Surgical and oncological outcomes after ultrasound-guided robotic liver resections for malignant tumor. Analysis of a

Benedetta Pesi1, Luca Moraldi1, Francesco Guerra1

  • 1Division of Oncological and Robotic General Surgery, Careggi University Hospital, Florence, Italy.

Abstract

Insights

Robotic liver resection is safe and effective for treating liver malignancies. This minimally invasive approach offers valid oncological outcomes without compromising patient safety.

Area of Science:

  • Hepatobiliary Surgery
  • Minimally Invasive Surgery
  • Surgical Oncology

Background:

  • Minimally invasive liver surgery is expanding, but data on robotic approaches for liver malignancies are limited.
  • Robotic surgery may enhance the application of minimally invasive techniques in liver surgery.

Purpose of the Study:

  • To evaluate the surgical and oncological outcomes of ultrasound-guided robotic liver resections for hepatic malignancies.

Main Methods:

  • Retrospective analysis of 51 consecutive patients undergoing robotic liver resection for primary and secondary malignancies (September 2008 - January 2017).
  • All procedures performed by a single surgical team using parenchymal-sparing techniques.

Main Results:

  • 51 patients (13 major, 38 minor hepatectomies) had no mortality.
  • Two conversions to open surgery; 5 patients (9.8%) experienced major complications with a 6% reintervention rate.
  • Median hospital stay was 5 days.

Conclusions:

  • Robotic liver resection is a safe and feasible option for managing liver malignancies.
  • It enables minimally invasive treatment without compromising oncological results.
  • Robotic surgery represents a valid alternative for liver cancer treatment.

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