Jizhe Li1,2, Xianglong Tan1, Xuan Zhang1, Guodong Zhao1, Minggen Hu1, Zhiming Zhao1, Rong Liu1,2. 1. Department of Hepatobiliary and Pancreatic Surgical Oncology, Military Institution of Hepatopancreatobiliary Surgery, The First Medical Center of Chinese PLA General Hospital and Chinese PLA Medical School, Beijing, China. 2. School of Medicine, Nankai University, Tianjin, China.
Abstract
BACKGROUND: Radical resection for hilar cholangiocarcinoma is considered one of the most complicated abdominal operations. We report our initial experience with robotic radical resection for hilar cholangiocarcinoma. METHODS: Between March 2017 and February 2019, the perioperative outcomes of 48 patients were analysed. In addition, there were two techniques for hepaticojejunostomy in the robotic approach. Comparison of the conventional and novel methods for hepaticojejunostomy was also performed to assess the efficacy of the technique. RESULTS: The operative duration and intraoperative blood loss volume was 276 minutes and 150 mL, respectively. The overall morbidity was 58.3% and the major morbidity was 10.4%. The overall mortality was 0%. No significant differences in the perioperative outcomes of hepaticojejunostomy were found between the 2 groups. CONCLUSION: Robotic resection is a potential alternative to open surgery for appropriately selected patients with hilar cholangiocarcinoma. Further studies are required to detect the long-term outcomes of this procedure.
BACKGROUND: Radical resection for hilar cholangiocarcinoma is considered one of the most complicated abdominal operations. We report our initial experience with robotic radical resection for hilar cholangiocarcinoma. METHODS: Between March 2017 and February 2019, the perioperative outcomes of 48 patients were analysed. In addition, there were two techniques for hepaticojejunostomy in the robotic approach. Comparison of the conventional and novel methods for hepaticojejunostomy was also performed to assess the efficacy of the technique. RESULTS: The operative duration and intraoperative blood loss volume was 276 minutes and 150 mL, respectively. The overall morbidity was 58.3% and the major morbidity was 10.4%. The overall mortality was 0%. No significant differences in the perioperative outcomes of hepaticojejunostomy were found between the 2 groups. CONCLUSION: Robotic resection is a potential alternative to open surgery for appropriately selected patients with hilar cholangiocarcinoma. Further studies are required to detect the long-term outcomes of this procedure.
Authors: Alberto Brolese; Marta Rigoni; Alessio Pasquale; Giovanni Viel; Marco Brolese; Francesco Antonio Ciarleglio Journal: Front Oncol Date: 2022-09-28 Impact factor: 5.738