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Laparoscopic robot-assisted major hepatectomy
Ugo Boggi1, Fabio Caniglia, Gabriella Amorese
1Division of General and Transplant Surgery, Pisa University Hospital, Via Paradisa 2, Pisa, 56124, Italy. u.boggi@med.unipi.it.
Journal of Hepato-Biliary-Pancreatic Sciences
|October 12, 2013
Summary
Robot-assisted major hepatectomy (MH) is feasible, with no reported deaths in 68 cases. This minimally invasive approach shows promise for liver resections, though further research is needed.
Area of Science:
- Hepatobiliary Surgery
- Minimally Invasive Surgery
- Robotic Surgery
Background:
- Robot-assisted major hepatectomy (MH) is an evolving surgical technique.
- Systematic review of English literature on robotic MH was conducted.
Purpose of the Study:
- To systematically review the English literature on robot-assisted major hepatectomy (MH).
- To analyze outcomes of robotic MH procedures.
Main Methods:
- Literature search performed using the Pubmed database.
- Included articles with more than five robotic MH cases.
- Defined major hepatectomy as resection of three or more liver segments.
Main Results:
- Five articles and 68 robotic MH cases (38 right, 30 left) were analyzed.
- No deaths reported; low conversion rates (5.2% right, 3.3% left) to open surgery.
- Average operative time 418.6 min, blood loss 411.4 ml; 26.9% postoperative complications.
Conclusions:
- Robot-assisted major hepatectomy is a viable procedure.
- Further clinical experience is required to solidify conclusions on robotic MH efficacy and safety.
