Major hepatectomy in elderly patients: possible benefit from robotic platform utilization.

Journal: Surgical endoscopy
Published Date: May 12, 2023

Abstract

INTRODUCTION: Robotic surgery has been increasingly utilized, yet its application for hepato-pancreato-biliary (HPB) procedures remains low due to technical complexity, perceived financial burden, and unproven clinical benefits. We hypothesized that the robotic approach would be associated with improved clinical outcomes following major hepatectomy compared with the laparoscopic approach among elderly patients who would benefit from the advantages of minimally invasive surgery.

Authors

  • Osamu Yoshino
    Division of HPB Surgery, Department of Surgery, Carolinas Medical Center, Atrium Health, Charlotte, NC, USA. osamu.yoshino@austin.org.au.
  • Yifan Wang
    School of Bioscience and Bioengineering, South China University of Technology, Guangzhou, China.
  • Frances McCarron
    Division of HPB Surgery, Department of Surgery, Carolinas Medical Center, Atrium Health, Charlotte, NC, USA.
  • Benjamin Motz
    Division of HPB Surgery, Department of Surgery, Carolinas Medical Center, Atrium Health, Charlotte, NC, USA.
  • Huaping Wang
    Beijing Advanced Innovation Center for Intelligent Robots and Systems, School of Mechatronical Engineering, Beijing Institute of Technology, Beijing 100081, China.
  • Erin Baker
    Division of HPB Surgery, Department of Surgery, Carolinas Medical Center, Atrium Health, Charlotte, NC, USA.
  • David Iannitti
    Division of HPB Surgery, Department of Surgery, Carolinas Medical Center, Charlotte, NC, USA.
  • John B Martinie
    Division of HPB Surgery, Department of Surgery, Carolinas Medical Center, Charlotte, NC, USA.
  • Dionisios Vrochides
    Division of HPB Surgery, Department of Surgery, Carolinas Medical Center, Charlotte, NC, USA.

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