Our initial experience with robotic hepato-biliary-pancreatic surgery.
Go Wakabayashi1, Akira Sasaki, Satoshi Nishizuka
1Department of Surgery, Keio University School of Medicine, Tokyo, Japan. gowaka@iwate-med.ac.jp
Journal of Hepato-Biliary-Pancreatic Sciences
|April 14, 2011
Summary
Asia
Area of Science:
- Minimally Invasive Surgery
- Surgical Robotics
- Gastrointestinal Surgery
Background:
- Asia's first robotic surgery was performed in March 2000, followed by a clinical trial in 2001 for the da Vinci Surgical System.
- This initiative aimed to secure governmental approval for the advanced robotic surgical platform.
Purpose of the Study:
- To review the application of robotic surgery in laparoscopic cholecystectomy and hepatectomy.
- To discuss the potential and future outlook for robotic hepato-biliary-pancreatic surgery.
Main Methods:
- A total of 52 robotic surgeries were conducted at Keio University Hospital.
- The authors specifically performed 28 hepato-biliary-pancreatic surgeries using robotic assistance.
Main Results:
- Robotic laparoscopic cholecystectomy utilized articulated scalpels for precise dissection and clipless ligation of cystic structures.
- Laparoscopic hepatectomy was performed safely, with hepatic parenchyma resection achieved through Glisson's pedicle ligation and bipolar forceps, ensuring no hemorrhage.
Conclusions:
- Robotic surgery demonstrates efficacy in cholecystectomy and hepatectomy procedures.
- The findings support the growing potential of robotic technology in hepato-biliary-pancreatic surgery.

