{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T13:57:10Z","timestamp":1790344630762,"version":"4.1.0"},"reference-count":46,"publisher":"Springer Science and Business Media LLC","issue":"3","license":[{"start":{"date-parts":[[2025,2,4]],"date-time":"2025-02-04T00:00:00Z","timestamp":1738627200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,2,4]],"date-time":"2025-02-04T00:00:00Z","timestamp":1738627200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100030993","name":"Universit\u00e0 della Svizzera italiana","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100030993","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Surg Endosc"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Background<\/jats:title>\n            <jats:p>Robotic (RLR) and laparoscopic liver resection (LLR) for hepatocellular carcinoma (HCC) provide similar short-term outcomes, but data focused on recurrence and survival are still lacking. We hypothesized non-inferior oncologic results of RLR compared to LLR for HCC of stage BCLC 0-A.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>RLRs and LLRs on patients with HCC of stage BCLC 0-A and preserved liver function (Child A or B if cirrhosis) were retrospectively reviewed. Propensity score matching (PSM) was used to mitigate selection bias. The primary endpoints were recurrence-free (RFS) and overall survival (OS); secondary endpoints were incidence, pattern, and treatment of recurrences.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>After 1:1 PSM, two groups (RLR\u2009=\u200968; LLR\u2009=\u200968) of patients with similar characteristics, liver function and HCC features were obtained: median age 71-years, males 73.5%, underlying cirrhosis 91.2% (Child A, 96.8%, MELD\u2009\u2264\u20099, 96.0%), portal hypertension 22.1%, single-HCC 90.4%. Two- and 5-year RFS were 78.0 vs 59.0% and 54.0 vs 53.0% (<jats:italic>p<\/jats:italic>\u2009=\u20090.107), while OS was 97.0 vs 90.0% and 87.0 vs 90.0% (<jats:italic>p<\/jats:italic>\u2009=\u20090.951) for RLR vs LLR, respectively. Incidence of HCC recurrence was similar (35.3 vs 39.7%; <jats:italic>p<\/jats:italic>\u2009=\u20090.723). Recurrences developed mostly within the liver (29.4 vs 30.9%; <jats:italic>p<\/jats:italic>\u2009=\u20091.000) and within 2 years after hepatectomy (19.1 vs 32.4%, <jats:italic>p<\/jats:italic>\u2009=\u20090.116) in RLR vs LLRs. Curative-intent treatment of recurrences did not differ (liver transplantation 19.6%, redo-resection 15.7%, locoregional treatments 52.9%) except for a tendency toward more redo-resections for recurrences after RLR.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p>Oncologic outcomes of RLR were not inferior to those of LLR in selected HCC patients of stage BCLC 0-A with underlying cirrhosis. Both techniques guaranteed similar salvageability in case of HCC recurrence.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1007\/s00464-025-11553-3","type":"journal-article","created":{"date-parts":[[2025,2,4]],"date-time":"2025-02-04T19:40:24Z","timestamp":1738698024000},"page":"2116-2128","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Recurrence and survival after robotic vs laparoscopic liver resection in very-early to early-stage (BCLC 0-A) hepatocellular carcinoma"],"prefix":"10.1007","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0272-7559","authenticated-orcid":false,"given":"Lorenzo","family":"Bernardi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emanuele","family":"Balzano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raffaello","family":"Roesel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annamaria","family":"Senatore","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniele","family":"Pezzati","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriele","family":"Catalano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Luisa","family":"Garo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giovanni","family":"Tincani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pietro","family":"Majno-Hurst","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Davide","family":"Ghinolfi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandra","family":"Cristaudi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,2,4]]},"reference":[{"key":"11553_CR1","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1002\/jhbp.869","volume":"29","author":"R