{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T12:10:36Z","timestamp":1790079036562,"version":"4.0.1"},"reference-count":29,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T00:00:00Z","timestamp":1778716800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T00:00:00Z","timestamp":1778716800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100018828","name":"Intuitive Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100018828","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Hepato Biliary Pancreat"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Laparoscopic right hepatectomy (L\u2010RH) is a technically complex procedure, characterized by diverse tumor presentations and anatomical variations. While the Iwate Difficulty Scoring System (I\u2010DSS) is widely utilized to assess technical difficulty in laparoscopic liver resections, its predictive value for surgical outcomes in L\u2010RH remains unclear. This study aimed to evaluate the clinical utility of the I\u2010DSS specifically in the context of L\u2010RH.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This international, multicenter study included 1732 patients who underwent L\u2010RH at 78 centers between 2005 and 2023. Baseline clinicopathological characteristics and surgical outcomes were collected and analyzed based on I\u2010DSS grades. Multivariable analyses were performed to adjust for potential confounders.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Patients were categorized into three I\u2010DSS grades: intermediate (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200913), advanced (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009355), and expert (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20091364). Unadjusted analysis showed that higher I\u2010DSS grades were associated with shorter operation time and increased morbidity. However, after adjustment for baseline factors, no significant differences were observed across I\u2010DSS grades in terms of intra\u2010 and postoperative outcomes, including operation time, blood loss, transfusion, morbidity, mortality, and surgical margin positivity.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The I\u2010DSS has limited ability to stratify technical difficulty in L\u2010RH. Future studies should be undertaken to develop a new difficulty classification system tailored specifically to specific procedures such as L\u2010RH.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jhbp.70127","type":"journal-article","created":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T07:25:49Z","timestamp":1778743549000},"page":"670-679","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Utility of the Iwate Difficulty Scoring System for the Stratification of Laparoscopic Right Hepatectomies: An International Multicenter Study"],"prefix":"10.1002","volume":"33","author":[{"given":"Motokazu","family":"Sugimoto","sequence":"first","affiliation":[{"name":"Department of Hepatobiliary and Pancreatic Surgery National Cancer Center Hospital East  Kashiwa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yun","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Hepatopancreatobiliary and Transplant Surgery Singapore General Hospital and National Cancer Centre Singapore  Singapore Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4468-5844","authenticated-orcid":false,"given":"Naoto","family":"Gotohda","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary and Pancreatic Surgery National Cancer Center Hospital East  Kashiwa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hwee\u2010Leong","family":"Tan","sequence":"additional","affiliation":[{"name":"Department of Hepatopancreatobiliary and Transplant Surgery Singapore General Hospital and National Cancer Centre Singapore  Singapore Singapore"},{"name":"Academic Surgery Program Duke\u2010NUS Medical School  Singapore Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ye\u2010Xin","family":"Koh","sequence":"additional","affiliation":[{"name":"Department of Hepatopancreatobiliary and Transplant Surgery Singapore General Hospital and National Cancer Centre Singapore  Singapore Singapore"},{"name":"Academic Surgery Program Duke\u2010NUS Medical School  Singapore Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Davit L.","family":"Aghayan","sequence":"additional","affiliation":[{"name":"The Intervention Centre and Department of HPB Surgery, Oslo University Hospital, Institute of Clinical Medicine University of Oslo  Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cheng","family":"Yao","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary Surgery The Second Affiliated Hospital of Chongqing Medical University  Chongqing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takeashi","family":"Ishizawa","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary Pancreatic Surgery Osaka Metropolitan University Graduate School of Medicine  Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8108-9064","authenticated-orcid":false,"given":"Francesca","family":"Ratti","sequence":"additional","affiliation":[{"name":"Hepatobiliary Surgery Division IRCCS San Raffaele Hospital  Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3184-9907","authenticated-orcid":false,"given":"Wanguang","family":"Zhang","sequence":"additional","affiliation":[{"name":"Hepatic Surgery Center and Hubei Key Laboratory of Hepato\u2010Biliary\u2010Pancreatic Diseases, Tongji Hospital, Tongji Medical College Huazhong University of Science and Technology  