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Propensity-score Matched and Coarsened-exact Matched Analysis Comparing Robotic and Laparoscopic Major Hepatectomies: An International Multicenter Study of 4822 Cases

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收录情况： ◇ SCIE

作者：
Liu Qu[1,2] * ; Zhang Wanguang[3] ; Zhao Joseph J[4] ; Syn Nicholas L[4] ; Cipriani Federica[5] ; Alzoubi Mohammad[6] ; Aghayan Davit L[7] ; Siow Tiing-Foong[8] ; Lim Chetana[9] ; Scatton Olivier[9] ; Herman Paulo[10] ; Coelho Fabricio Ferreira[10] ; Marino Marco V[11] ; Mazzaferro Vincenzo[12] ; Chiow Adrian K H[13] ; Sucandy Iswanto[14] ; Ivanecz Arpad[15] ; Choi Sung-Hoon[16] ; Lee Jae Hoon[17] ; Prieto Mikel[18] ; Vivarelli Marco[19] ; Giuliante Felice[20] ; Valle Bernardo Dalla[21] ; Ruzzenente Andrea[21] ; Yong Chee-Chien[22] ; Chen Zewei[23] ; Yin Mengqiu[23] ; Fondevila Constantino[24] ; Efanov Mikhail[25] ; Morise Zenichi[26] ; Di Benedetto Fabrizio[27] ; Brustia Raffaele[28] ; Valle Raffaele Dalla[29] ; Boggi Ugo[30] ; Geller David[31] ; Belli Andrea[32] ; Memeo Riccardo[33] ; Gruttadauria Salvatore[34] ; Mejia Alejandro[35] ; Park James O[36] ; Rotellar Fernando[37] ; Choi Gi-Hong[38] ; Robles-Campos Ricardo[39] ; Wang Xiaoying[40] ; Sutcliffe Robert P[41] ; Schmelzle Moritz[42] ; Pratschke Johann[42] ; Tang Chung-Ngai[43] ; Chong Charing C N[44] ; Lee Kit-Fai[44] ; Meurs Juul[45] ; D'Hondt Mathieu[45] ; Monden Kazuteru[46] ; Lopez-Ben Santiago[47] ; Kingham T Peter[48] ; Ferrero Alessandro[49] ; Ettorre Giuseppe Maria[50] ; Sandri Giovanni Battista Levi[50] ; Saleh Mansour[51] ; Cherqui Daniel[51] ; Zheng Junhao[52] ; Liang Xiao[52] ; Mazzotta Alessandro[53] ; Soubrane Olivier[53] ; Wakabayashi Go[54] ; Troisi Roberto I[55] ; Cheung Tan-To[56] ; Kato Yutaro[57] ; Sugioka Atsushi[57] ; D'Silva Mizelle[58] ; Han Ho-Seong[58] ; Nghia Phan Phuoc[59] ; Long Tran Cong Duy[59] ; Edwin Bjorn[7] ; Fuks David[53] ; Chen Kuo-Hsin[8] ; Hilal Mohammad Abu[60] ; Aldrighetti Luca[5] ; Liu Rong[1,*2] ; Goh Brian K P[61,62,*1] ;
单位： [1]Faculty of Hepatopancreatobiliary Surgery, the First Medical Center of Chinese People's Liberation Army (PLA) General Hospital, Beijing, China. [2]Organ Transplantation Department, The Third Medical Center, Chinese People's Liberation Army (PLA) General Hospital, Beijing, China. [3]Hepatic Surgery Center and Hubei Key Laboratory of Hepato-Biliary-Pancreatic Diseases, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. [4]Yong Loo Lin School of Medicine, National University of Singapore, Singapore. [5]Hepatobiliary Surgery Division, IRCCS San Raffaele Hospital, Milan, Italy. [6]Department of Surgery, Fondazione Poliambulanza, Brescia, Italy. [7]The Intervention Centre and Department of HPB Surgery, Oslo University Hospital, Institute of Clinical Medicine, University of Oslo, Oslo, Norway. [8]Division of General Surgery, Department of Surgery, Far Eastern Memorial Hospital, New Taipei City, Taiwan. [9]Department of Digestive, HBP and Liver Transplantation, Hopital Pitie-Salpetriere, Sorbonne Universite, Paris, France. [10]Liver Surgery Unit, Department of Gastroenterology, University of Sao Paulo School of Medicine, Sao Paulo, Brazil. [11]General Surgery Department, Azienda Ospedaliera Ospedali Riuniti Villa