Details der Publikation - Comprehensive analysis of laparoscopic, robotic, and open hepatectomy outcomes using the nationwide readmissions database

Comprehensive analysis of laparoscopic, robotic, and open hepatectomy outcomes using the nationwide readmissions database

Abstract Although open resections have been the most prevalent method of hepatectomies in the United States, laparoscopic and robotic methods of liver resection have since gained significant traction. Given the augmenting role of minimally invasive techniques in liver resection, a study that explores and analyzes the surgical outcomes of the approaches mentioned above to liver resection on a national basis is warranted. A retrospective analysis was performed in this study using the 2016–2018 Nationwide Readmissions Database (NRD). Patients who underwent liver resections via one of the following methods were selected and grouped: open, laparoscopic, or robotic. Our primary outcome variable of interest was the 45-day readmission rate. 11,186 patients were included in the analysis. The 45-day readmission rate was 13.5%, 12.9%, and 8.7% in the open, laparoscopic, and robotic groups, respectively (p < 0.001). A significantly lower complication rate (7.3%) was seen in the robotic group than its counterparts (11.4% in open vs. 9.1% in the laparoscopic group). Patients undergoing hepatectomies may benefit from the robotic approach given that it is associated with a shorter hospital length of stay and lower readmission rates..

Medienart:	E-Artikel

Erscheinungsjahr:	2021
Erschienen:	2021

Enthalten in:	Zur Gesamtaufnahme - volume:16
Enthalten in:	Journal of robotic surgery - 16(2021), 2 vom: 25. Mai, Seite 401-407

Sprache:	Englisch

Beteiligte Personen:	Aziz, Hassan [VerfasserIn] Wang, Johnny C. [VerfasserIn] Genyk, Yuri [VerfasserIn] Sheikh, Mohd Raashid [VerfasserIn]

Links:	Volltext [lizenzpflichtig]

Themen:	Hepatectomy outcomes Open liver resection Readmission Robotic liver resection

Anmerkungen:	© The Author(s), under exclusive licence to Springer-Verlag London Ltd., part of Springer Nature 2021

doi:	10.1007/s11701-021-01257-w

funding:
Förderinstitution / Projekttitel:

PPN (Katalog-ID):	OLC2129939651

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520			\|a Abstract Although open resections have been the most prevalent method of hepatectomies in the United States, laparoscopic and robotic methods of liver resection have since gained significant traction. Given the augmenting role of minimally invasive techniques in liver resection, a study that explores and analyzes the surgical outcomes of the approaches mentioned above to liver resection on a national basis is warranted. A retrospective analysis was performed in this study using the 2016–2018 Nationwide Readmissions Database (NRD). Patients who underwent liver resections via one of the following methods were selected and grouped: open, laparoscopic, or robotic. Our primary outcome variable of interest was the 45-day readmission rate. 11,186 patients were included in the analysis. The 45-day readmission rate was 13.5%, 12.9%, and 8.7% in the open, laparoscopic, and robotic groups, respectively (p < 0.001). A significantly lower complication rate (7.3%) was seen in the robotic group than its counterparts (11.4% in open vs. 9.1% in the laparoscopic group). Patients undergoing hepatectomies may benefit from the robotic approach given that it is associated with a shorter hospital length of stay and lower readmission rates.
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Comprehensive analysis of laparoscopic, robotic, and open hepatectomy outcomes using the nationwide readmissions database

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