Early outcomes of single-port robotic left lateral sectionectomy in patients with hepatic tumor
10.4174/astr.2024.106.2.78
- Author:
Young-Hyun NA
1
;
Wan-Bae KIM
;
Jae-Seung KANG
;
Sae Byeol CHOI
;
Wan-Joon KIM
Author Information
1. Division of Pediatric Surgery, Department of Surgery, Korea University Guro Hospital, Korea University Medical College, Seoul, Korea
- Publication Type:ORIGINAL ARTICLE
- From:Annals of Surgical Treatment and Research
2024;106(2):78-84
- CountryRepublic of Korea
- Language:English
-
Abstract:
Purpose:Laparoscopic left lateral sectionectomy (L-LLS) stands as a cornerstone procedure in hepatobiliary minimal surgery, frequently employed for various benign and malignant liver lesions. This study aimed to analyze the peri- and postoperative surgical outcomes of single-port robotic left lateral sectionectomy (SPR-LLS) vs. those of L-LLS in patients with hepatic tumors.
Methods:From January 2020 through June 2023, 12 patients underwent SPR-LLS. During the same period, 30 L-LLS procedures were performed. In total, 12 patients in the robotic group and 24 patients in the laparoscopic group were matched.
Results:When the SPR-LLS and L-LLS groups were compared, the operation time was longer in the SPR-LLS group with less blood loss and shorter hospital stay. Postoperative complications were observed in 3 patients in the L-LLS group (12.5%) and 1 patient in the SPR-LLS group (8.3%).
Conclusion:SPR-LLS using the da Vinci SP system was comparable to laparoscopic LLS in terms of surgical outcomes. SPR-LLS was associated with lower blood loss and less postoperative length of stay compared to L-LLS. These findings suggest that left lateral sectionectomy is technically feasible and safe with the da Vinci SP system in select patients.