Applying IWATE criteria to robotic hepatectomy: is there a "robotic effect"?
Journal
HPB : the official journal of the International Hepato Pancreato Biliary Association
ISSN: 1477-2574
Titre abrégé: HPB (Oxford)
Pays: England
ID NLM: 100900921
Informations de publication
Date de publication:
06 2021
06 2021
Historique:
received:
18
02
2020
revised:
15
08
2020
accepted:
02
10
2020
pubmed:
5
11
2020
medline:
27
1
2022
entrez:
4
11
2020
Statut:
ppublish
Résumé
The objective of this study is to apply this criteria to determine its applicability to robotic hepatectomy. We prospectively followed 105 patients undergoing robotic hepatectomy. Operations were categorized into Low (0-3), Intermediate (4-6), Advanced (7-9), and Expert (10-12). Patients had a median age of 62 (61 ± 13.1) years, with a BMI of 28 (29 ± 6.1) kg/m EBL and operative duration increased with IWATE scores reflecting more difficult robotic hepatectomies. However, with the robotic approach, our postoperative outcomes were similar irrespective of IWATE difficulty scores. Perhaps, the robotic approach potentially has a mitigating effect on postoperative outcomes regardless of difficulty level.
Sections du résumé
BACKGROUND
The objective of this study is to apply this criteria to determine its applicability to robotic hepatectomy.
METHODS
We prospectively followed 105 patients undergoing robotic hepatectomy. Operations were categorized into Low (0-3), Intermediate (4-6), Advanced (7-9), and Expert (10-12).
RESULTS
Patients had a median age of 62 (61 ± 13.1) years, with a BMI of 28 (29 ± 6.1) kg/m
CONCLUSION
EBL and operative duration increased with IWATE scores reflecting more difficult robotic hepatectomies. However, with the robotic approach, our postoperative outcomes were similar irrespective of IWATE difficulty scores. Perhaps, the robotic approach potentially has a mitigating effect on postoperative outcomes regardless of difficulty level.
Identifiants
pubmed: 33144052
pii: S1365-182X(20)31196-5
doi: 10.1016/j.hpb.2020.10.008
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
899-906Informations de copyright
Copyright © 2020 International Hepato-Pancreato-Biliary Association Inc. Published by Elsevier Ltd. All rights reserved.