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Robotic Versus Laparoscopic Liver Resection for Hepatocellular Carcinoma

Completed
Conditions
Hepatocellular Carcinoma
Registration Number
NCT06496113
Lead Sponsor
Ente Ospedaliero Cantonale, Bellinzona
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.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
196
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.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Overall survivalFrom 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.
Recurrence-free survivalFrom 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.

Secondary Outcome Measures
NameTimeMethod
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