Robotic Repeat Right Hepatectomy for Recurrent Colorectal Liver Metastasis

Area of Science:

• Minimally invasive surgery
• Surgical oncology
• Hepatobiliary surgery

Background:

• Repeat hepatectomy is frequently necessary for managing primary and metastatic liver tumors.
• Previous abdominal surgeries can complicate repeat liver resections due to adhesions.

Observation:

• A 64-year-old male patient with recurrent colorectal metastasis underwent a robotic right hepatectomy.
• The patient had a history of multiple open abdominal surgeries, including colectomy and metastasectomy.
• The robotic procedure involved adhesiolysis, dissection of hepatic vessels, and parenchymal transection.

Findings:

• Robotic repeat right hepatectomy was successfully completed in 240 minutes with minimal blood loss (150 mL).
• The patient experienced an uneventful recovery and was discharged on postoperative day five.
• Key steps included adhesiolysis, vascular control, and parenchymal transection using specialized robotic instruments.

Implications:

• Robotic repeat hepatectomy demonstrates feasibility and safety in patients with complex surgical histories.
• This approach may offer benefits such as reduced blood loss and faster recovery compared to open surgery.
• Further research should explore the long-term outcomes and comparative effectiveness of robotic versus open repeat hepatectomy.