AB107. SOH24AB_099. Robotic, laparoscopic and open liver resection for hepatocellular carcinoma: a propensity score matched analysis of perioperative outcomes
General Surgery Session II

AB107. SOH24AB_099. Robotic, laparoscopic and open liver resection for hepatocellular carcinoma: a propensity score matched analysis of perioperative outcomes

Robert O’Connell, Marwan Bucheeri, Omar Quidwai, Tom Gallagher, Emir Hoti

Department of Surgery, Saint Vincent’s University Hospital, Dublin, Ireland

Background: Minimally invasive surgery may confer perioperative benefit to patients with resectable hepatocellular carcinoma (HCC) but published data on outcomes are limited. Robotic resection for HCC has recently been introduced in our institution, and the goal of this study is to benchmark patient outcomes against open and laparoscopic surgery.

Methods: A retrospective evaluation was performed of all patients undergoing liver resection for HCC in our institution between September 2012 and November 2022 using a prospectively maintained database. Data were collected relating to demographics, pre-operative staging, co-morbidities, type of resection, operative time, surgical technique, histology, length of stay, and post-operative complications. A propensity score matched analysis was performed to compare outcomes for open, laparoscopic, and robotic surgery.

Results: A total of 106 patients were identified. Sixty-six (62%) had open, 26 (25%) laparoscopic, and 14 (13%) had a robotic resection. Robotic surgery was associated with significantly longer median operative times than open or laparoscopic resection (285 vs. 192 and 147 minutes respectively, P<0.001), but in propensity matched analysis it was associated with lower risk of intensive care unit (ICU) admission than open surgery (0 vs. 21%, P=0.02) and a lower risk of conversion to open than laparoscopic surgery (0 vs. 21%, P=0.03).

Conclusions: Robotic resection is a safe alternative to laparoscopic or open surgery for HCC, but has significantly increased operative times.

Keywords: Robotic; laparoscopic; hepatectomy; hepatocellular; carcinoma

Acknowledgments

Funding: None.

Footnote

Conflicts of Interest: The authors have no conflicts of interest to declare.

Ethical Statement: The authors are accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0/.

doi: 10.21037/map-24-ab107
Cite this abstract as: O’Connell R, Bucheeri M, Quidwai O, Gallagher T, Hoti E. AB107. SOH24AB_099. Robotic, laparoscopic and open liver resection for hepatocellular carcinoma: a propensity score matched analysis of perioperative outcomes. Mesentery Peritoneum 2024;8:AB107.

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