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Multivisceral Resection in Robotic Liver Surgery.
Kevin M Sullivan1, Yuman Fong1
1Department of Surgery, City of Hope National Medical Center, Duarte, CA 91010, USA.
Cancers
|January 21, 2022
Summary
Robotic surgery is increasingly used for liver resections, including complex multivisceral procedures. This approach offers benefits like improved visualization and surgeon ergonomics, demonstrating safety and acceptable outcomes in reviewed cases.
Area of Science:
- Surgical Oncology
- Minimally Invasive Surgery
- Robotic Surgery
Background:
- Minimally invasive surgery (MIS) is expanding in liver resections.
- Robotic approaches offer advantages like enhanced surgeon ergonomics, articulation, and 3D visualization.
- MIS techniques have evolved from laparoscopy to robotics for complex liver resections.
Purpose of the Study:
- To review the literature on robotic multivisceral resections involving the liver.
- To describe the application of robotic techniques in combined liver and other organ resections.
Main Methods:
- Literature review of published cases.
- Description of robotic multivisceral resections including hepatectomy, colon/rectal resection, pancreatectomy, and pulmonary resection.
Main Results:
- Over 50 cases of simultaneous robotic liver and colon/rectal resection were described.
- Several robotic pancreatectomies with liver resection and one extra-abdominal pulmonary resection with liver resection were reported.
- These cases demonstrate the safety of robotic multivisceral resection in liver surgery.
Conclusions:
- Robotic multivisceral resection in liver surgery is safe with acceptable morbidity and rare conversions to open surgery.
- Advancing robotic technology and growing experience support further investigation of these techniques.
