Objective To evaluate the safety and effectiveness of robotic and laparoscopic left hemi-hepatectomy in the treatment of hepatolithiasis based on enhanced recovery after surgery(ERAS)manage-ment.Methods Clinical data of 103 patients undergoing minimally invasive left hemihepatectomy for hepa-tolithiasis in the Department of Hepatobiliary and Pancreatic Surgery,the First Affiliated Hospital of the Uni-versity of South China from January 2019 to March 2022 were retrospectively analyzed,including 36 males and 67 females,aged(58.9±8.4)years old.Patients were divided into the robotic group(n=38)and laparoscopic group(n=65).Patients in both groups were managed in a fashion of ERAS.The preoperative baseline data,intraoperative conditions,postoperative outcomes of the two groups were compared and ana-lyzed.Results Compared to laparoscopic group,the robotic group were superior in terms of operative time[(196.6±28.8)min vs.(224.1±45.7)min,P=0.001],hilar occlusion time[(35.5±7.3)min vs.(39.4±9.0)min,P=0.025],intraoperative blood loss[100(50,150)ml vs.150(100,165)ml,P=0.001],resumption of enteral nutrition time[(2.03±0.82)d vs.(2.40±0.79)d,P=0.024],intrap-eritoneal indwelling drain removal time[(7.79±2.04)d vs.(8.68±1.55)d,P=0.024],and postop-erative hospital stay[(10.24±3.40)d vs.(12.32±4.90)d,P=0.013].Results were comparable between the two groups in terms of conversion rate,blood transfusion rate,changes in postoperative blood biochemical results and incidence of postoperative complications(all P＞0.05).Conclusion Compared to laparoscopic procedure,robotic left hemihepatectomy showed favorable results in the ERAS-based treatment of hepatolithiasis.
Enhanced recovery after surgeryHepatolithiasisLeft hemihepatectomyRobotic surgeryLaparoscopic surgery
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