Clinical and economic outcomes of robotic-assisted, laparoscopic, and open liver resection in BCLC 0/A hepatocellular carcinoma: a nationwide cohort study
RALR and LLR demonstrated lower incidence and severity of complications, less advanced-stage recurrence, and higher cost-effectiveness compared to OLR. These findings support the broader adoption of minimally invasive techniques to improve long-term outcomes and quality of life (QoL). Despite RALR's higher initial costs, it remains a highly cost-effective option, offering superior QoL and long-term economic benefits.
Authors
- Hengyi Gao
- Jianglin Zheng (ORCID: https://orcid.org/0000-0003-0616-2484)
- Shuai Wang (ORCID: https://orcid.org/0000-0002-3337-0476)
- Shuo Xiao (ORCID: https://orcid.org/0000-0001-7225-9132)
- Renjie Wei (ORCID: https://orcid.org/0000-0002-0459-7196)
- Shuhua Han (ORCID: https://orcid.org/0000-0003-3824-0539)
- Jun Zheng (ORCID: https://orcid.org/0000-0002-4283-0403)
- Huapeng Sun (ORCID: https://orcid.org/0000-0001-9797-0510)
- Guobing Xia
- Jianfeng Fu (ORCID: https://orcid.org/0000-0002-3681-3201)
- Peng Zhu (ORCID: https://orcid.org/0000-0002-4148-9135)
- Huadong Yin (ORCID: https://orcid.org/0000-0001-9132-3603)
- Zhancheng Qiu (ORCID: https://orcid.org/0009-0004-1749-3558)
- Xulin Liu
- S. N. Ruan
- Liping Liu (ORCID: https://orcid.org/0000-0002-8679-9567)
- X Y Feng (ORCID: https://orcid.org/0000-0001-8826-6310)
- Qi Cheng (ORCID: https://orcid.org/0000-0002-2107-6253)
- Zhenheng Wu
- Bixiang Zhang (ORCID: https://orcid.org/0000-0002-1609-7260)
- Yulin Yuan
- Qiao Zhang (ORCID: https://orcid.org/0000-0002-3297-6492)
- Jian Li (ORCID: https://orcid.org/0000-0001-5543-4277)
- Lin Li (ORCID: https://orcid.org/0000-0003-0426-6546)
- Xiaoping Chen (ORCID: https://orcid.org/0000-0001-7363-2015)
- Jing Ying Yan (ORCID: https://orcid.org/0000-0001-8265-6270)
- Li Ren (ORCID: https://orcid.org/0009-0003-6139-0647)
- Mohamed A. Ali (ORCID: https://orcid.org/0000-0002-5615-3212)
- Lin Ye
- Zhiyuan Huang (ORCID: https://orcid.org/0000-0003-1284-2128)
- Yunyan Wan
- Guoxiang Zhou
- Xiafei Xia
Institutions
- Qingdao University (CN)
- Hubei University of Medicine (CN)
- Fujian Medical University (CN)
- Union Hospital (HK)
- Guilin Medical University (CN)
- Shaoyang University (CN)
- Sichuan University (CN)
- Kunming Medical University (CN)
- Tianjin First Center Hospital (CN)
- Wuhan University (CN)
- Qinghai University Affiliated Hospital (CN)
- West China Hospital of Sichuan University (CN)
- ShenZhen People’s Hospital (CN)
- First People's Hospital of Foshan (CN)
- Zhongshan People's Hospital (CN)
- Hubei University of Arts and Science (CN)
- Taihe Hospital (CN)
- Xiangyang Central Hospital (CN)
- First Affiliated Hospital of Kunming Medical University (CN)
- Zhongnan Hospital of Wuhan University (CN)
- Hubei Polytechnic University (CN)
- Dongguan People’s Hospital (CN)
- Shenzhen Bao'an District People's Hospital (CN)
- Renmin Hospital of Wuhan University (CN)
- The Central Hospital of Shaoyang (CN)
- Hanzhong Central Hospital (CN)
- Jingzhou Central Hospital (CN)
- Wuhan General Hospital of Guangzhou (CN)
- Guangdong Provincial People's Hospital (CN)
- Second Affiliated Hospital of Zhejiang University (CN)
- Tongji Hospital (CN)
- Huangshi Central Hospital (CN)
- Union Hospital (CN)
- Qingdao Women and Children's Hospital (CN)
- Wuhan University of Science and Technology (CN)
- General Hospital of Central Theater Command
- Huazhong University of Science and Technology (CN)
- Tianjin Medical University (CN)
- Southern Medical University (CN)
Publication Details
- Journal
- International Journal of Surgery
- Published
- 2025-11-21
- DOI
- https://doi.org/10.1097/js9.0000000000003938
- Primary Topic
- Hepatocellular Carcinoma Treatment and Prognosis
- Type
- article
- Field-Weighted Citation Impact
- 0.00