[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-436825-105":59,"doc-detail-436825-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","minimally-invasive-surgery-for-hepatocellular-carcinoma-editorial","Minimally invasive surgery for hepatocellular carcinoma - Editorial","","Minimally invasive surgery is discussed as an important alternative to traditional open surgery for resectable hepatocellular carcinoma, balancing improved recovery, cosmetic outcomes, and shorter hospital stay against lingering concerns about long-term oncological safety. The editorial highlights a systematic review and meta-analysis comparing robotic hepatectomy with open hepatectomy, summarizing differences in length of stay, postoperative complications, recurrence, blood loss, operative time, and margin-related outcomes. It emphasizes the need for further evidence regarding margin width and recurrence relationships.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/minimally-invasive-surgery-for-hepatocellular-carcinoma-editorial/436825/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/minimally-invasive-surgery-for-hepatocellular-carcinoma-editorial/436825.png","ImageObject",300,407,{"name":92,"@type":93},"Bintang","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":34},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"Why is minimally invasive surgery considered for resectable hepatocellular carcinoma?","Question",{"text":112,"@type":113},"Minimally invasive approaches (laparoscopy or robot) may offer advantages such as better recovery, improved cosmetic outcomes, and shorter hospital stay. Despite these benefits, long-term oncological safety remains a concern that motivates continued study.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What outcomes did the meta-analysis report when comparing robotic hepatectomy with open hepatectomy?",{"text":117,"@type":113},"Robotic hepatectomy showed shorter hospital stay, fewer postoperative complications, and lower recurrence rate than open hepatectomy. It also suggested reduced blood loss but involved a statistically longer surgical time.",{"name":119,"@type":110,"acceptedAnswer":120},"How does complete tumor resection and resection-free margin width relate to prognosis?",{"text":121,"@type":113},"Complete tumor resection, including factors reflected by the width of the resection-free margin, is described as a critical independent prognostic factor influencing progressive-free survival and overall survival. The editorial notes that the relationship between margin width and recurrence may appear conflicted and that the current study did not investigate some relevant endpoints.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},436825,1790790802,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":34,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":14,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":24,"preview_page_count":4},962085564381,"https://ap-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","J Chin MedAssoc  \nEditorial  \nMinimally invasive surgery for hepatocellular carcinoma  \nYiu-Tai Lia, Szu-Ting Yangb,c,d, Peng-Hui Wangb,c,d,*  \naDepartment of Obstetrics and Gynecology, Kuo General Hospital, Tainan, Taiwan, ROC; bDepartment of Obstetrics and Gynecology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC; cInstitute of Clinical Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC; dFemale Cancer Foundation, Taipei, Taiwan, ROC  \nHepatocellular carcinoma (HCC) is one of the leading causes of morbidity and mortality worldwide, particularly in Taiwan because of her high incidence of infectious hepatitis (hepatitis B virus, hepatitis C virus, and hepatitis D virus) and rapidly increased incidence of metabolic dysfunction-associated fatty liver diseases.1–4 Despite recent far-advanced medical treatments, primary surgical resection of the tumor remains the gold standard treatment for resectable HCC and/or an isolated metastatic hepatic cancer.5 Similar to all other cancers, traditional surgery (exploratory laparotomy) and minimally invasive surgery (MIS: laparoscopy or robot) have been reported to be applicable for the aforementioned purpose, although some uncertainties are still in concerns if MIS is applied to many cancers.6–9 It is well known that MIS may have taken many advantages, such as abetter recovery, a better cosmetic need, and a shortening hospital stay (all are called a better quality of life [QoL]) compared with traditional surgery, some surgical oncologists still hesitate to receive the MIS as the choice of treatment for their patients because of much concern for the long-term oncological safety.9,10 All need continuous studies to provide a better chance to prolong life span of diseased people and minimize the therapyrelated adverse events (AEs) .11,12 The trend to use MIS as the first consideration has been progressively increased and becomes popular8; however, it is always stated in the dilemma between the saving life and loss of QoL, presenting a heavy burden to patients themselves, family, and society, and also forming a biggest challenge for both physicians and patients.11 The recent publication in the current issue of the Journal of the Chinese Medical Association entitled “Robot-assisted versus open hepatectomy for liver tumors: Systematic review and meta-analysis”attempted to discuss the highly debated issue,13 since these cancer patients not only wish to be managed successfully (cure) for  \n* Address correspondence. Dr. Peng-Hui Wang, Department of Obstetricsand Gynecology, Taipei Veterans General Hospital, 201, Section 2, Shi-Pai Road, Taipei 112, Taiwan, [ROC. E-mail address: phwang@vghtpe.gov.tw](ROC. E-mail address: phwang@vghtpe.gov.tw);  \n[pongpongwang@gmail.com](pongpongwang@gmail.com) (P.-H. Wang).  \nConflicts of interest: Dr. Peng-Hui Wang, an editorial board member at Journal of the Chinese Medical Association, had no role in the peer review process of or decision to publish this article. The other authors declare that they have no conflicts of interest related to the subject matter or materials discussed in this article.  \nJournal of Chinese Medical Association. (2023) 86: 457-458.  \nReceived March 4, 2023; accepted March 7, 2023.  \ndoi: 10. 1097/JCMA.0000000000000915.  \nCopyright © 2023, the Chinese Medical Association. This is an open access article under the CC BY-NC-ND license ([http://creativecommons.org/licenses/](http://creativecommons.org/licenses/)[ ](http://creativecommons.org/licenses/)[by-nc-nd/4.0/](by-nc-nd/4.0/))  \nsaving life but also look eagerly forward to having enjoying the immediate and better QoL after cancer treatment.10,11  \nThe authors conducted a systematic review and meta-analysis, including eight studies and 1079 patients to compare the surgical outcomes between robotic hepatectomy (RH) and open hepatectomy (OH) .13 The authors found that RH had shorter hospital stay (standard mean difference [SMD] −2.8 days, 95% confidence interval ","cbCaisNZ9Fux6cop","https://ap.wps.com/l/cbCaisNZ9Fux6cop","pdf",291073,"English","# Minimally invasive surgery for hepatocellular carcinoma\n## Rationale and ongoing concerns\n## Evidence from robotic vs open hepatectomy\n## Prognostic significance of complete resection and margin width","[{\"question\":\"Why is minimally invasive surgery considered for resectable hepatocellular carcinoma?\",\"answer\":\"Minimally invasive approaches (laparoscopy or robot) may offer advantages such as better recovery, improved cosmetic outcomes, and shorter hospital stay. Despite these benefits, long-term oncological safety remains a concern that motivates continued study.\"},{\"question\":\"What outcomes did the meta-analysis report when comparing robotic hepatectomy with open hepatectomy?\",\"answer\":\"Robotic hepatectomy showed shorter hospital stay, fewer postoperative complications, and lower recurrence rate than open hepatectomy. It also suggested reduced blood loss but involved a statistically longer surgical time.\"},{\"question\":\"How does complete tumor resection and resection-free margin width relate to prognosis?\",\"answer\":\"Complete tumor resection, including factors reflected by the width of the resection-free margin, is described as a critical independent prognostic factor influencing progressive-free survival and overall survival. The editorial notes that the relationship between margin width and recurrence may appear conflicted and that the current study did not investigate some relevant endpoints.\"}]","Minimally invasive surgery for hepatocellular carcinoma - Editorial | PDF",1790679181]