{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T19:54:30Z","timestamp":1792180470718,"version":"4.4.0"},"reference-count":32,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2020,5,6]],"date-time":"2020-05-06T00:00:00Z","timestamp":1588723200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2020,5,6]],"date-time":"2020-05-06T00:00:00Z","timestamp":1588723200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Surg"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>To evaluate the clinical efficacy of robotic, laparoscopic, and open hemihepatectomy for giant liver haemangiomas.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>From April 2011 to April 2017, consecutive patients who underwent hemihepatectomy for giant liver haemangiomas were included in this study. According to the type of operation, these patients were divided into the robotic hemihepatectomy (RH) group, the laparoscopic hemihepatectomy (LH) group, and the open hemihepatectomy (OH) group. The perioperative and short-term postoperative outcomes were compared among the three groups. The study was reported following the STROCSS criteria.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      There were no significant differences in age, sex, tumour location, body surface area (BSA), future liver remnant volume (FLR), standard liver volume (SLV), liver haemangioma volume, FLR\/SLV, resected normal liver volume\/resected volume, hepatic disease, rates of blood transfusion, liver function after 24\u2009h of surgery, operative morbidity and mortality among the three groups. Compared with patients in the RH group (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200919) and the LH group (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200913), patients in the OH group (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200925) had a significantly longer postoperative hospital stay (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.05), time to oral intake (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.05), and time to get-out-of-bed (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.05); a higher VAS score after 24\u2009h of surgery (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.05); and a shorter operative time (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.05). There were no significant differences in these postoperative outcomes (\n                      <jats:italic>P<\/jats:italic>\n                      &gt;0.05) between the RH group and the LH group. When the setup time in the RH group was excluded, the operative time in the RH group was significantly shorter than that in the LH group (\n                      <jats:italic>P<\/jats:italic>\n                      &lt;0.05). There was no significant difference in the operative time between the RH group and the OH group (\n                      <jats:italic>P<\/jats:italic>\n                      &gt;0.05). The amount of intraoperative blood loss in the RH group was the lowest among the three groups (\n                      <jats:italic>P<\/jats:italic>\n                      &lt;0.05), and the amount of intraoperative blood loss in the LH group was less than that in the OH group (\n                      <jats:italic>P<\/jats:italic>\n                      &lt;0.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Robotic and laparoscopic hemihepatectomies were associated with less intraoperative blood loss,better postoperative recovery and lower pain score. Compared with laparoscopic hemihepatectomy, robotic hemihepatectomy was associated with significantly less intraoperative blood loss and a shorter operative time.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12893-020-00760-5","type":"journal-article","created":{"date-parts":[[2020,5,6]],"date-time":"2020-05-06T10:03:55Z","timestamp":1588759435000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":37,"title":["Robotic, laparoscopic or open hemihepatectomy for giant liver haemangiomas over 10\u2009cm in diameter"],"prefix":"10.1186","volume":"20","author":[{"given":"Minggen","family":"Hu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kuang","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xuan","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chenggang","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dongda","family":"Song","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rong","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2020,5,6]]},"reference":[{"key":"760_CR1","doi-asserted-by":"publisher","first-page":"983","DOI":"10.1007\/s002689900337","volume":"21","author":"A Weimann","year":"1997","unstructured":"Weimann A, Ringe B, Klempnauer J, Lamesch P, Gratz KF, Prokop M, et al. 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All patients and their families signed informed consent and surgical consent before surgery. Patient signed publicly issued consent form (name, ID number and address cannot be provided; gender, age and clinical data are available).","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"The manuscript is approved for publication by all the authors. Written informed consent was obtained from the patients and\/or their legal guardians for publication, and any accompanying images, sex, age of these patients.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"93"}}