Live-streaming robotic liver resection for surgical education: is it safe? a multicenter matched cohort analysis.

We assessed perioperative outcomes of robotic live-streaming liver resections compared with not-live streaming liver resections.

This multicenter retrospective matched cohort study reviewed 311 liver resections performed between October 2024 and December 2025 at three European HPB centers.

Secondary endpoints included conversion to open surgery, intraoperative blood transfusion, postoperative bile leak, posthepatectomy liver failure, length of hospital stay, R1 resection rate, and 90-day mortality.

These findings were unchanged after excluding patients with a Pringle maneuver duration exceeding 60 min (sensitivity analysis).