Conversion in Minimally Invasive Liver Surgery: The Impact of Conversion Urgency and Surgical Approach - PubMed
7 hours ago
- #Robotic vs Laparoscopic
- #Surgical Conversion
- #Minimally Invasive Liver Surgery
- Conversion in minimally invasive liver surgery (MILS) forfeits benefits but its additional risk is uncertain.
- Study evaluates outcomes of emergency vs. elective conversions in robotic (RLR) and laparoscopic liver resection (LLR).
- Emergency conversions linked to higher blood loss, transfusion rates, severe morbidity, and mortality compared to open surgery.
- Elective conversions appear safe, emphasizing the importance of timely and controlled conversion.
- No significant differences in perioperative outcomes between RLR and LLR conversions, but RLR had higher mortality (7.7%).
- Risk factors for RLR conversion: bilobar disease and anatomically major resection.
- Risk factors for LLR conversion: cirrhosis, previous liver surgery, tumor size, technical complexity, and anatomically major resection.
- Further investigation into the safety of robotic conversions is needed.