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Updated: Feb 8, 2026
11:03
Robotic Left Hepatectomy using Indocyanine Green Fluorescence Imaging for an Intrahepatic Complex Biliary Cyst
Published on: June 24, 2022
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Fully robotic left hepatectomy for malignant tumor: technique and initial results
Marco Vito Marino1, Gaspare Gulotta2, Andrzej Lech Komorowski3
1Department of Emergency and General Surgery, Azienda Ospedaliera "Villa Sofia-Cervello", Salerno place 1, 90146, Palermo (PA), Italy. marco.vito.marino@gmail.com.
Updates in Surgery
|July 8, 2018
Summary
Robotic left hepatectomy offers a minimally invasive approach for liver cancer, demonstrating good surgical outcomes and oncologic adequacy. This technique shows promise for safely managing liver malignancies with low morbidity and no 90-day mortality.
Area of Science:
- Hepatobiliary Surgery
- Surgical Oncology
- Minimally Invasive Surgery
Background:
- Traditional laparoscopy has limitations in liver surgery.
- Robotic surgery presents an opportunity to overcome these limitations.
- Robotic surgery may expand indications for minimally invasive liver resections.
Purpose of the Study:
- To evaluate the feasibility and outcomes of fully robotic left hepatectomy.
- To assess the safety and efficacy of robotic surgery for liver malignancies.
- To determine the oncologic adequacy of robotic left hepatectomy.
Main Methods:
- A prospective study of 35 patients undergoing fully robotic left hepatectomy.
- Data collected included operative time, blood loss, hospital stay, and complications.
- Tumor characteristics and resection margins were analyzed.
Main Results:
- Mean operative time: 315 minutes; Mean blood loss: 245 ml.
- Average hospital stay: 6.5 days; Perioperative morbidity: 17.2%.
- R0-resection achieved in 33/35 patients; 90-day mortality: 0%.
Conclusions:
- Robotic left hepatectomy provides favorable surgical outcomes.
- The procedure demonstrates good oncologic adequacy for liver malignancies.
- Robotic surgery is a safe and effective option for managing liver tumors.
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