Ciria","year":"2022","unstructured":"Ciria R, Berardi G, Alconchel F et al (2022) The impact of robotics in liver surgery: a worldwide systematic review and short-term outcomes meta-analysis on 2,728 cases. J Hepato-Biliary-Pancreat Sci 29:181\u2013197","journal-title":"J Hepato-Biliary-Pancreat Sci"},{"issue":"2","key":"11553_CR2","doi-asserted-by":"crossref","first-page":"488","DOI":"10.3390\/cancers15020488","volume":"15","author":"S Tanaka","year":"2023","unstructured":"Tanaka S, Kubo S, Ishizawa T (2023) Positioning of minimally invasive liver surgery for hepatocellular carcinoma: from laparoscopic to robot-assisted liver resection. Cancers 15(2):488","journal-title":"Cancers"},{"issue":"10","key":"11553_CR3","doi-asserted-by":"crossref","first-page":"8123","DOI":"10.1007\/s00464-023-10358-6","volume":"37","author":"E Balzano","year":"2023","unstructured":"Balzano E, Bernardi L, Roesel R et al (2023) Robotic versus laparoscopic liver resections: propensity-matched comparison of two-center experience. Surg Endosc 37(10):8123\u20138132","journal-title":"Surg Endosc"},{"issue":"32","key":"11553_CR4","doi-asserted-by":"crossref","first-page":"4815","DOI":"10.3748\/wjg.v29.i32.4815","volume":"29","author":"R Liu","year":"2023","unstructured":"Liu R, Hilal MA, Wakabayashi G et al (2023) International experts consensus guidelines on robotic liver resection in 2023. World J Gastroenterol 29(32):4815\u20134830","journal-title":"World J Gastroenterol"},{"issue":"4","key":"11553_CR5","doi-asserted-by":"crossref","first-page":"357","DOI":"10.1007\/s11701-014-0479-7","volume":"8","author":"S Di Sandro","year":"2014","unstructured":"Di Sandro S, Lauterio A, Giacomoni A et al (2014) Totally robotic liver resection for hepatocellular carcinoma in cirrhotic patients: safety and feasibility. J Robot Surg 8(4):357\u2013364","journal-title":"J Robot Surg"},{"issue":"2","key":"11553_CR6","doi-asserted-by":"crossref","first-page":"162","DOI":"10.1097\/SLE.0000000000000254","volume":"26","author":"ECH Lai","year":"2016","unstructured":"Lai ECH, ChB M, Tang CN, Bs M (2016) Long-term survival analysis of robotic versus conventional laparoscopic hepatectomy for hepatocellular carcinoma: a comparative study. Surg Laparosc Endosc Percutan Tech 26(2):162\u2013166","journal-title":"Surg Laparosc Endosc Percutan Tech"},{"issue":"1","key":"11553_CR7","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1097\/SLA.0000000000005380","volume":"277","author":"P Zhu","year":"2023","unstructured":"Zhu P, Liao W, Zhang WG et al (2023) A prospective study using propensity score matching to compare long-term survival outcomes after robotic-assisted, laparoscopic or open liver resection for patients with BCLC stage 0-A hepatocellular carcinoma. Ann Surg 277(1):103\u2013111","journal-title":"Ann Surg"},{"issue":"4","key":"11553_CR8","doi-asserted-by":"crossref","first-page":"2004","DOI":"10.1002\/rcs.2004","volume":"15","author":"P Magistri","year":"2019","unstructured":"Magistri P, Tarantino G, Assirati G et al (2019) Robotic liver resection for hepatocellular carcinoma: a systematic review. Int J Med Robot 15(4):2004","journal-title":"Int J Med Robot"},{"issue":"7","key":"11553_CR9","doi-asserted-by":"crossref","first-page":"3258","DOI":"10.1007\/s00464-020-07762-7","volume":"35","author":"C Lim","year":"2021","unstructured":"Lim C, Goumard C, Salloum C et al (2021) Outcomes after 3D laparoscopic and robotic liver resection for hepatocellular carcinoma: a multicenter comparative study. Surg Endosc 35(7):3258\u20133266","journal-title":"Surg Endosc"},{"issue":"4","key":"11553_CR10","doi-asserted-by":"crossref","first-page":"762","DOI":"10.1002\/cncr.33979","volume":"128","author":"LM Duong","year":"2022","unstructured":"Duong LM, Cai H, Shrubsole MJ, Bailey CE, Idrees K, Shu X (2022) Outcomes of robotic-assisted liver surgery versus laparoscopic liver surgery for treatment of stage I hepatocellular carcinoma. Cancer 