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academies
Journal of Gastroenterology and Digestive Diseases | Volume 3
May 25-26, 2018 | New York, USA
World Liver Conference 2018
Background:
The authors present their experience of robotic
liver resections in comparison with open surgery.
Methods:
Retrospective review of liver resections done
robotically from February 2015 to Octuber 2017 compared
to cohort of open cases from January 2012 to December
2016.
Results:
Nineteen patients in the study group were compared
with matched control of 38 open cases. Mean operative
duration was 442 ± 135 minutes in the robotic compared
to 357 ± 127 minutes in control group (p = 0.03). Mean
blood loss was 270 ± 311 ml in the robotic compared to 451
± 330 ml in control group (p = 0.06). Minor complications
developed in 17% of robotic cases compared to 41% in open
surgery (p = 0.5), while major complications occurred in 5.8%
of robotic cases compared to 8.8% of open (p = 0.3). Mean
hospital stay was 5.35 ± 0.8 days for the robotic group and
7.7 ± 4.2 days for open group (p = 0.02).
Conclusion:
This study highlights the utility of robotics for
liver resections with better outcomes and decreased length
of stay compared to open surgery albeit at a higher cost at
present.
Robotic liver resections –My experience
Sanjay Goja
Institute of Liver Transplantation and Regenerative Medicine, India