Robot-assisted and open resections for perihilar cholangiocarcinoma. Comparative analysis of the immediate outcomes
M. G. Efanov,
R. B. Alikhanov,
I. V. Kazakov,
A. N. Vankovich,
O. V. Melekhina,
Yu. V. Kulezneva,
N. I. Elizarova,
A. A. Koroleva,
D. E. Kovalenko,
V. V. Tsvirkun https://doi.org/10.16931/1995-5464.2020460-70
Abstract
Background. Minimally invasive radical surgery for perihilar cholangiocarcinoma is in its early stages.
Aim. A comparative analysis of the initial experience of robot-assisted and open resections for perihilar cholangiocarcinoma.
Material and methods. The single-center experience, accumulated over the period from 2014 to 2018, is analyzed. Robot-assisted procedures included major liver resection and caudate lobectomy with extrahepatic bile duct resection and lymphadenectomy. The need for vascular reconstruction was considered a contraindication to surgery.
Results. Thirteen robot-assisted resections were performed. The perihilar cholangiocarcinoma was confirmed by pathologic examination in 10 patients. The immediate outcomes were compared with that in 88 open procedures. There were no significant differences in blood loss, the rate of severe morbidity, mortality, and hospital stay. The duration of the robot-assisted surgical resections was significantly longer.
Conclusion. Analysis of initial experience justifies the robotic approach for radical resection in highly selected patients.
About the Authors
M. G. Efanov
Loginov Moscow Clinical Scientific Center, Department of Health of Moscow
Russian Federation
Russian Federation
Mikhail G. Efanov – Doct. of Sci. (Med.), Head of the Department of Hepatopancreatobiliary Surgery
86, Moscow, 11123, Phone: +7-916-105-88-30
R. B. Alikhanov
Loginov Moscow Clinical Scientific Center, Department of Health of Moscow
Russian Federation
Russian Federation
Ruslan B. Alikhanov – Cand. of Sci. (Med.), Head of the Division of Hepatopancreatobiliary Surgery
86, Shosse Entuziastov, 111123
I. V. Kazakov
Loginov Moscow Clinical Scientific Center, Department of Health of Moscow
Russian Federation
Russian Federation
Ivan V. Kazakov – Cand. of Sci. (Med.), Senior Researcher of the Division of Hepatopancreatobiliary Surgery
86, Shosse Entuziastov, 111123
A. N. Vankovich
Loginov Moscow Clinical Scientific Center, Department of Health of Moscow
Russian Federation
Russian Federation
Andrey N. Vankovich – Cand. of Sci. (Med.), Senior Researcher of the Division of Hepatopancreatobiliary Surgery
86, Shosse Entuziastov, 111123
O. V. Melekhina
Loginov Moscow Clinical Scientific Center, Department of Health of Moscow
Russian Federation
Russian Federation
Olga V. Melekhina – Cand. of Sci. (Med.), Senior Researcher of the Department of Interventional Radiology
86, Shosse Entuziastov, 111123
Yu. V. Kulezneva
Loginov Moscow Clinical Scientific Center, Department of Health of Moscow
Russian Federation
Russian Federation
Yulia V. Kulezneva – Doct. of Sci. (Med.), Professor, Head of the Department of Interventional Radiology
86, Shosse Entuziastov, 111123
N. I. Elizarova
Loginov Moscow Clinical Scientific Center, Department of Health of Moscow
Russian Federation
Russian Federation
Natalia I. Elizarova – Researcher of the Division of Hepatopancreatobiliary Surgery
86, Shosse Entuziastov, 111123
A. A. Koroleva
Loginov Moscow Clinical Scientific Center, Department of Health of Moscow
Russian Federation
Russian Federation
Anna A. Koroleva – Cand. of Sci. (Med.), Senior Researcher of the Division of Hepatopancreatobiliary Surgery
86, Shosse Entuziastov, 111123
D. E. Kovalenko
Loginov Moscow Clinical Scientific Center, Department of Health of Moscow
Russian Federation
Russian Federation
Dmitry E. Kovalenko – Researcher of the Division of Hepatopancreatobiliary Surgery
86, Shosse Entuziastov, 111123
V. V. Tsvirkun
Loginov Moscow Clinical Scientific Center, Department of Health of Moscow
Russian Federation
Russian Federation
Victor V. Tsvirkun – Doct. of Sci. (Med.), Professor, Chief Researcher
86, Shosse Entuziastov, 111123
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Review
For citations:
Efanov M.G., Alikhanov R.B., Kazakov I.V., Vankovich A.N., Melekhina O.V., Kulezneva Yu.V., Elizarova N.I., Koroleva A.A., Kovalenko D.E., Tsvirkun V.V. Robot-assisted and open resections for perihilar cholangiocarcinoma. Comparative analysis of the immediate outcomes. Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2020;25(4):60-70. (In Russ.) https://doi.org/10.16931/1995-5464.2020460-70
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