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Mechanical Systems01:22

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Related Experiment Video

Updated: Jan 4, 2026

Simulation of a Scaled Assembly Process with Collaboration of a Robotic Arm and Monitoring through a Vision System for Quality Control
05:47

Simulation of a Scaled Assembly Process with Collaboration of a Robotic Arm and Monitoring through a Vision System for Quality Control

Published on: August 29, 2025

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Robotic ALPPS.

Marcel Autran C Machado1,2, Rodrigo C Surjan3,4, Fabio Makdissi4,5

  • 1Department of Surgery, University of São Paulo, São Paulo, Brazil. dr@drmarcel.com.br.

Annals of Surgical Oncology
|November 6, 2019
PubMed
Summary
This summary is machine-generated.

Robotic associating liver partition and portal vein ligation for staged hepatectomy (ALPPS) is a safe and feasible approach for treating advanced liver tumors. This minimally invasive technique offers potential advantages for oncological surgeons performing complex procedures.

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Area of Science:

  • Minimally invasive surgery
  • Surgical oncology
  • Hepatobiliary surgery

Background:

  • The associating liver partition and portal vein ligation for staged hepatectomy (ALPPS) procedure is critical for managing advanced liver tumors with limited future liver remnants.
  • This video demonstrates a robotic-assisted ALPPS procedure for synchronous colorectal liver metastases.

Observation:

  • A 71-year-old patient with liver metastases underwent a two-stage robotic ALPPS procedure followed by robotic colon resection.
  • The first stage of robotic ALPPS took 293 minutes, with a partial transection technique and right hepatic duct preservation.
  • The patient experienced an uneventful recovery after both stages and the subsequent robotic colorectal resection.

Findings:

  • Robotic ALPPS was successfully completed in two stages, with the patient discharged after each stage.
  • Final pathology confirmed T3N1bM1 adenocarcinoma with partial response in liver metastases and clear surgical margins.
  • The patient remains disease-free five months post-procedure.

Implications:

  • Robotic ALPPS is a feasible and safe option for complex liver resections.
  • The robotic approach may offer advantages over traditional laparoscopic and open ALPPS techniques.
  • This video serves as a valuable educational resource for surgeons undertaking robotic ALPPS procedures.