{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T04:45:30Z","timestamp":1791780330515,"version":"4.3.4"},"reference-count":21,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background and Aims:<\/jats:title>\n                    <jats:p>Robotic liver transplantation (RLT) represents the latest evolution in solid organ transplantation. While early reports demonstrated technical feasibility of whole-graft RLT, evidence on clinical outcomes benchmarked against established standards remains limited. This study aimed to evaluate perioperative post-transplant outcomes of whole-graft RLT and to assess whether benchmark performance can be achieved in clinical practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>This retrospective multicenter cohort study included consecutive patients undergoing whole-graft RLT at 2 European centers between February 2024 and October 2025. Preoperative, perioperative, and follow-up data were retrieved from prospectively maintained databases. The primary endpoint was comparison of outcomes with LT benchmark criteria.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Forty-five patients met inclusion criteria; one was excluded due to conversion before robotic docking, yielding a final cohort of 44 patients. Hepatocellular carcinoma was the leading indication for transplantation (47.7%). Median MELD score was 11 (range 6\u201328), and 61.4% of recipients had clinically significant portal hypertension. Median operative time was 551 minutes, with a median warm ischemia time of 60 minutes. Conversion to open surgery occurred in 4 cases (9.1%), all of which recovered uneventfully. Median ICU and hospital stay were 2 and 10 days, respectively. Overall mortality was 2.3%. All benchmark thresholds were met except operative time, which significantly improved over time.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Robotic whole-graft liver transplantation achieved benchmark-level outcomes for major perioperative and early post-transplant parameters. Despite prolonged operative duration related to procedural complexity and learning curve, RLT appears safe and reproducible when implemented in highly specialized centers with advanced transplant and robotic hepatobiliary expertise.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1097\/sla.0000000000007181","type":"journal-article","created":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T04:00:20Z","timestamp":1785988820000},"page":"1009-1016","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Robotic Whole-graft Liver Transplant"],"prefix":"10.1097","volume":"284","author":[{"given":"Fabrizio","family":"Di Benedetto","sequence":"first","affiliation":[{"name":"Hepato-Pancreato-Biliary Surgery and Liver Transplantation Unit, University Hospital of Modena \u201cPoliclinico\u201d, University of Modena and Reggio Emilia, Modena, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paolo","family":"Magistri","sequence":"additional","affiliation":[{"name":"Hepato-Pancreato-Biliary Surgery and Liver Transplantation Unit, University Hospital of Modena \u201cPoliclinico\u201d, University of Modena and Reggio Emilia, Modena, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joao Santos","family":"Coelho","sequence":"additional","affiliation":[{"name":"Hepato-Biliary-Pancreatic and Transplantation Centre, Curry Cabral Hospital\/Local Health Unit of S\u00e3o Jos\u00e9, and NOVA Medical School, Lisbon, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberta","family":"Odorizzi","sequence":"additional","affiliation":[{"name":"Hepato-Pancreato-Biliary Surgery and Liver Transplantation Unit, University Hospital of Modena \u201cPoliclinico\u201d, University of Modena and Reggio Emilia, Modena, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raquel","family":"Mega","sequence":"additional","affiliation":[{"name":"Hepato-Biliary-Pancreatic and Transplantation Centre, Curry Cabral Hospital\/Local Health Unit of S\u00e3o Jos\u00e9, and NOVA Medical School, Lisbon, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barbara","family":"Catellani","sequence":"additional","affiliation":[{"name":"Hepato-Pancreato-Biliary Surgery and Liver Transplantation Unit, University Hospital of Modena \u201cPoliclinico\u201d, University of Modena and Reggio Emilia, Modena, Italy"},{"name":"Hepato-Biliary-Pancreatic and Transplantation Centre, Curry Cabral Hospital\/Local Health Unit of S\u00e3o Jos\u00e9, and NOVA Medical School, Lisbon, Portugal"},{"name":"Clinical and Experimental Medicine PhD Program, Department of Surgical, Medical and Dental Department of Morphological Sciences related to Transplant, Oncology and Regenerative Medicine, University of Modena and Reggio Emilia, Modena, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silvia","family":"Gomes da Silva","sequence":"additional","affiliation":[{"name":"Hepato-Biliary-Pancreatic and Transplantation Centre, Curry Cabral Hospital\/Local Health Unit of S\u00e3o Jos\u00e9, and NOVA Medical School, Lisbon, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristiano","family":"Guidetti","sequence":"additional","affiliation":[{"name":"Hepato-Pancreato-Biliary Surgery and Liver Transplantation Unit, University Hospital of Modena \u201cPoliclinico\u201d, University of Modena and Reggio Emilia, Modena, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mafalda","family":"Sobral","sequence":"additional","affiliation":[{"name":"Hepato-Biliary-Pancreatic and Transplantation Centre, Curry Cabral Hospital\/Local Health Unit of S\u00e3o Jos\u00e9, and NOVA Medical School, Lisbon, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gian Piero","family":"Guerrini","sequence":"additional","affiliation":[{"name":"Hepato-Pancreato-Biliary Surgery and Liver Transplantation Unit, University Hospital of Modena \u201cPoliclinico\u201d, University of Modena and Reggio Emilia, Modena, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emanuel","family":"Vigia","sequence":"additional","affiliation":[{"name":"Hepato-Biliary-Pancreatic and Transplantation Centre, Curry Cabral Hospital\/Local Health Unit of S\u00e3o Jos\u00e9, and NOVA Medical School, Lisbon, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefano","family":"Di Sandro","sequence":"additional","affiliation":[{"name":"Hepato-Pancreato-Biliary Surgery and Liver Transplantation Unit, University Hospital of Modena \u201cPoliclinico\u201d, University of Modena and Reggio Emilia, Modena, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hugo","family":"Pinto-Marques","sequence":"additional","affiliation":[{"name":"Hepato-Biliary-Pancreatic and Transplantation Centre, Curry Cabral Hospital\/Local Health Unit of S\u00e3o Jos\u00e9, and NOVA Medical School, Lisbon, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,8,6]]},"reference":[{"key":"R1-20261012","doi-asserted-by":"crossref","first-page":"1871","DOI":"10.1007\/s13304-024-01913-4","article-title":"The future of liver transplantation: embracing robotic platforms!","volume":"77","author":"Soubrane","year":"2024","journal-title":"Updates Surg"},{"key":"R2-20261012","doi-asserted-by":"crossref","first-page":"1002","DOI":"10.1016\/j.surg.2011.06.021","article-title":"Elective living donor liver transplantation by hybrid hand-assisted laparoscopic surgery and short upper midline 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