Multivisceral robotic liver surgery: feasible and safe

Area of Science:

• Minimally Invasive Surgery
• Surgical Oncology
• Robotic Surgery

Background:

• Robotic technology facilitates complex multi-organ liver resections by multidisciplinary teams.
• The technique and outcomes of robotic multi-organ liver resections require further establishment.

Observation:

• The Xi robotic system was used for liver resections combined with colon, pancreas, and urologic procedures in three patients.
• Port placement was optimized by multidisciplinary teams for hepatic and extra-hepatic portions.
• Parenchymal transections utilized Vessel Sealer and robotic staplers; Indocyanine green assessed perfusion in one case.

Findings:

• All patients achieved negative surgical margins.
• Blood loss ranged from 50 to 300 ml.
• Patients were discharged between postoperative days 3 and 8, with one experiencing postoperative ileus.

Implications:

• Robotic multivisceral liver resections are feasible and safe when performed by experienced multidisciplinary teams.
• The robotic platform provides a minimally invasive option for synchronous liver, colon, pancreatic, and urologic surgeries.