus.com/pages/publications/85206821551

U2 - 10.1002/rcs.70003

DO - 10.1002/rcs.70003

M3 - Journal article

C2 - 39425539

SN - 1478-5951

VL - 20

JO - The international journal of medical robotics + computer assisted surgery : MRCAS

JF - The international journal of medical robotics + computer assisted surgery : MRCAS

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ER -

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

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Keywords

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