128(4):762\u2013769","journal-title":"Cancer"},{"issue":"8","key":"11553_CR11","doi-asserted-by":"crossref","first-page":"2219","DOI":"10.3390\/cancers15082219","volume":"15","author":"Y Kato","year":"2023","unstructured":"Kato Y, Sugioka A, Kojima M et al (2023) Minimally invasive anatomic liver resection for hepatocellular carcinoma using the extrahepatic Glissonian approach: surgical techniques and comparison of outcomes with the open approach and between the laparoscopic and robotic approaches. Cancers 15(8):2219","journal-title":"Cancers"},{"issue":"14","key":"11553_CR12","doi-asserted-by":"crossref","first-page":"3359","DOI":"10.3390\/cancers14143359","volume":"14","author":"A Murtha-Lemekhova","year":"2022","unstructured":"Murtha-Lemekhova A, Fuchs J, Hoffmann K (2022) Innovation for the sake of innovation? How does robotic hepatectomy compare to laparoscopic or open resection for HCC\u2014a systematic review and meta-analysis. Cancers 14(14):3359","journal-title":"Cancers"},{"key":"11553_CR13","doi-asserted-by":"crossref","unstructured":"Hobeika C, Pfister M, Geller D, et al. Recommendations on Robotic Hepato-Pancreato-Biliary Surgery. The Paris Jury-Based Consensus Conference. Ann Surg. Published online May 24, 2024.","DOI":"10.1097\/SLA.0000000000006365"},{"key":"11553_CR14","volume":"96","author":"G Mathew","year":"2021","unstructured":"Mathew G, Agha R, Albrecht J et al (2021) STROCSS 2021: Strengthening the reporting of cohort, cross-sectional and case-control studies in surgery. Int J Surg 96:106165","journal-title":"Int J Surg"},{"issue":"6","key":"11553_CR15","doi-asserted-by":"crossref","first-page":"801","DOI":"10.1016\/j.annonc.2021.02.014","volume":"32","author":"A Vogel","year":"2021","unstructured":"Vogel A, Martinelli E, Vogel A et al (2021) Updated treatment recommendations for hepatocellular carcinoma (HCC) from the ESMO Clinical Practice Guidelines. Ann Oncol 32(6):801\u2013805","journal-title":"Ann Oncol"},{"issue":"1","key":"11553_CR16","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1002\/jhbp.1091","volume":"29","author":"G Wakabayashi","year":"2022","unstructured":"Wakabayashi G, Cherqui D, Geller DA et al (2022) The Tokyo 2020 terminology of liver anatomy and resections: updates of the Brisbane 2000 system. J Hepato-Biliary-Pancreat Sci 29(1):6\u201315","journal-title":"J Hepato-Biliary-Pancreat Sci"},{"issue":"4","key":"11553_CR17","doi-asserted-by":"crossref","first-page":"281","DOI":"10.21037\/hbsn.2016.03.03","volume":"5","author":"G Wakabayashi","year":"2016","unstructured":"Wakabayashi G (2016) What has changed after the Morioka consensus conference 2014 on laparoscopic liver resection? HepatoBiliary Surg Nutr 5(4):281\u2013289","journal-title":"HepatoBiliary Surg Nutr"},{"issue":"1","key":"11553_CR18","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1007\/s11605-019-04494-5","volume":"25","author":"S Famularo","year":"2021","unstructured":"Famularo S, Ceresoli M, Giani A et al (2021) Is it just a matter of surgical extension to achieve the cure of hepatocarcinoma? A meta-analysis of propensity-matched and randomized studies for anatomic versus parenchyma-sparing liver resection. J Gastrointest Surg 25(1):94\u2013103","journal-title":"J Gastrointest Surg"},{"issue":"4","key":"11553_CR19","doi-asserted-by":"crossref","first-page":"899","DOI":"10.1053\/he.2000.5763","volume":"31","author":"PE Majno","year":"2000","unstructured":"Majno PE, Sarasin FP, Mentha G, Hadengue A (2000) Primary liver resection and salvage transplantation or primary liver transplantation in patients with single, small hepatocellular carcinoma and preserved liver function: An outcome-oriented decision analysis. Hepatology 31(4):899\u2013906","journal-title":"Hepatology"},{"issue":"12","key":"11553_CR20","doi-asserted-by":"crossref","first-page":"1553","DOI":"10.1002\/lt.24952","volume":"23","author":"C Lim","year":"2017","unstructured":"Lim C, Shinkawa H, Hasegawa K et al (2017) Salvage liver transplantation or repeat hepatectomy for recurrent hepatocellular carcinoma: an intent-to-treat analysis. Liver Transpl 23(12):1553\u20131563","journal-title":"Liver Transpl"},{"issue":"7","key":"11553_CR21","doi-asserted-by":"crossref","first-page":"878","DOI":"10.1002\/lt.25768","volume":"26","author":"GB