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Robotic liver resection for hepatocellular carcinoma: A systematic review
Author(s) -
Magistri Paolo,
Tarantino Giuseppe,
Assirati Giacomo,
Olivieri Tiziana,
Catellani Barbara,
Guerrini Gian Piero,
Ballarin Roberto,
Di Benedetto Fabrizio
Publication year - 2019
Publication title -
the international journal of medical robotics and computer assisted surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.556
H-Index - 53
eISSN - 1478-596X
pISSN - 1478-5951
DOI - 10.1002/rcs.2004
Subject(s) - hepatocellular carcinoma , medicine , cirrhosis , robotic surgery , resection , general surgery , systematic review , resection margin , medline , surgery , political science , law
Background Hepatocellular carcinoma (HCC) represents a leading cause of death in patients with cirrhosis. This review attempts to clarify the role of robotic surgery for HCC in terms of oncologic outcomes. Materials and methods A systematic literature search was performed according to the PRISMA statement including papers comparing open, robotic, and laparoscopic approach for liver surgery. If more than one study was reported by the same institute, only the most recent or the highest quality study was included. Results The literature search yielded 302 articles; titles and abstracts were reviewed for inclusion. Ten papers were finally included in this review for a total of 307 patients who underwent robotic resection for HCC. Conclusions Robotic liver resection for HCC is effective in terms of oncological results as compared with open and laparoscopic approach when performed in experienced centers and is accurate in terms of R0 rates and disease‐free surgical margin.