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Published on: June 24, 2022
Robotic liver resection: initial experience with three-arm robotic and single-port robotic technique
Emad Kandil1, Salem I Noureldine, Bob Saggi
1Department of Surgery, Tulane University School of Medicine, New Orleans, LA, USA.
Summary
Robotic liver resection is feasible and safe, offering improved precision and ergonomics for single-access surgery. This technique preserves the benefits of laparoscopic surgery, including minimal morbidity and faster recovery.
Area of Science:
- Minimally Invasive Surgery
- Surgical Oncology
- Robotic Surgery
Background:
- Robotic-assisted surgery addresses limitations in conventional laparoscopic surgery.
- Its application in hepatic surgery remains largely unestablished.
- Growing popularity of robotic technology in various surgical fields.
Purpose of the Study:
- To evaluate the feasibility and safety of robotic-assisted hepatic resection.
- To assess the initial outcomes of robotic liver resections.
- To explore the benefits of robotic technology in liver surgery.
Main Methods:
- Retrospective analysis of a prospectively collected liver surgery database.
- Inclusion of consecutive patients undergoing robotic-assisted hepatic resection for liver neoplasms over 6 months.
- Evaluation of demographics, operative time, and morbidity.
Main Results:
- Seven robotic-assisted liver resections were performed, including two single-port access procedures.
- Mean operative time was 61.4 minutes, with no conversions required.
- No postoperative morbidity or mortality was observed, with a mean hospital stay of 2 days.
Conclusions:
- Initial experience confirms robotic liver resection is feasible and safe.
- Robotic technology enhances precision and ergonomics in single-access liver surgery.
- The technique maintains the advantages of laparoscopic surgery, such as cosmesis and rapid recovery.
