Efficacy and safety of robotic liver surgery for the elderly: A propensity-score matched analysis of short-term outcomes with open liver surgery at a single center in Denmark

IF 3.2 3区医学 Q2 GASTROENTEROLOGY & HEPATOLOGY Journal of Hepato‐Biliary‐Pancreatic Sciences Pub Date : 2024-06-12 DOI:10.1002/jhbp.12015

Daisuke Fukumori, Christoph Tschuor, Takashi Hamada, Luit Penninga, Jens Hillingsø, Lars Bo Svendsen, Peter Nørgaard Larsen

{"title":"Efficacy and safety of robotic liver surgery for the elderly: A propensity-score matched analysis of short-term outcomes with open liver surgery at a single center in Denmark","authors":"Daisuke Fukumori, Christoph Tschuor, Takashi Hamada, Luit Penninga, Jens Hillingsø, Lars Bo Svendsen, Peter Nørgaard Larsen","doi":"10.1002/jhbp.12015","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>The incidence of liver tumors requiring surgical treatment continues to increase in elderly patients. This study compared the short-term results of robotic liver surgery (RLS) versus open liver surgery (OLS) for liver tumors in elderly patients.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>A prospective database including all patients undergoing liver surgery at Copenhagen University Hospital between July 2019 and July 2022 was managed retrospectively. Short-term surgical outcomes of the two main cohorts (OLS and RLS) and subgroups were compared using propensity score matching (PSM) in elderly patients (age ≥ 70 years) with liver tumors.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>A total of 42 matched patients from each group were investigated: the RLS group had significantly larger tumor diameters, less blood loss (821.2 vs. 155.2 mL, <i>p</i> < .001), and shorter hospital stays (6.6 vs. 3.4 days, <i>p</i> < .001). Overall morbidity was comparable, while operative times were longer in the RLS group. The advantages observed with the robotic approach were replicated in the subgroup of minor liver resections.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>In patients ≥70 years, RLS for liver tumors results in significantly less blood loss and shorter hospital stays than OLS. RLS, especially minor liver resection, is safe and feasible in elderly patients with liver tumors.</p>\n </section>\n </div>","PeriodicalId":16056,"journal":{"name":"Journal of Hepato‐Biliary‐Pancreatic Sciences","volume":null,"pages":null},"PeriodicalIF":3.2000,"publicationDate":"2024-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jhbp.12015","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Hepato‐Biliary‐Pancreatic Sciences","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/jhbp.12015","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"GASTROENTEROLOGY & HEPATOLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Background

The incidence of liver tumors requiring surgical treatment continues to increase in elderly patients. This study compared the short-term results of robotic liver surgery (RLS) versus open liver surgery (OLS) for liver tumors in elderly patients.

Methods

A prospective database including all patients undergoing liver surgery at Copenhagen University Hospital between July 2019 and July 2022 was managed retrospectively. Short-term surgical outcomes of the two main cohorts (OLS and RLS) and subgroups were compared using propensity score matching (PSM) in elderly patients (age ≥ 70 years) with liver tumors.

Results

A total of 42 matched patients from each group were investigated: the RLS group had significantly larger tumor diameters, less blood loss (821.2 vs. 155.2 mL, p < .001), and shorter hospital stays (6.6 vs. 3.4 days, p < .001). Overall morbidity was comparable, while operative times were longer in the RLS group. The advantages observed with the robotic approach were replicated in the subgroup of minor liver resections.

Conclusions

In patients ≥70 years, RLS for liver tumors results in significantly less blood loss and shorter hospital stays than OLS. RLS, especially minor liver resection, is safe and feasible in elderly patients with liver tumors.

Abstract Image

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

老年人机器人肝脏手术的有效性和安全性：倾向分数匹配分析：丹麦一家中心与开放式肝脏手术的短期疗效对比。

背景：需要手术治疗的肝脏肿瘤在老年患者中的发病率持续上升。本研究比较了机器人肝脏手术（RLS）与开放式肝脏手术（OLS）治疗老年肝脏肿瘤的短期效果：回顾性管理了一个前瞻性数据库，其中包括2019年7月至2022年7月期间在哥本哈根大学医院接受肝脏手术的所有患者。采用倾向得分匹配法（PSM）比较了两个主要组群（OLS和RLS）和亚组的短期手术疗效，研究对象为老年肝肿瘤患者（年龄≥70岁）：每组共调查了42名匹配患者：RLS组患者的肿瘤直径明显更大，失血量明显更少（821.2毫升对155.2毫升，P 结论：RLS组患者的肿瘤直径明显更大，失血量明显更少（821.2毫升对155.2毫升，P 结论：RLS组患者的肿瘤直径明显更大，失血量明显更少（821.2毫升）：对于年龄≥70 岁的患者，与 OLS 相比，RLS 治疗肝肿瘤的失血量明显更少，住院时间更短。对于老年肝肿瘤患者来说，RLS，尤其是小肝切除术是安全可行的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊

Journal of Hepato‐Biliary‐Pancreatic Sciences GASTROENTEROLOGY & HEPATOLOGY-SURGERY

自引率

10.00%

发文量

178

审稿时长

6-12 weeks

期刊介绍： The Journal of Hepato-Biliary-Pancreatic Sciences (JHBPS) is the leading peer-reviewed journal in the field of hepato-biliary-pancreatic sciences. JHBPS publishes articles dealing with clinical research as well as translational research on all aspects of this field. Coverage includes Original Article, Review Article, Images of Interest, Rapid Communication and an announcement section. Letters to the Editor and comments on the journal’s policies or content are also included. JHBPS welcomes submissions from surgeons, physicians, endoscopists, radiologists, oncologists, and pathologists.