Levi Sandri","year":"2020","unstructured":"Levi Sandri GB, Lai Q, Ravaioli M et al (2020) The role of salvage transplantation in patients initially treated with open versus minimally invasive liver surgery: an intention-to-treat analysis. Liver Transpl 26(7):878\u2013887","journal-title":"Liver Transpl"},{"key":"11553_CR22","first-page":"9","volume":"8","author":"S Khouzam","year":"2022","unstructured":"Khouzam S, Pagano D, Barbara M et al (2022) Protective benefit of minimally invasive liver surgery for hepatocellular carcinoma prior to transplant. Hepatoma Res 8:9","journal-title":"Hepatoma Res"},{"issue":"14","key":"11553_CR23","doi-asserted-by":"crossref","first-page":"3465","DOI":"10.3390\/cancers14143465","volume":"14","author":"GP Guerrini","year":"2022","unstructured":"Guerrini GP, Esposito G, Olivieri T et al (2022) Salvage versus primary liver transplantation for hepatocellular carcinoma: a twenty-year experience meta-analysis. Cancers 14(14):3465","journal-title":"Cancers"},{"issue":"3","key":"11553_CR24","doi-asserted-by":"crossref","first-page":"681","DOI":"10.1016\/j.jhep.2021.11.018","volume":"76","author":"M Reig","year":"2022","unstructured":"Reig M, Forner A, Rimola J et al (2022) BCLC strategy for prognosis prediction and treatment recommendation: the 2022 update. J Hepatol 76(3):681\u2013693","journal-title":"J Hepatol"},{"issue":"7","key":"11553_CR25","doi-asserted-by":"crossref","first-page":"312","DOI":"10.1016\/S1470-2045(23)00186-9","volume":"24","author":"A Vitale","year":"2023","unstructured":"Vitale A, Cabibbo G, Iavarone M et al (2023) Personalised management of patients with hepatocellular carcinoma: a multiparametric therapeutic hierarchy concept. Lancet Oncol 24(7):312\u2013322","journal-title":"Lancet Oncol"},{"issue":"9","key":"11553_CR26","doi-asserted-by":"crossref","first-page":"846","DOI":"10.1001\/jamasurg.2016.1121","volume":"151","author":"D Citterio","year":"2016","unstructured":"Citterio D, Facciorusso A, Sposito C, Rota R, Bhoori S, Mazzaferro V (2016) Hierarchic interaction of factors associated with liver decompensation after resection for hepatocellular carcinoma. JAMA Surg 151(9):846","journal-title":"JAMA Surg"},{"issue":"5","key":"11553_CR27","doi-asserted-by":"crossref","first-page":"3317","DOI":"10.1007\/s00464-021-08645-1","volume":"36","author":"E Balzano","year":"2022","unstructured":"Balzano E, Bernardi L, Tincani G et al (2022) Implementing a robotic liver resection program does not always require prior laparoscopic experience. Surg Endosc 36(5):3317\u20133322","journal-title":"Surg Endosc"},{"issue":"1","key":"11553_CR28","doi-asserted-by":"crossref","first-page":"3595","DOI":"10.1038\/s41598-024-54253-z","volume":"14","author":"L Bernardi","year":"2024","unstructured":"Bernardi L, Balzano E, Roesel R et al (2024) Concomitant training in robotic and laparoscopic liver resections of low-to-intermediate difficulty score: a retrospective analysis of the learning curve. Sci Rep 14(1):3595","journal-title":"Sci Rep"},{"issue":"2","key":"11553_CR29","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1097\/01.sla.0000133083.54934.ae","volume":"240","author":"D Dindo","year":"2004","unstructured":"Dindo D, Demartines N, Clavien PA (2004) classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg 240(2):205\u2013213","journal-title":"Ann Surg"},{"issue":"5","key":"11553_CR30","doi-asserted-by":"crossref","first-page":"713","DOI":"10.1016\/j.surg.2010.10.001","volume":"149","author":"NN Rahbari","year":"2011","unstructured":"Rahbari NN, Garden OJ, Padbury R et al (2011) Posthepatectomy liver failure: a definition and grading by the international study group of liver surgery (ISGLS). Surgery 149(5):713\u2013724","journal-title":"Surgery"},{"issue":"1","key":"11553_CR31","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1097\/SLA.0b013e318296c732","volume":"258","author":"K Slankamenac","year":"2013","unstructured":"Slankamenac K, Graf R, Barkun J, Puhan MA, Clavien PA (2013) The comprehensive complication index: a novel continuous scale to measure surgical morbidity. Ann Surg 258(1):1\u20137","journal-title":"Ann