{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T10:00:34Z","timestamp":1792058434816,"version":"4.4.0"},"reference-count":24,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2025,9,25]],"date-time":"2025-09-25T00:00:00Z","timestamp":1758758400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>to compare the safety and efficacy of robotic surgery and traditional open surgery in living donor liver hepatectomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This meta-analysis included 9 retrospective studies involving a total of 3379 patients, evaluating the primary and secondary outcomes of robotic surgery versus open surgery in donors and recipients. Binary variables were analyzed using odds ratios (ORs) and 95% confidence intervals (CIs), while continuous variables were analyzed using standardized mean differences (SMDs) and 95% CI.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Robotic donor hepatectomy demonstrated significantly longer operative time (SMD = 1.26, 95% CI 0.75-1.76, I\n                      <jats:sup>2<\/jats:sup>\n                      = 90.1%) and warm ischemia time (SMD = 2.24, 95% CI 0.94-3.53, I\n                      <jats:sup>2<\/jats:sup>\n                      = 97.4%) compared to open surgery, both with moderate certainty. Conversely, no significant differences were observed in intraoperative blood loss (SMD = -0.61, 95% CI -1.29 to -0.07), postoperative hospital stay (SMD = -0.36, 95% CI -0.78 to 0.07), overall Clavien-Dindo grades 1-2 complications (OR = 0.68, 95% CI 0.40-1.15), grades 3-4 complications (OR = 1.33, 95% CI 0.44-3.99), or bile leakage incidence (OR = 0.83, 95% CI 0.28-2.47) for donors. For recipients, robotic surgery significantly reduced both grades 1-2 (OR = 0.70, 95% CI 0.53-0.94) and grades 3-4 complications (OR = 0.65, 95% CI 0.50-0.84), while showing comparable perioperative mortality (OR = 1.36, 95% CI 0.84-2.19), hepatic artery thrombosis (OR = 1.19, 95% CI 0.64-2.21), and biliary complications (OR = 1.01, 95% CI 0.52-1.97).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Robotic living donor right hepatectomy demonstrates comparable donor safety and superior effectiveness in reducing recipient complications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00031348251378900","type":"journal-article","created":{"date-parts":[[2025,9,25]],"date-time":"2025-09-25T07:01:28Z","timestamp":1758783688000},"page":"833-839","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Comparative Safety and Efficacy of Open and Robotic Surgery in Living Right-Donor Hepatectomy: A Systematic Review and Meta-Analysis"],"prefix":"10.1177","volume":"92","author":[{"given":"Shengxiang","family":"Hou","sequence":"first","affiliation":[{"name":"Affiliated Hospital of Qinghai University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-5762-246X","authenticated-orcid":false,"given":"Yunrong","family":"Liu","sequence":"additional","affiliation":[{"name":"Affiliated Hospital of Qinghai University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yichen","family":"Fan","sequence":"additional","affiliation":[{"name":"The First Afffliated Hospital of Xinjiang Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xueying","family":"Zhou","sequence":"additional","affiliation":[{"name":"Affiliated Hospital of Qinghai University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yang","family":"Du","sequence":"additional","affiliation":[{"name":"Affiliated Hospital of Qinghai University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,9,25]]},"reference":[{"key":"e_1_3_4_2_2","first-page":"659","article-title":"Homotransplantation of the liver in humans","volume":"117","author":"Starzl TE","year":"1963","unstructured":"Starzl TE, Marchioro TL, Vonkaulla KN, Hermann G, Brittain RS, Waddell WR. Homotransplantation of the liver in humans. Surg Gynecol Obstet. 1963;117:659.","journal-title":"Surg Gynecol Obstet"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/ajt.16978"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-6143.2009.03008.x"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/tri.12559"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/00075200-200106000-00005"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.tp.0000698288.30524.6b"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000006477"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1111\/ctr.14775"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.4103\/jmas.JMAS_103_21"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/LVT.0000000000000115"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n160"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e3181b13ca2"},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2288-5-13"},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.d4002"},{"key":"e_1_3_4_16_2","doi-asserted-by":"publisher","DOI":"10.1002\/lt.24522"},{"key":"e_1_3_4_17_2","doi-asserted-by":"publisher","DOI":"10.1002\/lt.25820"},{"key":"e_1_3_4_18_2","doi-asserted-by":"publisher","DOI":"10.1097\/LVT.0000000000000304"},{"key":"e_1_3_4_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajt.2024.07.003"},{"key":"e_1_3_4_20_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-024-11469-4"},{"key":"e_1_3_4_21_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.tp.0000889056.42760.9a"},{"key":"e_1_3_4_22_2","first-page":"34","article-title":"Minimally invasive surgery approaches in major liver resection for hepatocellular carcinoma","volume":"10","author":"Chatzipanagiotou OP","year":"2024","unstructured":"Chatzipanagiotou OP, Catalano G, Kawashima J, Pawlik TM. Minimally invasive surgery approaches in major liver resection for hepatocellular carcinoma. Hepatoma Res. 2024;10:34.","journal-title":"Hepatoma Res"},{"key":"e_1_3_4_23_2","first-page":"4103","article-title":"Minimally invasive tools are necessary for the modern practice of liver surgery","volume":"10","author":"Yu Y-D","year":"2024","unstructured":"Yu Y-D, Halazun KJ, Chandwani R, Samstein B. Minimally invasive tools are necessary for the modern practice of liver surgery. 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