Wuhan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olivier","family":"Scatton","sequence":"additional","affiliation":[{"name":"Department of Digestive, HBP and Liver Transplantation, Hopital Pitie\u2010Salpetriere Sorbonne Universite  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabricio Ferreira","family":"Coelho","sequence":"additional","affiliation":[{"name":"Liver Surgery Unit, Department of Gastroenterology University of Sao Paulo School of Medicine  Sao Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Safi","family":"Dokmak","sequence":"additional","affiliation":[{"name":"Department of HPB Surgery and Liver Transplantation, Beaujon Hospital University Paris Cite  Clichy France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincenzo","family":"Mazzaferro","sequence":"additional","affiliation":[{"name":"HPB Surgery and Liver Transplantation Fondazione IRCCS Istituto Nazionale Tumori di Milano and University of Milan  Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adrian K. H.","family":"Chiow","sequence":"additional","affiliation":[{"name":"Hepatopancreatobiliary Unit, Department of Surgery Changi General Hospital  Singapore Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Iswanto","family":"Sucandy","sequence":"additional","affiliation":[{"name":"Digestive Health Institute AdventHealth Tampa  Tampa Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arpad","family":"Ivanecz","sequence":"additional","affiliation":[{"name":"Department of Abdominal and General Surgery University Medical Center Maribor  Maribor Slovenia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sung\u2010Hoon","family":"Choi","sequence":"additional","affiliation":[{"name":"Department of General Surgery, CHA Bundang Medical Center CHA University School of Medicine  Seongnam Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jae Hoon","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Hepato\u2010Biliary and Pancreatic Surgery, Asan Medical Center University of Ulsan College of Medicine  Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mikel","family":"Prieto","sequence":"additional","affiliation":[{"name":"Hepatobiliary Surgery and Liver Transplantation Unit, Biobizkaia Health Research Institute, Cruces University Hospital University of the Basque Country  Bilbao Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Vivarelli","sequence":"additional","affiliation":[{"name":"HPB Surgery and Transplantation Unit, United Hospital of Ancona, Department of Experimental and Clinical Medicine Polytechnic University of Marche  Ancona Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Felice","family":"Giuliante","sequence":"additional","affiliation":[{"name":"Hepatobiliary Surgery Unit, Fondazione Policlinico Universitario A. Gemelli, IRCCS Catholic University of the Sacred Heart  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Ruzzenente","sequence":"additional","affiliation":[{"name":"General and Hepatobiliary Surgery, Department of Surgery, Dentistry, Gynecology and Pediatrics University of Verona GB Rossi Hospital  Verona Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chee\u2010Chien","family":"Yong","sequence":"additional","affiliation":[{"name":"Department of Surgery Chang Gung Memorial Hospital  Kaohsiung Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mengqiu","family":"Yin","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary Surgery, Affiliated Jinhua Hospital Zhejiang University School of Medicine  Jinhua China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Constantino","family":"Fondevila","sequence":"additional","affiliation":[{"name":"General and Digestive Surgery Hospital Clinic, IDIBAPS, CIBERehd, University of Barcelona  Barcelona Spain"},{"name":"General and Digestive Surgery Hospital Universitario La Paz, IdiPAZ, CIBERehd  Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mikhail","family":"Efanov","sequence":"additional","affiliation":[{"name":"Department of Hepato\u2010Pancreato\u2010Biliary Surgery Moscow Clinical Scientific Center  Moscow Russia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zenichi","family":"Morise","sequence":"additional","affiliation":[{"name":"Department of Surgery, Okazaki Medical Center Fujita Health University School of Medicine  Okazaki Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabrizio","family":"Di Benedetto","sequence":"additional","affiliation":[{"name":"HPB Surgery and Liver Transplant Unit University of Modena and Reggio Emilia  Modena Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6426-9533","authenticated-orcid":false,"given":"Raffaele","family":"Brustia","sequence":"additional","affiliation":[{"name":"Department of Digestive and Hepatobiliary and Pancreatic Surgery, AP\u2010HP Henri\u2010Mondor Hospital  Creteil France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raffaele","family":"Dalla Valle","sequence":"additional","affiliation":[{"name":"Hepatobiliary Surgery Unit, Department of Medicine and Surgery University of Parma  Parma Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ugo","family":"Boggi","sequence":"additional","affiliation":[{"name":"Division of General and Transplant Surgery University of Pisa  Pisa Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Geller","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Hepatobiliary and Pancreatic Surgery University of Pittsburgh Medical Center  Pittsburgh Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Belli","sequence":"additional","affiliation":[{"name":"Department of Abdominal