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ROBOTIC LIVER RESECTION. REPORT OF THE FIRST 50 CASES.
Marcel Autran C Machado1, Murillo M Lobo-Filho1, Bruno H Mattos1
1Hospital Nove de Julho, São Paulo, SP, Brasil.
Arquivos De Gastroenterologia
|December 15, 2021
Summary
Robotic liver resection is increasingly feasible, even for complex cases like redo hepatectomies. This minimally invasive approach demonstrated safe outcomes with low complication rates in fifty patients.
Area of Science:
- Hepatobiliary Surgery
- Minimally Invasive Surgery
- Robotic Surgery
Background:
- Robotic surgery adoption is growing, now including liver resections.
- Minimally invasive techniques are increasingly preferred for liver surgery.
Purpose of the Study:
- To report the initial experience with fifty robotic liver resections.
- To evaluate the feasibility and outcomes of robotic hepatectomy.
Main Methods:
- Retrospective analysis of 50 consecutive robotic liver resections (May 2018 - Dec 2020).
- Patient selection based on minimally invasive liver resection guidelines.
- Inclusion of major resections, anatomical resections, and redo hepatectomies.
Main Results:
- Robotic liver resection constituted 58.8% of all liver resections.
- 42 patients had malignant diseases; 16 underwent major resections.
- Low complication rate (8%) and no 90-day mortality observed.
Conclusions:
- Robotic surgery enables complex liver procedures with comparable outcomes.
- This technology facilitates difficult liver resections safely and effectively.