Sofia-Cervello, Palermo, Italy and General Surgery Department, F. Tappeiner Hospital, Merano, Italy. [12]HPB Surgery and Liver Transplantation, Fondazione IRCCS Istituto Nazionale Tumori di Milano and University of Milan, Milan, Italy. [13]Hepatopancreatobiliary Unit, Department of Surgery, Changi General Hospital, Singapore. [14]Digestive Health Institute, AdventHealth Tampa, Tampa, Florida, USA. [15]Department of Abdominal and General Surgery, University Medical Center Maribor, Maribor, Slovenia. [16]Department of General Surgery, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam, Korea. [17]Department of Surgery, Division of Hepato-Biliary and Pancreatic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. [18]Hepatobiliary Surgery and Liver Transplantation Unit, Biocruces Bizkaia Health Research Institute, Cruces University Hospital, University of the Basque Country, Bilbao, Spain. [19]HPB Surgery and Transplantation Unit, United Hospital of Ancona, Department of Experimental and Clinical Medicine Polytechnic University of Marche, Ancona, Italy. [20]Hepatobiliary Surgery Unit, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Catholic University of the Sacred Heart, Rome, Italy. [21]General and Hepatobiliary Surgery, Department of Surgery, Dentistry, Gynecology and Pediatrics University of Verona, GB Rossi Hospital, Verona, Italy. [22]Department of Surgery, Chang Gung Memorial Hospital, Kaohsiung, Taiwan. [23]Department of Hepatobiliary Surgery, Affiliated Jinhua Hospital, Zhejiang University School of Medicine, Jinhua, China. [24]General and Digestive Surgery, Hospital Clinic, IDIBAPS, CIBERehd, University of Barcelona, Barcelona, Spain and General and Digestive Surgery, Hospital Universitario La Paz, IdiPAZ, CIBERehd, Madrid, Spain. [25]Department of Hepato-Pancreato-Biliary Surgery, Moscow Clinical Scientific Center, Moscow, Russia. [26]Department of Surgery, Okazaki Medical Center, Fujita Health University School of Medicine, Okazaki, Japan. [27]HPB Surgery and Liver Transplant Unit, University of Modena and Reggio Emilia, Modena, Italy. [28]Department of Digestive and Hepatobiliary and Pancreatic Surgery, AP-HP, Henri-Mondor Hospital, Creteil, France. [29]Hepatobiliary Surgery Unit, Department of Medicine and Surgery, University of Parma, Parma, Italy. [30]Division of General and Transplant Surgery, University of Pisa, Pisa, Italy. [31]Department of Surgery, Division of Hepatobiliary and Pancreatic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA. [32]Department of Abdominal Oncology, Division of Hepatopancreatobiliary Surgical Oncology, National Cancer Center - IRCCS-G. Pascale, Naples, Italy. [33]Unit of Hepato-Pancreatc-Biliary Surgery, "F. Miulli" General Regional Hospital, Acquaviva delle Fonti, Bari, Italy. [34]Department for the Treatment and Study of Abdominal Diseases and Abdominal Transplantation, Istituto di Ricovero e Cura a Carattere Scientifico-Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione (IRCCS-ISMETT), University of Pittsburgh Medical Center Italy, Palermo, Italy and Department of General Surgery and Medical Surgical Specialties, University of Catania, Catania, Italy. [35]The Liver Institute, Methodist Dallas Medical Center, Dallas, Texas, USA. [36]Department of