Oncology, Division of Hepatopancreatobiliary Surgical Oncology National Cancer Center \u2013 IRCCS\u2010G. Pascale  Naples Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Riccardo","family":"Memeo","sequence":"additional","affiliation":[{"name":"Department of Hepato\u2010Pancreatc\u2010Biliary Surgery \u201cF. Miulli\u201d General Regional Hospital, Acquaviva delle Fonti  Bari Italy"},{"name":"Department of Medicine and Surgery LUM University  Bari Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kiyoshi","family":"Hasegawa","sequence":"additional","affiliation":[{"name":"Hepato\u2010Biliary\u2010Pancreatic Surgery Division, Department of Surgery, Graduate School of Medicine The University of Tokyo  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roland S.","family":"Croner","sequence":"additional","affiliation":[{"name":"Department of General, Visceral, Vascular and Transplant Surgery University Hospital Magdeburg  Magdeburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9684-8035","authenticated-orcid":false,"given":"Salvatore","family":"Gruttadauria","sequence":"additional","affiliation":[{"name":"Department for the Treatment and Study of Abdominal Diseases and Abdominal Transplantation, Istituto di Ricovero e Cura a Carattere Scientifico\u2010Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione (IRCCS\u2010ISMETT) University of Pittsburgh Medical Center Italy  Palermo Italy"},{"name":"Department of General Surgery and Medical Surgical Specialties University of Catania  Catania Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason","family":"Hawksworth","sequence":"additional","affiliation":[{"name":"MedStar Georgetown Transplant Institute, 2 PHC Medstar Georgetown University Hospital  Washington DC USA"},{"name":"Department of Abdominal Transplantation and Hepatobiliary Surgery Columbia University, Irving Medical Center  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James O.","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Surgery University of Washington Medical Center  Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fernando","family":"Rotellar","sequence":"additional","affiliation":[{"name":"HPB and Liver Transplant Unit, Department of General Surgery, Clinica Universidad de Navarra Universidad de Navarra  Pamplona Spain"},{"name":"Institute of Health Research of Navarra (IdisNA)  Pamplona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1593-3773","authenticated-orcid":false,"given":"Gi\u2010Hong","family":"Choi","sequence":"additional","affiliation":[{"name":"Division of Hepatopancreatobiliary Surgery, Department of Surgery, Severance Hospital Yonsei University College of Medicine  Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ricardo","family":"Robles\u2010Campos","sequence":"additional","affiliation":[{"name":"Department of General, Visceral and Transplantation Surgery Clinic and University Hospital Virgen de la Arrixaca, IMIB\u2010ARRIXACA  Murcia Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoying","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Liver Surgery and Transplantation, Liver Cancer Institute, Zhongshan Hospital Fudan University  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert P.","family":"Sutcliffe","sequence":"additional","affiliation":[{"name":"Department of Hepatopancreatobiliary and Liver Transplant Surgery University Hospitals Birmingham NHS Foundation Trust  Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johann","family":"Pratschke","sequence":"additional","affiliation":[{"name":"Department of Surgery, Campus Charit\u00e9 Mitte and Campus Virchow\u2010Klinikum Charit\u00e9\u2010Universit\u00e4tsmedizin, Corporate Member of Freie Universit\u00e4t Berlin, and Berlin Institute of Health  Berlin Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chung\u2010Ngai","family":"Tang","sequence":"additional","affiliation":[{"name":"Department of Surgery Pamela Youde Nethersole Eastern Hospital  Hong Kong SAR China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charing C. N.","family":"Chong","sequence":"additional","affiliation":[{"name":"Department of Surgery, Prince of Wales Hospital The Chinese University of Hong Kong  Hong Kong SAR China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mathieu","family":"D'Hondt","sequence":"additional","affiliation":[{"name":"Department of Digestive and Hepatobiliary\/Pancreatic Surgery Groeninge Hospital  Kortrijk Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuteru","family":"Monden","sequence":"additional","affiliation":[{"name":"Department of Surgery Fukuyama City Hospital  Hiroshima Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Santiago","family":"Lopez\u2010Ben","sequence":"additional","affiliation":[{"name":"Hepatobiliary and Pancreatic Surgery Unit, Department of Surgery Dr. Josep Trueta Hospital, IdIBGi  Girona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T. Peter","family":"Kingham","sequence":"additional","affiliation":[{"name":"Department of Surgery Memorial Sloan Kettering Cancer Center  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandro","family":"Ferrero","sequence":"additional","affiliation":[{"name":"Department of General and Oncological Surgery Mauriziano Hospital  Turin Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppe Maria","family":"Ettorre","sequence":"additional","affiliation":[{"name":"Division of General Surgery and Liver Transplantation San Camillo Forlanini Hospital  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Cherqui","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary Surgery, Assistance Publique Hopitaux de Paris, Centre Hepato\u2010Biliaire Paul\u2010Brousse Hospital  Villejuif France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiao","family":"Liang","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Sir Run\u2010Run Shaw Hospital Zhejiang University School of Medicine  Hangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rutger\u2010Jan","family":"Swijnenburg","sequence":"additional","affiliation":[{"name":"Department of Surgery, Amsterdam University Medical Center University of Amsterdam  Amsterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Go","family":"Wakabayashi","sequence":"additional","affiliation":[{"name":"Center for Advanced Treatment of Hepatobiliary and Pancreatic Diseases Ageo Central General Hospital  Saitama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberto I.","family":"Troisi","sequence":"additional","affiliation":[{"name":"Department of Clinical Medicine and Surgery, Division of HPB, Minimally Invasive and Robotic Surgery Federico II University Hospital Naples  Naples Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tan\u2010To","family":"Cheung","sequence":"additional","affiliation":[{"name":"Department of Surgery, Queen Mary Hospital The University of Hong Kong  Hong Kong SAR China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Atsushi","family":"Sugioka","sequence":"additional","affiliation":[{"name":"Department of Surgery Fujita Health University School of Medicine  Toyoake Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6310-0795","authenticated-orcid":false,"given":"Masaki","family":"Ueno","sequence":"additional","affiliation":[{"name":"Second Department of Surgery Wakayama Medical University Hospital  Wakayama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8725-3494","authenticated-orcid":false,"given":"Gaetan\u2010Romain","family":"Joliat","sequence":"additional","affiliation":[{"name":"Department of Visceral Surgery, Lausanne University Hospital CHUV University of Lausanne (UNIL)  Lausanne Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moritz","family":"Schmelzle","sequence":"additional","affiliation":[{"name":"Department of General, Visceral and Transplant Surgery Hannover Medical School  Hannover Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3407-1918","authenticated-orcid":false,"given":"Etsuro","family":"Hatano","sequence":"additional","affiliation":[{"name":"Division of Hepato\u2010Biliary\u2010Pancreatic Surgery and Transplantation, Department of Surgery, Graduate School of Medicine Kyoto University  Kyoto Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alejandro","family":"Mejia","sequence":"additional","affiliation":[{"name":"The Liver Institute Methodist Dallas Medical Center  Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco V.","family":"Marino","sequence":"additional","affiliation":[{"name":"General Surgery Department Azienda Ospedaliera Ospedali Riuniti Villa Sofia\u2010Cervello  Palermo Italy"},{"name":"Oncologic Surgery Department P. Giaccone University Hospital  Palermo Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Umberto","family":"Cillo","sequence":"additional","affiliation":[{"name":"Department of Surgical, Oncology and Gastroenterological Sciences (DiSCOG) University of Padua  Padua Italy"},{"name":"General Surgery, Hepato\u2010Pancreato\u2010Biliary Surgery and Liver Transplantation Unit Padua University Hospital  Padua Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2775-5863","authenticated-orcid":false,"given":"Chengzhan","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary and Pancreatic Surgery The Affiliated Hospital of Qingdao University  Qingdao China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zha","family":"Yong","sequence":"additional","affiliation":[{"name":"Hepatobiliary Pancreatic Surgery, Yunnan Cancer Hospital, The Third Affiliated Hospital of Kunming Medical University Peking University Cancer Hospital Yunnan  Kunming China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guillaume","family":"Millet","sequence":"additional","affiliation":[{"name":"Department of Digestive Surgery and Transplantation Lille University Hospital  Lille France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guido","family":"Torzilli","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary and General Surgery Humanitas Research Hospital \u2013 IRCCS  Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3006-2531","authenticated-orcid":false,"given":"Decai","family":"Yu","sequence":"additional","affiliation":[{"name":"Hepatobiliary and Pancreatic Center &amp; Liver Transplantation Center, The Affiliated Drum Tower Hospital, School of Medicine Nanjing University  Nanjing People's Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tran Cong Duy","family":"Long","sequence":"additional","affiliation":[{"name":"Department of Hepatopancreatobiliary Surgery, University Medical Center University of Medicine and Pharmacy  Ho Chi Minh City Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yufu","family":"Peng","sequence":"additional","affiliation":[{"name":"Division of Liver Surgery, Department of General Surgery, West China Hospital Sichuan University  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yonggang","family":"Wei","sequence":"additional","affiliation":[{"name":"Division of Liver Surgery, Department of General Surgery, West China Hospital Sichuan University  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rong","family":"Liu","sequence":"additional","affiliation":[{"name":"Faculty