Comparison of robotic liver resection in obese vs. non-obese patients: a multicentric propensity score-matched analysis of perioperative outcomes.

Obesity poses unique challenges in liver surgery, potentially affecting perioperative outcomes. While laparoscopic liver resection (LLR) has demonstrated clear benefits over open surgery, evidence regarding the impact of body mass index (BMI) on robotic liver resection (RLR) outcomes remains limited. This study aims to evaluate the influence of BMI on perioperative outcomes following RLR.

Patterns of Site and Timing of Recurrence After Curative Resection in Single and Multiple Large Hepatocellular Carcinoma: A Multicenter International Comprehensive Analysis.

Background: Curative options for large hepatocellular carcinoma (LHCC) are limited because of the high risk of early and extrahepatic recurrence. However, only a few studies report data on long-term outcomes in large cohorts of resected LHCC. We therefore investigated timing and site of recurrence of LHCC and assessed factors strictly associated with adverse patterns.

How do it: tips and tricks during full-robotic pancreaticoduodenectomy.

Robotic pancreaticoduodenectomy (RPD) is increasingly recognized as a standard procedure due to its minimally invasive nature and associated benefits such as reduced blood loss and faster recovery. This paper presents a set of tips and tricks, focusing on the management of pancreatic and biliary sections, the application of the falciform ligament for vascular protection, and the precise positioning of drainage systems. Key strategies include the use of 4/0 PDS stitches to control pancreatic vessel bleeding, preventing ischemia by refraining from the use of energy during pancreas dissection, and ensuring optimal drainage placement.

Laparoscopic versus open liver resection for large (≥ 5 cm) hepatocellular carcinoma in elderly patients: a multicenter propensity score-matched study.

The outcomes of laparoscopic liver resection (LLR) for large (≥ 5 cm) hepatocellular carcinoma (HCC) in elderly (≥ 70 years old) patients have not been deeply investigated so far. The aim of the study was to compare short- and long-term results of LLR vs. open liver resection (OLR) in this setting.