Surgery, University of Washington Medical Center. Seattle, USA. [37]HPB and Liver Transplant Unit, Department of General Surgery, Clinica Universidad de Navarra, Universidad de Navarra, Pamplona, Spain & Institute of Health Research of Navarra (IdisNA), Pamplona, Spain. [38]Division of Hepatopancreatobiliary Surgery, Department of Surgery, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea. [39]Department of General, Visceral and Transplantation Surgery, Clinic and University Hospital Virgen de la Arrixaca, IMIB-ARRIXACA, El Palmar, Murcia, Spain. [40]Department of Liver Surgery and Transplantation, Liver Cancer Institute, Zhongshan Hospital, Fudan University, Shanghai, China. [41]Department of Hepatopancreatobiliary and Liver Transplant Surgery, University Hospitals Birmingham NHS Foundation Trust, Birmingham, United Kingdom. [42]Department of Surgery, Campus Charite Mitte and Campus Virchow-Klinikum, Charite -Universitatsmedizin, Corporate Member of Freie Universitat Berlin, and Berlin Institute of Health, Berlin, Germany. [43]Department of Surgery, Pamela Youde Nethersole Eastern Hospital, Hong Kong SAR, China. [44]Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, New Territories, Hong Kong SAR, China. [45]Department of Digestive and Hepatobiliary/Pancreatic Surgery, Groeninge Hospital, Kortrijk, Belgium. [46]Department of Surgery, Fukuyama City Hospital, Hiroshima, Japan. [47]Hepatobiliary and Pancreatic Surgery Unit, Department of Surgery, Dr. Josep Trueta Hospital, IdIBGi, Girona, Spain. [48]Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York, USA. [49]Department of General and Oncological Surgery. Mauriziano Hospital, Turin, Italy. [50]Division of General Surgery and Liver Transplantation, S. Camillo Hospital, Rome, Italy. [51]Department of Hepatobiliary Surgery, Assistance Publique Hopitaux de Paris, Centre Hepato-Biliaire, Paul-Brousse Hospital, Villejuif, France. [52]Department of General Surgery, Sir Run-Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China. [53]Department of Digestive, Oncologic and Metabolic Surgery, Institute Mutualiste Montsouris, Universite Paris Descartes, Paris, France. [54]Center for Advanced Treatment of Hepatobiliary and Pancreatic Diseases, Ageo Central General Hospital, Saitama, Japan. [55]Department of Clinical Medicine and Surgery, Division of HPB, Minimally Invasive and Robotic Surgery, Federico II University Hospital Naples, Naples, Italy. [56]Department of Surgery, Queen Mary Hospital, The University of Hong Kong, Hong Kong SAR, China. [57]Department of Surgery, Fujita Health University School of Medicine, Aichi, Japan. [58]Department of Surgery, Seoul National University Hospital Bundang, Seoul National University College of Medicine, Seoul, Korea. [59]Department of Hepatopancreatobiliary Surgery, University Medical Center, University of Medicine and Pharmacy, Ho Chi Minh City, Vietnam. [60]Department of Surgery, University Hospital Southampton, United Kingdom and Department of Surgery, Fondazione Poliambulanza, Brescia, Italy. [61]Department of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital and National Cancer Centre Singapore, Singapore. [62]Duke National University of Singapore Medical School, Singapore.
出处：
DOI： 10.1097/SLA.0000000000005855
ISSN：

