The robotic surgery system, the most advanced technology in minimally invasive surgery, overcame some shortcomings of laparoscopic surgery and improved the flexibility and precision of liver resection. Several studies have demonstrated that the robotic system was safe and feasible in liver surgery and might be advantageous in complex hepatic vein and hilar dissection, operative bleeding control, and biliary reconstruction. Previous comparative studies found limited evidence for significantly improved outcomes in robotic liver resection (RLR) over laparoscopic liver resection (LLR) or open liver resection (OLR), considering the various degrees of difficulty in liver surgeries. This study aimed to evaluate safety and feasibility of robotic liver resection, by comparing it with LLR or OLR, and gain veritable and relevant data on the benefits of RLR.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
1,000
Liver resection using Da Vinci robotic system
First Affiliated Hospital, Medical College of Zhejiang University
Hangzhou, Zhejiang, China
RECRUITINGPostoperative complications
The grades of postoperative complications were recorded following the Clavien-Dindo classification. Partial hepatic dysfunction or hepatic failure, biliary fistula, postoperative hemorrhage, pleural effusion, venous thrombosis, and surgical site infections were recorded.
Time frame: with in 90 days after surgery
Postoperative hospital stay
The days of hospital stay after operation
Time frame: with in 90 days after surgery
Postoperative unplanned reoperation
The unplanned reoperation due to postoperative complications
Time frame: with in 90 days after surgery
Unplanned readmission
The unplanned readmission after discharge due to postoperative complications
Time frame: with in 90 days after surgery
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