Defining global benchmarks for robotic liver resections: An international multicenter study.
Goh, Brian K P Sucandy, Iswanto Chua, Darren W Liu, Qu Edwin, Bjørn Aghayan, Davit Millet, Guillaume Ratti, Francesca Zhang, Wanguang Scatton, Olivier
Goh, Brian K P
Sucandy, Iswanto
Chua, Darren W
Liu, Qu
Edwin, Bjørn
Aghayan, Davit
Millet, Guillaume
Ratti, Francesca
Zhang, Wanguang
Scatton, Olivier
Abstract
Objective: This study aimed to establish global benchmark outcomes indicators for robotic liver resections (R-LR).
Background: In recent years, minimally invasive liver resections and in particular R-LR has seen an increase in uptake in recent years. Although, benchmark outcomes have been recently established for laparoscopic (L) -LR, this has not been established for R-LR.
Methods: This is a post hoc analysis of a multicenter database of 5,213 patients undergoing R-LR in 51 international centers between 2016 and 2022. Benchmark cutoffs for 16 outcome indicators of low-risk R-LR were established. The 75 th percentile of individual center medians for a given outcome indicator was set as the benchmark cutoff. Four procedures were selected for benchmarking: left lateral sectionectomy(LLS)/H23, left hepatectomy(LH)/H234±1, right hepatectomy(RH)/H5678±1 and right posterior sectionectomy/H67 (RPS).
Results: There were 1,654 R-LR cases (528 LLS/H23, 432 LH/H234±1, 408 RH/H5678±1, 286 RPS/H67) performed in 24 expert centers, of which 518 (31.3%) R-LR cases qualified as low risk benchmark cases. Benchmark outcomes were established for R-LLS/H23, R-LH/ H234±1, R-RH/ H5678±1 and R-RPS/H67 for operation time (190, 323, 474, 413) min, open conversion rate (0.0, 0.0, 1.3, 0.0)%, estimated blood loss (100, 250, 600, 550) mls, blood transfusion rate (0.0 ,0.0, 20.0, 29.2)%, postoperative major morbidity (0.0 ,0.0, 20.9, 16.7)%, 90-day mortality (0.0, 0.0,0.0, 0.0)% and textbook outcome (12.5,24.3,0,0)%.
Conclusions: The present study established the first global benchmark values for R-LR. It provided an up-to-date reference of best achievable outcomes for auditing and benchmarking.
MIDER Authors
Date
2025-07-25
Type
Article
Subject
Gastroenterology, Surgery
Collections
Citation
Goh BKP, Sucandy I, Chua DW, Liu Q, Edwin B, Aghayan D, Millet G, Ratti F, Zhang W, Scatton O, Coelho FF, Dokmak S, Mazzaferro V, Chiow AKH, Primavesi F, Ivanecz A, Choi SH, Lee JH, Prieto M, Vivarelli M, Giuliante F, Ruzzenente A, Yong CC, Yin M, Fondevila C, Efanov M, Morise Z, Di Benedetto F, Brustia R, Valle RD, Boggi U, Geller D, Belli A, Memeo R, Hasegawa K, Croner RS, Gruttadauria S, Hawksworth J, Park JO, Rotellar F, Choi GH, Robles-Campos R, Wang X, Sutcliffe RP, Krenzien F, Pratschke J, Lai ECH, Chong CCN, Ishizawa T, Monden K, Lopez-Ben S, Kingham TP, Ferrero A, Ettorre GM, Liang X, Mejia A, Marino MV, Swijnenburg RJ, Wakabayashi G, Troisi RI, Cheung TT, Sugioka A, Sugimoto M, Labgaa I, Schmelzle M, Hatano E, Cillo U, Long TCD, Peng Y, Wei Y, Yong Z, El Adel S, Han HS, Soubrane O, Fuks D, Chen KH, D'Hondt M, Abu Hilal M, Aldrighetti L, Liu R; International robotic and laparoscopic liver resection study group investigators. Defining Global Benchmarks for Robotic Liver Resections: An International Multicenter Study. Ann Surg. 2025 Jul 25. doi: 10.1097/SLA.0000000000006852. Epub ahead of print.
Journal / Source Title
Annals of Surgery
DOI
10.1097/SLA.0000000000006852
PMID
40720601
Publisher
Lippincott Williams & Wilkins
Publisher’s URL
https://pmc.ncbi.nlm.nih.gov/journals/?term=0372354
https://journals.lww.com/annalsofsurgery/Pages/default.aspx
https://journals.lww.com/annalsofsurgery/Pages/default.aspx