Journal of Gastrointestinal Surgery

, Volume 16, Issue 12, pp 2233–2238 | Cite as

Minimally Invasive Liver Resection: Robotic Versus Laparoscopic Left Lateral Sectionectomy

  • Vignesh Packiam
  • David L. Bartlett
  • Samer Tohme
  • Srinevas Reddy
  • J. Wallis Marsh
  • David A. Geller
  • Allan Tsung
Original Article

Abstract

Background

The purpose of this study was to compare the clinical and economic outcomes of robotic versus laparoscopic left lateral sectionectomy (LLS).

Methods

A retrospective analysis was made comparing robotic (n = 11) and laparoscopic (n = 18) LLS performed at the University of Pittsburgh Medical Center between January 2009 and July 2011. Demographic data, operative, and postoperative outcomes were collected.

Results

Demographic and tumor characteristics of robotic and laparoscopic LLS were similar. There were also no significant differences in operative outcomes including estimated blood loss and operating room time. Patients undergoing robotic LLS had more admissions to the ICU (46 versus 6 %), increased rate of minor complications (27 versus 0 %), and longer lengths of stay (4 versus 3 days). There were no significant differences in major complication rates or 90-day mortality. The cost of robotic and laparoscopic LLS was not significantly different when only considering direct costs ($5,130 versus $4,408, p = 0.401). However, robotic LLS costs were significantly greater when including indirect costs, which were estimated to be $1,423 per robotic case ($6,553 versus $4,408, p = 0.021).

Discussion

Robotic LLS yields slightly inferior clinical outcomes and increased cost compared to the laparoscopic approach.

Keywords

Robotic liver Laparoscopic liver Hepatic resection Robotic surgery 

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Copyright information

© The Society for Surgery of the Alimentary Tract 2012

Authors and Affiliations

  • Vignesh Packiam
    • 1
  • David L. Bartlett
    • 2
  • Samer Tohme
    • 1
  • Srinevas Reddy
    • 1
  • J. Wallis Marsh
    • 1
  • David A. Geller
    • 1
  • Allan Tsung
    • 1
    • 3
  1. 1.Division of Hepatobiliary and Pancreatic SurgeryUniversity of Pittsburgh Medical CenterPittsburghUSA
  2. 2.Division of Surgical Oncology, Department of SurgeryUniversity of Pittsburgh Medical CenterPittsburghUSA
  3. 3.Division of Hepatobiliary and Pancreatic Surgery, UPMC Liver Cancer CenterMontefiore HospitalPittsburghUSA

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