UNASSIGNED: We analyzed prospective databases of Pineta Grande Hospital (Castel Volturno) and Robotic Surgical Units (Foligno-Spoleto and Arezzo) from 2011 to 2021. A 1:1 propensity score matching (PSM) was performed according to baseline characteristics of patients, solitary/multiple CRLM, anterolateral/posterosuperior location.
UNASSIGNED: 383 patients accepted to be part of the study (268 ORL and 115 RLR). After PSM, 45 patients from each group were included. Conversion rate was 8.89 %. RLR group had a significantly lower blood loss (226 vs. 321 ml; p=0.0001), and fewer major complications (13.33 % vs. 17.78 %; p=0.7722). R0 resection was obtained in 100% of OLR (vs.95.55%, p =0.4944. Hospital stay was 8.8 days in RLR (vs. 15; p=0.0001).Conclusion: H&S represents a safe and effective program to train general surgeons also in Hepatobiliary surgery providing R0 resection rate, blood loss volume and morbidity rate superimposable to referral centers. Furthermore, H&S allow a reduction of health mobility with consequent money saving for patients and institutions.
■我们分析了2011年至2021年PinetaGrande医院(CastelVolturno)和机器人外科手术单位(Foligno-Spoleto和Arezzo)的前瞻性数据库。根据患者的基线特征进行1:1倾向评分匹配(PSM),孤立/多重CRLM,前外侧/后上位置。
■383名患者被接受为研究的一部分(268ORL和115RLR)。PSM之后,每组45例患者。转化率为8.89%。RLR组的失血量明显降低(226vs.321毫升;p=0.0001),和较少的主要并发症(13.33%vs.17.78%;p=0.7722)。在100%的OLR中获得了R0切除(vs.95.55%,p=0.4944。在RLR中住院时间为8.8天(与15;p=0.0001)。结论:H&S代表了一种安全有效的计划,可以在提供R0切除率的肝胆外科手术中培训普通外科医生,转诊中心可叠加的失血量和发病率。此外,H&S可以减少健康流动性,从而为患者和机构节省资金。