Frequent access to robotic platforms leads to better outcomes in liver resection.

• Conversion rate was 10.8%, with significant variance in blood loss based on imm grade: 184 ml (grade 1), 381 ml (grade 2), 753 ml (grade 3).
• Competency was achieved faster by surgeons with high-frequency access (35 cases vs. 47 cases).

Structured training and regular access are vital for minimizing complications in robotic liver surgery.

• Key risk factors for complications include age over 70, metabolic syndrome, tumor size >5 cm, and lower procedural frequency.