Robotic isolated partial and complete hepatic caudate lobectomy: A single institution experience
Autor: | Zhu-Zeng Yin, Xiang-Long Tan, Zhi-Ming Zhao, Li-Chao Pan, Rong Liu, Ming-Gen Hu |
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Rok vydání: | 2020 |
Předmět: |
Adult
Male medicine.medical_specialty Time Factors Blood transfusion Hepatic caudate lobe medicine.medical_treatment Operative Time Blood Loss Surgical Young Adult 03 medical and health sciences 0302 clinical medicine Robotic Surgical Procedures Blood loss Laparotomy medicine Hepatectomy Humans Robotic surgery Single institution Aged Retrospective Studies Aged 80 and over Hepatology business.industry Gastroenterology Perioperative Length of Stay Middle Aged Surgery Treatment Outcome Beijing 030220 oncology & carcinogenesis Operative time Female 030211 gastroenterology & hepatology business |
Zdroj: | Hepatobiliary & Pancreatic Diseases International. 19:435-439 |
ISSN: | 1499-3872 |
Popis: | Background Current reports on robotic hepatic caudate lobectomy are limited to Spiegel lobectomy. This study aimed to compare the safety and feasibility of robotic isolated partial and complete hepatic caudate lobectomy. Methods Clinical data of 32 patients who underwent robotic resection of the hepatic caudate lobe in our department from May 2016 to January 2020 were retrospectively analyzed. The patients were divided into three groups according to the lobectomy location: left dorsal segment lobectomy (Spiegel lobectomy), right dorsal segment lobectomy (caudate process or paracaval portion lobectomy), and complete caudate lobectomy. General information and perioperative results of the three groups were compared and analyzed. Results Among the 32 patients, none had conversion to laparotomy, three received intraoperative blood transfusion (9.38%), and none had complications of Clavien-Dindo grade III or higher or died in the perioperative period. Among them, 17 patients (53.13%) underwent Spiegel lobectomy, 7 (21.88%) underwent caudate process or paracaval portion lobectomy, and 8 (25.00%) underwent complete caudate lobectomy. The operative time and blood loss in the left dorsal segment lobectomy group were significantly better than those in the right dorsal segment lobectomy and complete caudate lobectomy groups (operative time: P = 0.010 and P = 0.005; blood loss: P = 0.005 and P = 0.017, respectively). The postoperative hospital stay in the left dorsal segment lobectomy group was significantly shorter than that in the complete caudate lobectomy group (P = 0.003); however, there was no difference in the postoperative hospital stay between the left dorsal segment lobectomy group and right dorsal segment lobectomy group (P = 0.240). Conclusions Robotic isolated partial and complete caudate lobectomy is safe and feasible. Spiegel lobectomy is relatively straightforward and suitable for beginners. |
Databáze: | OpenAIRE |
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