Related Experiment Video
Updated: Dec 9, 2025
Laparoscopic Left Hemihepatectomy Combined with Caudate Lobe Resection
Published on: April 11, 2025
Totally robotic caudate lobe liver resection: Bridge over troubled water
Rodrigo Cañada Trofo Surjan1,2, Sergio do Prado Silveira2
1Department of Surgery, Universidade de São Paulo, São Paulo, São Paulo, Brazil.
Background:
Minimally invasive hepatectomy has well-known advantages over the traditional open approach. Inherent limitations of laparoscopy make major hepatectomies and the resection of upper and posterior segments a great technical challenge. The robotic approach overcomes most of these limitations, and this technology is most useful in the resection of the deeply located caudate lobe.
Methods:
We describe the robotic caudate lobe resection technical aspects, using the first robotic resection of the caudate lobe to treat a biphenotypic hepatocholangiocarcinoma to illustrate the procedure. We also performed a literature review on the current status of the robotic approach to segment (Sg) 1.
Results:
Technical approach to the robotic caudate lobe resection is described in a patient with uneventful post-operative recovery. Literature review demonstrated only four previous authors reporting the use of this technique.
Conclusion:
We present a step-by-step approach to the hepatic Sg 1 resection by robotic approach.