Surg"},{"issue":"2","key":"11553_CR32","doi-asserted-by":"crossref","first-page":"200","DOI":"10.1016\/S0168-8278(02)00360-4","volume":"38","author":"H Imamura","year":"2003","unstructured":"Imamura H, Matsuyama Y, Tanaka E et al (2003) Risk factors contributing to early and late phase intrahepatic recurrence of hepatocellular carcinoma after hepatectomy. J Hepatol 38(2):200\u2013207","journal-title":"J Hepatol"},{"issue":"10","key":"11553_CR33","doi-asserted-by":"crossref","first-page":"1580","DOI":"10.1016\/j.ejso.2018.05.018","volume":"44","author":"S Famularo","year":"2018","unstructured":"Famularo S, Di Sandro S, Giani A et al (2018) Long-term oncologic results of anatomic vs. parenchyma-sparing resection for hepatocellular carcinoma. A propensity score-matching analysis. Eur J Surg Oncol 44(10):1580\u20131587","journal-title":"Eur J Surg Oncol"},{"issue":"11","key":"11553_CR34","doi-asserted-by":"crossref","first-page":"693","DOI":"10.1056\/NEJM199603143341104","volume":"334","author":"V Mazzaferro","year":"1996","unstructured":"Mazzaferro V, Pulvirenti A, Morabito A (1996) Liver transplantation for the treatment of small hepatocellular carcinomas in patients with cirrhosis. N Engl J Med 334(11):693\u2013699","journal-title":"N Engl J Med"},{"issue":"1","key":"11553_CR35","doi-asserted-by":"crossref","first-page":"206","DOI":"10.1007\/s00464-018-6296-8","volume":"33","author":"X Wu","year":"2019","unstructured":"Wu X, Huang Z, Lau WY et al (2019) Perioperative and long-term outcomes of laparoscopic versus open liver resection for hepatocellular carcinoma with well-preserved liver function and cirrhotic background: a propensity score matching study. Surg Endosc 33(1):206\u2013215","journal-title":"Surg Endosc"},{"issue":"4","key":"11553_CR36","doi-asserted-by":"crossref","first-page":"469","DOI":"10.1016\/j.surg.2007.12.003","volume":"143","author":"S Eguchi","year":"2008","unstructured":"Eguchi S, Kanematsu T, Arii S et al (2008) Comparison of the outcomes between an anatomical subsegmentectomy and a non-anatomical minor hepatectomy for single hepatocellular carcinomas based on a Japanese nationwide survey. Surgery 143(4):469\u2013475","journal-title":"Surgery"},{"issue":"3","key":"11553_CR37","doi-asserted-by":"crossref","first-page":"594","DOI":"10.1016\/j.jhep.2015.10.015","volume":"64","author":"J Shindoh","year":"2016","unstructured":"Shindoh J, Makuuchi M, Matsuyama Y et al (2016) Complete removal of the tumor-bearing portal territory decreases local tumor recurrence and improves disease-specific survival of patients with hepatocellular carcinoma. J Hepatol 64(3):594\u2013600","journal-title":"J Hepatol"},{"issue":"4","key":"11553_CR38","doi-asserted-by":"crossref","first-page":"386","DOI":"10.1001\/jamasurg.2016.5040","volume":"152","author":"JY Cho","year":"2017","unstructured":"Cho JY, Han HS, Choi Y et al (2017) Association of remnant liver ischemia with early recurrence and poor survival after liver resection in patients with hepatocellular carcinoma. JAMA Surg 152(4):386\u2013392","journal-title":"JAMA Surg"},{"issue":"8","key":"11553_CR39","doi-asserted-by":"crossref","first-page":"667","DOI":"10.1016\/j.hpb.2017.04.010","volume":"19","author":"X Feng","year":"2017","unstructured":"Feng X, Su Y, Zheng S et al (2017) A double blinded prospective randomized trial comparing the effect of anatomic versus non-anatomic resection on hepatocellular carcinoma recurrence. HPB 19(8):667\u2013674","journal-title":"HPB"},{"issue":"5","key":"11553_CR40","doi-asserted-by":"crossref","first-page":"1369","DOI":"10.3390\/jcm11051369","volume":"11","author":"JH Kwon","year":"2022","unstructured":"Kwon JH, Lee JW, Lee JW, Lee YJ (2022) Effects of anatomical or non-anatomical resection of hepatocellular carcinoma on survival outcome. J Clin Med 11(5):1369","journal-title":"J Clin Med"},{"issue":"2","key":"11553_CR41","doi-asserted-by":"crossref","first-page":"913","DOI":"10.1245\/s10434-021-10380-9","volume":"29","author":"M Minagawa","year":"2022","unstructured":"Minagawa M, Mise Y, Omichi K et al (2022) Anatomic resection for hepatocellular carcinoma: prognostic impact assessed from recurrence treatment. Ann Surg Oncol 