Related Experiment Video
Updated: Oct 17, 2025
Robotic Left Hepatectomy using Indocyanine Green Fluorescence Imaging for an Intrahepatic Complex Biliary Cyst
Published on: June 24, 2022
Robotic right hepatectomy for giant hepatocellular adenoma - With video
Antoine Camerlo1, Heloise Seux1, Francois Portier2
1Department of Digestive Surgery, Hôpital Européen, 6 rue désirée Clary, 13003, Marseille, France.
Background:
The safety and efficiency of mini-invasive approach for liver resection have been confirmed. However, laparoscopic approach suffers from several limits due to technical difficulties particularly for voluminous tumor. Robotic approach could improve accessibility of these difficult tumors.
Methods:
A 29-year-old woman was treated for a giant telangiectasic adenoma [1] of the right liver measuring 20 cm.
Results:
A robotic anatomical right hepatectomy was decided [2]. Da Vinci X robot was used. The procedure was performed with a second surgeon positioned between the patient's legs using suction/irrigation device and ultrasonic dissector through laparoscopic ports [3]. A first hilar approach allows individualization of right hepatic artery and portal vein. Robotic irrigated bipolar coagulation and laparoscopic ultrasonic dissector was used for parenchymal transection. Operation time was 290 min, and estimated blood loss was 150 ml. Postoperative course was uneventful. The patient was discharged on postoperative day eight.
Conclusions:
Robotic approach could improve accessibility to minimally invasive liver resection of voluminous tumor.
