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Updated: Mar 19, 2026

Robotic Left Hepatectomy using Indocyanine Green Fluorescence Imaging for an Intrahepatic Complex Biliary Cyst
Published on: June 24, 2022
Robotic hepatectomies: advances and perspectives
Ammar Dehlawi1, Riccardo Memeo, Vito DE Blasi
1Hepato-Biliary and Pancreatic Surgical Unit, General, Digestive, and Endocrine Surgery, IRCAD, IHU Mix-Surg, Institute for Minimally Invasive Image-Guided Surgery, University of Strasbourg, Strasbourg, France - drmemeo@yahoo.it.
Robotic liver resection (RLR) is a safe and feasible minimally invasive approach comparable to laparoscopic liver resection (LLR). However, RLR is more costly, and further research is needed for definitive conclusions on robotic hepatectomy.
Area of Science:
- Hepatobiliary Surgery
- Minimally Invasive Surgery
- Robotic Surgery
Background:
- Minimally invasive hepatic resections are gaining traction.
- Robotic surgery offers new possibilities for treating liver pathologies.
- Hepatic surgery remains technically challenging with high morbidity.
Purpose of the Study:
- To systematically review the literature on robotic hepatectomy.
- To assess the safety and feasibility of robotic hepatic surgery.
Main Methods:
- Systematic review of studies published between January 2001 and January 2016.
- Inclusion of studies with at least ten patients from high-volume centers.
- Analysis of 18 studies comprising 572 robotic liver resections (RLR).
Main Results:
- Robotic liver surgery requires surgeons trained in open and minimally invasive techniques.
- Robotic liver resection (RLR) and laparoscopic liver resection (LLR) show comparable safety and outcomes.
- Robotic liver resection (RLR) is associated with higher costs compared to laparoscopic liver resection (LLR).
Conclusions:
- Robotic hepatectomy is a safe and feasible option.
- Further investigation is necessary to draw definitive conclusions.
- Robotic liver resection (RLR) and laparoscopic liver resection (LLR) are comparable in terms of safety and outcomes.