of Hepatopancreatobiliary Surgery The First Medical Center of Chinese People's Liberation Army (PLA) General Hospital  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ho\u2010Seong","family":"Han","sequence":"additional","affiliation":[{"name":"Department of Surgery, Seoul National University Hospital Bundang Seoul National University College of Medicine  Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olivier","family":"Soubrane","sequence":"additional","affiliation":[{"name":"Department of Digestive, Oncologic and Metabolic Surgery, Institute Mutualiste Montsouris Universite Paris Descartes  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Fuks","sequence":"additional","affiliation":[{"name":"Department of Digestive, Oncologic and Metabolic Surgery, Institute Mutualiste Montsouris Universite Paris Descartes  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kuo\u2010Hsin","family":"Chen","sequence":"additional","affiliation":[{"name":"Division of General Surgery, Department of Surgery Far Eastern Memorial Hospital  New Taipei City Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad","family":"Abu Hilal","sequence":"additional","affiliation":[{"name":"Department of Surgery, School of Medicine The University of Jordan  Amman Jordan"},{"name":"Department of Surgery University Hospital Southampton  Southampton UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luca","family":"Aldrighetti","sequence":"additional","affiliation":[{"name":"Hepatobiliary Surgery Division IRCCS San Raffaele Hospital  Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bj\u00f8rn","family":"Edwin","sequence":"additional","affiliation":[{"name":"The Intervention Centre and Department of HPB Surgery, Oslo University Hospital, Institute of Clinical Medicine University of Oslo  Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8218-4576","authenticated-orcid":false,"given":"Brian K. P.","family":"Goh","sequence":"additional","affiliation":[{"name":"Department of Hepatopancreatobiliary and Transplant Surgery Singapore General Hospital and National Cancer Centre Singapore  Singapore Singapore"},{"name":"Academic Surgery Program Duke\u2010NUS Medical School  Singapore Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"International Robotic and Laparoscopic Liver Resection Study Group Investigators","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,14]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/sla.0b013e3181b3b2d8"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000001184"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2006.11.044"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00534\u2010009\u20100118\u20102"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000001413"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000002524"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11605\u2010011\u20101468\u2010z"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.11350"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/jhbp.1232"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/jhbp.405"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/jhbp.166"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.21037\/hbsn.2016.03.03"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1159\/000481834"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejso.2025.109597"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010017\u20105864\u20107"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.10821"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1093\/bjs\/znab096"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000133083.54934.ae"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13304\u2010019\u201000658\u20109"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.9798"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1002\/jhbp.1279"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejso.2021.08.019"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1002\/jhbp.1323"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434\u2010023\u201013863\u2010z"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.3978\/j.issn.2304\u20103881.2015.06.06"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000004434"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00595\u2010019\u201001809\u20106"},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.1097\/AS9.0000000000000191"},{"key":"e_1_2_8_30_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm13195686"}],"container-title":["Journal of Hepato-Biliary-Pancreatic Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jhbp.70127","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/jhbp.70127","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jhbp.70127","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T11:30:23Z","timestamp":1790076623000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jhbp.70127"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,14]]},"references-count":29,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1002\/jhbp.70127"],"URL":"https:\/\/doi.org\/10.1002\/jhbp.70127","archive":["Portico"],"relation":{},"ISSN":["1868-6974","1868-6982"],"issn-type":[{"value":"1868-6974","type":"print"},{"value":"1868-6982","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,14]]},"assertion":[{"value":"2026-01-18","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-28","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-14","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}