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Multicenter propensity score-matched analysis to compare perioperative morbidity after laparoscopic or robotic complex hepatectomy for solitary hepatocellular carcinoma.
- Source :
-
HPB : the official journal of the International Hepato Pancreato Biliary Association [HPB (Oxford)] 2024 Aug; Vol. 26 (8), pp. 1062-1071. Date of Electronic Publication: 2024 May 23. - Publication Year :
- 2024
-
Abstract
- Background: Postoperative complications are vital factors affecting the prognosis of patients with hepatocellular carcinoma (HCC), especially for complex hepatectomy. The present study aimed to compare perioperative complications between laparoscopic and robotic complex hepatectomy (LCH vs. RCH).<br />Methods: Patients with solitary HCC after complex hepatectomy were collected from a multicenter database. Propensity score-matched (PSM) analysis was adopted to control confounding bias. Multivariable analysis was performed to determine the prognostic factors.<br />Results: 436 patients were included. After PSM, 43 patients were included in both the LCH and RCH groups. The results showed that compared to LCH, RCH had lower rates of blood loss and transfusion, and lower postoperative 30-day and major morbidity, and post-hepatectomy liver failure (PHLF) (all P < 0.05). Additionally, the length of hospital stay was shorter in the RCH group (P = 0.026). Multivariable analysis showed RCH is an independent protective factor for reducing the 30-day morbidity, major morbidity and PHLF.<br />Conclusion: RCH has advantages over LCH in the minimally invasive treatment of complex HCC, as it can reduce the incidence of postoperative morbidity. Therefore, RCH should be considered for patients with HCC who require complex hepatectomy.<br />Competing Interests: Conflict of interest None to declare.<br /> (Copyright © 2024 International Hepato-Pancreato-Biliary Association Inc. Published by Elsevier Ltd. All rights reserved.)
- Subjects :
- Humans
Male
Female
Middle Aged
Retrospective Studies
Treatment Outcome
Aged
Databases, Factual
Length of Stay
Risk Factors
Time Factors
Risk Assessment
Adult
Carcinoma, Hepatocellular surgery
Hepatectomy adverse effects
Hepatectomy methods
Liver Neoplasms surgery
Laparoscopy adverse effects
Robotic Surgical Procedures adverse effects
Propensity Score
Postoperative Complications etiology
Postoperative Complications epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 1477-2574
- Volume :
- 26
- Issue :
- 8
- Database :
- MEDLINE
- Journal :
- HPB : the official journal of the International Hepato Pancreato Biliary Association
- Publication Type :
- Academic Journal
- Accession number :
- 38830783
- Full Text :
- https://doi.org/10.1016/j.hpb.2024.05.013