关键词： Laparoscopic liver resection Robotic liver resection right hepatectomy extended right hepatectomy major hepatectomy

摘要：
To compare the outcomes between robotic major hepatectomy (R-MH) and laparoscopic major hepatectomy(L-MH).Robotic techniques may overcome the limitations of laparoscopic liver resection. However, it is unknown whether robotic major hepatectomy (R-MH) is superior to laparoscopic major hepatectomy (L-MH).This is a post hoc analysis of a multicenter database of patients undergoing R-MH or L-MH at 59 international centers from 2008 to 2021. Data on patient demographics, center experience/ volume, perioperative outcomes and tumor characteristics were collected and analyzed. 1:1 propensity score matched (PSM) and coarsened-exact matched (CEM) analysis was performed to minimize selection bias between both groups.A total of 4822 cases met the study criteria, of which 892 underwent R-MH and 3930 underwent L-MH. Both 1:1 PSM, (841 R-MH vs. 841 L-MH) and CEM (237 R-MH vs. 356 L-MH) were performed. R-MH was associated with significantly less blood loss (PSM:200.0 [IQR:100.0, 450.0] ml vs. 300.0 [IQR:150.0, 500.0] ml; P=0.012; CEM:170.0 [IQR: 90.0, 400.0] ml vs. 200.0 [IQR:100.0, 400.0] ml; P=0.006), lower rates of Pringle maneuver application (PSM: 47.1% vs. 63.0%; P<0.001; CEM: 54.0% vs 65.0%; P=0.007) and open conversion (PSM: 5.1% vs. 11.9%; P<0.001; CEM: 5.5% vs. 10.4%, P=0.04) compared to L-MH. On subset analysis of 1273 cirrhotic patients, R-MH was associated with a lower postoperative morbidity rate (PSM: 19.5% vs. 29.9%; P=0.02; CEM 10.4% vs. 25.5%; P=0.02) and shorter postoperative stay (PSM: 6.9 [IQR: 5.0, 9.0] days vs. 8.0 [IQR: 6.0 11.3] days; P<0.001; CEM 7.0 [IQR: 5.0, 9.0] days vs. 7.0 [IQR: 6.0, 10.0] days; P=0.047).This international multicenter study demonstrated that R-MH was comparable to L-MH in safety and was associated with reduced blood loss, lower rates of Pringle maneuver application and conversion to open surgery.Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.

基金：
Dr T. P. Kingham was partially supported by the US National Cancer Institute MSKCC Core Grant number P30 CA008747 for this study; Dr M. Yin was partially funded by the Research Project of Zhejiang Provincial Public Welfare Fund project in the Field of Social development (LGF20H160028)
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外文
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中科院(CAS)分区：
出版当年[2022]版：
大类 | 1 区 医学
小类 | 1 区 外科
最新[2025]版：
大类 | 1 区 医学
小类 | 1 区 外科
JCR分区：
出版当年[2021]版：
Q1 SURGERY
最新[2023]版：
Q1 SURGERY

影响因子： 最新[2023版] 最新五年平均 出版当年[2021版] 出版当年五年平均 出版前一年[2020版] 出版后一年[2022版]

第一作者：
第一作者单位： [1]Faculty of Hepatopancreatobiliary Surgery, the First Medical Center of Chinese People's Liberation Army (PLA) General Hospital, Beijing, China. [2]Organ Transplantation Department, The Third Medical Center, Chinese People's Liberation Army (PLA) General Hospital, Beijing, China.
通讯作者：
通讯机构： [1]Faculty of Hepatopancreatobiliary Surgery, the First Medical Center of Chinese People's Liberation Army (PLA) General Hospital, Beijing, China. [61]Department of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital and National Cancer Centre Singapore, Singapore. [62]Duke National University of Singapore Medical School, Singapore. [*1]Department of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital and National Cancer Centre Singapore, Level 5, 20 College Road, Academia, Singapore 169856 [*2]Faculty of Hepato-pancreato-biliary Surgery, The First Medical Center of Chinese People‟s Liberation Army (PLA) General Hospital, Beijing, China
推荐引用方式(GB/T 7714)：
Liu Qu,Zhang Wanguang,Zhao Joseph J,et al.Propensity-score Matched and Coarsened-exact Matched Analysis Comparing Robotic and Laparoscopic Major Hepatectomies: An International Multicenter Study of 4822 Cases[J].ANNALS OF SURGERY.2023,278(6):969-975.doi:10.1097/SLA.0000000000005855.
APA：
Liu Qu,Zhang Wanguang,Zhao Joseph J,Syn Nicholas L,Cipriani Federica...&Goh Brian K P.(2023).Propensity-score Matched and Coarsened-exact Matched Analysis Comparing Robotic and Laparoscopic Major Hepatectomies: An International Multicenter Study of 4822 Cases.ANNALS OF SURGERY,278,(6)
MLA：
Liu Qu,et al."Propensity-score Matched and Coarsened-exact Matched Analysis Comparing Robotic and Laparoscopic Major Hepatectomies: An International Multicenter Study of 4822 Cases".ANNALS OF SURGERY 278..6(2023):969-975

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