• Skip to primary navigation
  • Skip to main content
  • Skip to footer

SAGES

Reimagining surgical care for a healthier world

  • Home
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Who is SAGES?
    • SAGES Mission Statement
    • Advocacy
    • Strategic Plan, 2020-2023
    • Committees
      • Request to Join a SAGES Committee
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Full Committee Rosters
      • SAGES Past Presidents
    • Donate to the SAGES Foundation
    • SAGES Store
    • Awards
      • George Berci Award
      • Pioneer in Surgical Endoscopy
      • Excellence In Clinical Care
      • International Ambassador
      • IRCAD Visiting Fellowship
      • Social Justice and Health Equity
      • Excellence in Community Surgery
      • Distinguished Service
      • Early Career Researcher
      • Researcher in Training
      • Jeff Ponsky Master Educator
      • Excellence in Medical Leadership
      • Barbara Berci Memorial Award
      • Brandeis Scholarship
      • Advocacy Summit
      • RAFT Annual Meeting Abstract Contest and Awards
    • “Unofficial” Logo Products
  • Meetings
    • NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2024 Scientific Session Call For Abstracts
      • 2024 Emerging Technology Call For Abstracts
    • CME Claim Form
    • Industry
      • Advertising Opportunities
      • Exhibit Opportunities
      • Sponsorship Opportunities
    • Future Meetings
    • Related Meetings Calendar
  • Join SAGES!
    • Membership Benefits
    • Membership Applications
      • Active Membership
      • Affiliate Membership
      • Associate Active Membership
      • Candidate Membership
      • International Membership
      • Medical Student Membership
    • Member News
      • Member Spotlight
      • Give the Gift of SAGES Membership
  • Patients
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Patient Information Brochures
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find a SAGES Member
  • Publications
    • SAGES Stories Podcast
    • SAGES Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Patient Information Brochures
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • SCOPE – The SAGES Newsletter
    • COVID-19 Annoucements
    • Troubleshooting Guides
  • Education
    • Wellness Resources – You Are Not Alone
    • OpiVoid.org
    • SAGES.TV Video Library
    • Safe Cholecystectomy Program
      • Safe Cholecystectomy Didactic Modules
    • Masters Program
      • SAGES Facebook Program Collaboratives
      • Acute Care Surgery
      • Bariatric
      • Biliary
      • Colorectal
      • Flexible Endoscopy (upper or lower)
      • Foregut
      • Hernia
      • Robotics
    • Educational Opportunities
    • HPB/Solid Organ Program
    • Courses for Residents
      • Advanced Courses
      • Basic Courses
    • Fellows Career Development Course
    • Robotics Fellows Course
    • MIS Fellows Course
    • Facebook Livestreams
    • Free Webinars For Residents
    • SMART Enhanced Recovery Program
    • SAGES OR SAFETY Video
    • SAGES Top 21 MIS Procedures
    • SAGES Pearls
    • SAGES Flexible Endoscopy 101
    • SAGES Tips & Tricks of the Top 21
  • Opportunities
    • NEW-Area of Concentrated Training Seal (ACT)-Advanced Flexible Endoscopy
    • SAGES Fellowship Certification for Advanced GI MIS and Comprehensive Flexible Endoscopy
    • Multi-Society Foregut Fellowship Certification
    • SAGES Research Opportunities
    • Fundamentals of Laparoscopic Surgery
    • Fundamentals of Endoscopic Surgery
    • Fundamental Use of Surgical Energy
    • Job Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
  • OWLS
  • Log In

Robot-assisted versus Laparoscopic Liver Resection: A Review of the Literature and a Cost-benefit Analysis from a Single High-volume Center

M Fruscione, MD, MBA, E Baker, MD, A Cochran, MSPH, J Martinie, MD, FACS, D Vrochides, MD, PhD, FACS, FRCSC, D Iannitti, MD, FACS. Carolinas Medical Center

Objective: Questions of superiority and cost-effectiveness of robot-assisted compared with laparoscopic approach to hepatectomy remain unanswered. To understand outcomes and challenges of each, we reviewed published reports and conducted cost-benefit analyses for major hepatectomy performed at a high-volume hepatopancreatobiliary surgery center.

Methods: Reports of minimally invasive hepatectomy published from 2008 to 2016 were reviewed. Patient data, operative characteristics, and outcomes were compared between robot-assisted and laparoscopic approaches. A retrospective analysis was conducted of patients who underwent minimally invasive major hepatectomy (≥3 segments) at our center from 2008–2016 (n = 181). Patient data, operative characteristics, and outcomes were compared between robot-assisted (n = 57) and laparoscopic (n = 124) hepatectomy.

Results: Published reports of both approaches demonstrated similar perioperative characteristics and post-operative outcomes; however, a paucity of data precludes any valid conclusion on superiority or relative cost-effectiveness. Patients undergoing robot-assisted versus laparoscopic major hepatectomy at our center were older (58.1 ± 15.7 versus 53.1 ± 15.6 years, respectively; p = 0.029), went to the ICU post-operatively less often (46.3% versus 62.8%, respectively; p = 0.041), and were readmitted less often within 90 days (5.3% versus 20.2%, respectively; p = 0.010). No significant differences were found between groups for blood loss volume, operative times, transfusion volume, and length of stay. Mean total cost was not significantly different between the robot-assisted versus laparoscopic approach ($31,732 versus $27,053, respectively; p = 0.057).

Conclusion: Robot-assisted hepatectomy is safe, feasible, and effective with no significant cost differential compared to laparoscopic hepatectomy.


Presented at the SAGES 2017 Annual Meeting in Houston, TX.

Abstract ID: 78816

Program Number: P698

Presentation Session: Poster (Non CME)

Presentation Type: Poster

14

Share this:

  • Twitter
  • Facebook
  • LinkedIn
  • Pinterest
  • WhatsApp
  • Reddit

Related

Hours & Info

11300 West Olympic Blvd, Suite 600
Los Angeles, CA 90064
1-310-437-0544
[email protected]
Monday - Friday
8am to 5pm Pacific Time

Find Us Around the Web!

  • Facebook
  • Twitter
  • YouTube

Important Links

SAGES 2024 Meeting Information

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals

 

  • taTME Study Info
  • Foundation
  • SAGES.TV
  • MyCME
  • Educational Activities

Copyright © 2023 Society of American Gastrointestinal and Endoscopic Surgeons