29(2):913\u2013921","journal-title":"Ann Surg Oncol"},{"issue":"2","key":"11553_CR42","doi-asserted-by":"crossref","first-page":"623","DOI":"10.1007\/s12072-023-10602-0","volume":"18","author":"SC Tang","year":"2024","unstructured":"Tang SC, Zhang KL, Lin KY et al (2024) A multicenter propensity score analysis of significance of hepatic resection type for early-stage hepatocellular carcinoma. Hepatol Int 18(2):623\u2013635","journal-title":"Hepatol Int"},{"issue":"9","key":"11553_CR43","first-page":"2784","volume":"109","author":"SW Shin","year":"2023","unstructured":"Shin SW, Kim TS, Ahn KS, Kim YH, Kang KJ (2023) Effect of anatomical liver resection for hepatocellular carcinoma: a systematic review and meta-analysis. Int J Surg 109(9):2784\u20132793","journal-title":"Int J Surg"},{"issue":"7","key":"11553_CR44","doi-asserted-by":"crossref","first-page":"776","DOI":"10.1002\/bjs.9815","volume":"102","author":"S Marubashi","year":"2015","unstructured":"Marubashi S, Gotoh K, Akita H et al (2015) Anatomical versus non-anatomical resection for hepatocellular carcinoma. Br J Surg 102(7):776\u2013784","journal-title":"Br J Surg"},{"issue":"5","key":"11553_CR45","doi-asserted-by":"crossref","first-page":"947","DOI":"10.1097\/SLA.0000000000004311","volume":"275","author":"S Ariizumi","year":"2022","unstructured":"Ariizumi S, Katagiri S, Kotera Y et al (2022) Improved mortality, morbidity, and long-term outcome after anatomical hepatectomy with the glissonean pedicle approach in patients with hepatocellular carcinoma: 30 years\u2019 experience at a single institute. Ann Surg 275(5):947\u2013954","journal-title":"Ann Surg"},{"issue":"6","key":"11553_CR46","doi-asserted-by":"crossref","first-page":"674","DOI":"10.1016\/j.hpb.2023.02.007","volume":"25","author":"F Giuliante","year":"2023","unstructured":"Giuliante F, Ratti F, Panettieri E et al (2023) Short and long-term outcomes after minimally invasive liver resection for single small hepatocellular carcinoma: an analysis of 714 patients from the IGoMILS (Italian group of minimally invasive liver surgery) registry. HPB 25(6):674\u2013683","journal-title":"HPB"}],"container-title":["Surgical Endoscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00464-025-11553-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00464-025-11553-3\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00464-025-11553-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,28]],"date-time":"2025-02-28T18:29:08Z","timestamp":1740767348000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00464-025-11553-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,4]]},"references-count":46,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025,3]]}},"alternative-id":["11553"],"URL":"https:\/\/doi.org\/10.1007\/s00464-025-11553-3","relation":{},"ISSN":["0930-2794","1432-2218"],"issn-type":[{"value":"0930-2794","type":"print"},{"value":"1432-2218","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,2,4]]},"assertion":[{"value":"19 October 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"12 January 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"4 February 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Drs. Lorenzo Bernardi, Emanuele Balzano, Raffaello Roesel, Annamaria Senatore, Daniele Pezzati, Gabriele Catalano, Maria Luisa Garo, Giovanni Tincani, Pietro Majno-Hurst, Davide Ghinolfi, and Alessandra Cristaudi have no conflicts of interest or financial ties to disclose.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Disclosures"}},{"value":"This study was conducted in accordance with the Declaration of Helsinki. The study was approved by the regional ethical committees of the institutions participating in the study.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Patients provided informed consent to participate to the study at first referral at Pisa University Hospital as per institutional policy. Patients in Regional Hospital of Lugano were informed of the ongoing study and received a non-objection letter from the institution. Written informed consent for participants from Lugano was not required in accordance with local guidelines.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}}]}}