Risk Factors and Outcomes of Open Conversion During Minimally Invasive Major Hepatectomies: An International Multicenter Study on 3880 Procedures Comparing the Laparoscopic and Robotic Approaches.
Roberto MontaltiMariano Cesare GiglioAndrew G R WuFederica CiprianiMizelle D'SilvaAmal SuhoolPhan Phuoc NghiaYutaro KatoChetana LimPaulo HermanFabricio Ferreira CoelhoMoritz SchmelzleJohann PratschkeDavit L AghayanQiu LiuMarco V MarinoAndrea BelliAdrian K H ChiowIswanto SucandyArpad IvaneczFabrizio Di BenedettoSung Hoon ChoiJae Hoon LeeJames O ParkMikel PrietoYoelimar GuzmanConstantino FondevilaMikhail EfanovFernando RotellarGi-Hong ChoiRicardo Robles-CamposXiaoying WangRobert P SutcliffeChung Ngai TangCharing C ChongMathieu D'HondtBernardo Dalla ValleAndrea RuzzenenteT Peter KinghamOlivier ScattonRong LiuAlejandro MejiaKohei MishimaGo WakabayashiSantiago Lopez-BenFranco PascualDaniel CherquiFabio ForchinoAlessandro FerreroGiuseppe Maria EttorreGiovanni Battista Levi SandriAtsushi SugiokaBjørn EdwinTan-To CheungTran Cong Duy LongMohammad Abu HilalLuca AldrighettiDavid FuksHo-Seong HanRoberto I TroisiBrian Kim Poh Gohnull nullPublished in: Annals of surgical oncology (2023)
Multiple risk factors are associated with conversion. Converted cases, especially those due to intraoperative bleeding, have unfavorable outcomes. Robotic assistance seemed to increase the feasibility of the MI approach, but converted robotic procedures showed inferior outcomes compared with converted laparoscopic procedures.