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首页> 外文期刊>Surgical Endoscopy >Outcomes after 3D laparoscopic and robotic liver resection for hepatocellular carcinoma:a multicenter comparative study
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Outcomes after 3D laparoscopic and robotic liver resection for hepatocellular carcinoma:a multicenter comparative study

机译：3D腹腔镜和机器人肝切除后的结果肝细胞癌：多中心比较研究

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Background The recent development of 3D vision in laparoscopic and robotic surgical systems raises the question of whether these two procedures are equivalent. The aim of this study was to evaluate the surgical and long-term oncological outcomes of 3D laparoscopic (3D-LLR) and robotic liver resection (RLR) for hepatocellular carcinoma (HCC). Methods The data for operative time, morbidity, margins, and survival were reviewed for 3D-LLR and compared with RLR. Results From 2011 to 2017, 93 patients with HCC, including 58 (62%) with cirrhosis, underwent 3D-LLR [49 (53%)] or RLR [44 (47%)]. No difference was observed in operative time (269 vs. 252 min;p = 0.52), overall (27% vs. RLR: 16%;p = 0.49) and severe morbidity (4% vs. 2%;p = 0.77) or in the surgical margin width (9 vs. 11 mm;p = 0.30) between the 3D-LLR and RLR groups. The 3-year overall and recurrence-free survival rates after 3D-LLR and RLR were 82% and 24% and 91% (p = 0.16) and 48% (p = 0.18), respectively. Conclusions The 3D-LLR and RLR systems provide comparable surgical margins with similar short- and long-term oncological outcomes.
机译：背景腹腔镜和机器人手术系统中3D视觉的最新发展提出了这两种手术是否等效的问题。本研究的目的是评估3D腹腔镜（3D-LLR）和机器人肝切除术（RLR）治疗肝细胞癌（HCC）的手术和长期肿瘤学结果。方法回顾3D-LLR的手术时间、发病率、边缘和生存率数据，并与RLR进行比较。结果从2011年到2017年，93例HCC患者，包括58例（62%）肝硬化患者，接受了3D-LLR[49（53%）或RLR[44（47%）。3D-LLR组和RLR组的手术时间（269对252分钟；p=0.52）、总体（27%对RLR:16%；p=0.49）和严重发病率（4%对2%；p=0.77）或手术切缘宽度（9对11毫米；p=0.30）均无差异。3D-LLR和RLR术后3年总生存率和无复发生存率分别为82%、24%和91%（p=0.16）和48%（p=0.18）。结论3D-LLR和RLR系统提供了可比的手术切缘，具有相似的短期和长期肿瘤学结果。

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