Is There a Rapid Adaptation in Robotic Liver Surgery for a Liver Surgeon with a Large Experience in Laparoscopic Liver Surgery?

Introduction: Robotic liver surgery (RLS) is currently limited to few high-volume centers. Its reproducibility still debated. The aim of the present study was evaluate results first year robotic surgery, performed by an early adopter in laparoscopic (LLS) with experience over 400 cases. Methods: Over a 14-months period, 71 patients underwent hepatectomy. outcomes cases (RG) were compared ‘Initial Experience’-group (IE) 120 cases, same surgeon. Subsequently, series his last or ‘Mastery Phase’-group (MP). Results: 3 groups similar regards age, ASA-score, tumor type and Iwate Southampton difficulty score. Median skin-to-skin operative time RG 140 min, not significantly different IE (138 min), versus min MP (p<0.001). intraoperative blood loss less (40 ml (20-90)) (150 (50-250);p<0.001) (80ml (30-150;p<0,001). hospital stay 2 days MP, 5 There no significant difference postoperative complications, conversion, readmission rate. Conclusion: Surgeons sufficient LLS can rapidly overcome learning curve for RLS. In our experience, short-term implementation phase RLS are mastery LLS. Blood lower