Hepatocellular Carcinoma
Conditions
Brief summary
The objective of the study is to investigate the long-term outcomes of minimally invasive liver surgery (robotic vs laparoscopic) for hepatocellular carcinoma patients of stage BCLC 0-A. Data from two tertiary centers for liver surgery will be retrospectively reviewed. Patients will be divided in two cohorts (robot; laparoscopy). The primary endpoint will be recurrence-free and overall survival; secondary endpoints were incidence, pattern, and treatment of recurrences.
Interventions
Patients underwent liver resection either by robotic or laparoscopic approach
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients undergoing robotic and laparoscopic resections * Histology-confirmed HCC of stage BCLC 0-A * Preserved liver function (Child score A-B) * Patients \>18 years old
Exclusion criteria
* Hand-assisted procedures * Non-elective surgery * Intraoperative switch to locoregional therapies (like radiofrequency or microwave ablation) * Non-histologically confirmed HCC * Mixed hepato-cholangiocarcinoma.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Recurrence-free survival | From the date of liver resection until the first documented HCC progression on follow-up imaging, assessed up to 116 months. The Minimum follow-up accepted was of 3 months postoperatively. | Recurrence was dated at the first HCC detection on follow-up imaging. |
| Overall survival | From the date of liver resection until the date of death for any cause or the last follow-up available whichever came first, assessed up to 116 months. The Minimum follow-up accepted was of 3 months postoperatively. | — |